N.H. Admin. Code § He-M 524.10

Current through Register No. 45, November 7, 2024
Section He-M 524.10 - Assistive Technology
(a) "Assistive technology" means an item, piece of equipment, certification and training of service animal, or product system, used to increase, maintain, or improve functional capabilities of an individual, including, but not limited to, the following:
(1) Devices, controls, or appliances, specified in the individual service agreement that enable the individual to increase their ability to perform activities of daily living, or perceive, control, or communicate with the environment in which they live;
(2) The evaluation of the assistive technology needs of an individual, including a functional evaluation of the impact of the provision of appropriate assistive technology and appropriate services to the individual;
(3) Purchasing, leasing, or otherwise providing for the acquisition of assistive technology or devices;
(4) Selecting, designing, fitting, customizing, adapting, applying, maintaining, repairing, or replacing assistive technology devices;
(5) Coordination and use of necessary therapies, interventions, or services associated with other services in the service agreement;
(6) Training or technical assistance for the individual or the individual's family members, guardians, advocates, or authorized representatives;
(7) Training or technical assistance for professional or other individuals who provide services to, employ, or are otherwise substantially involved in the major life functions of an individual; and
(8) Training and certification of a service animal, defined in federal regulations implementing the Americans with Disabilities Act, 28 C.F.R. § 36.104 as "service animal means any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability. Other species of animals, whether wild or domestic, trained or untrained, are not service animals for the purposes of this definition. The work or tasks performed by a service animal must be directly related to the individual's disability."
(b) "Adaptive equipment" means items of durable and non-durable medical equipment necessary to address the individual's functional limitations.
(c) Adaptive equipment shall not be covered if used for recreational purposes.
(d) Payment for assistive technology shall be limited to $10,000 over the course of 5 years.
(e) The bureau shall authorize assistive technology in excess of the limitation in (d) above upon written request which shall include documentation supporting the need and the correlation of the request to the individual's service agreement.
(f) Assistive technology provided through the home and community based services waiver shall be in addition to, and not duplicative of, assistive technology which is available under the Medicaid state plan, or that is the obligation of the individual's employer.
(g) In order to obtain prior authorization for payment for assistive technology, the individual service agreement (ISA) shall specify the following:
(1) The item;
(2) The name of the healthcare practitioner recommending the item;
(3) An evaluation or assessment regarding the appropriateness of the item;
(4) A goal related to the use of the item;
(5) The anticipated environment that the item will be used; and
(6) Current modifications to the item or product and anticipated future modifications and anticipated cost.

N.H. Admin. Code § He-M 524.10

#7891, eff 5-20-03; ss by #9927, INTERIM, eff 5-21-11, EXPIRES: 11-17-11; ss by #10027, eff 11-17-11

Amended by Volume XLII Number 28, Filed July 14, 2022, Proposed by #13397, Effective 6/18/2022, Expires 6/18/2032