N.H. Admin. Code § He-M 1302.07

Current through Register No. 50, December 12, 2024
Section He-M 1302.07 - Determination of Need for Nursing Facility Services
(a) The PASRR office shall conduct an evaluation that assesses whether:
(1) The individual's total needs are such that his or her needs can be met in an appropriate community setting;
(2) The individual's total needs are such that they can be met only on an inpatient basis, which may include the option of placement in a home and community-based services waiver program, but for which the inpatient care would be required; and
(3) If inpatient care is appropriate and desired, the NF is an appropriate placement.
(b) The PASRR office shall determine that an applicant needs nursing facility services if he or she meets the clinical eligibility requirements for nursing facility services in RSA 151-E:3, I(a), namely, the person requires 24-hour care for one or more of the following purposes, as determined by a registered nurse appropriately trained to use an assessment instrument and employed by the department, or a designee acting on behalf of the department:
(1) Medical monitoring and nursing care when the skills of a licensed medical professional are needed to provide safe and effective services;
(2) Restorative nursing or rehabilitative care with patient-specific goals;
(3) Medication administration by oral, topical, intravenous, intramuscular, or subcutaneous injection, or intravenous feeding for treatment of recent or unstable conditions requiring medical or nursing intervention; or
(4) Assistance with 2 or more activities of daily living involving eating, toileting, transferring, bathing, dressing, and continence.

N.H. Admin. Code § He-M 1302.07

#6063 eff 8-1-95; ss by #7920, INTERIM, eff 8-2-03, EXPIRED: 1-29-04

New. #8035, eff 2-7-04; amd by #8430, eff 9-17-05; paras (a) & (c) expired 2-7-12; amd by #10123, INTERIM, eff 4-30-12, EXPIRES: 10-29-12; ss by #10216, eff 10-29-12