N.H. Admin. Code § He-P 819.15

Current through Register No. 50, December 12, 2024

Section He-P 819.15 - Required Services

(a) The licensee shall provide an administrator who:

(1) Is at least 21 years of age;

(2) Has one of the following combinations of education and experience:

a. A bachelor's degree from an accredited institution in business or a health care field such as nursing or social work and at least 2 years of related experience; or

b. Is a registered nurse (RN), licensed in New Hampshire, with at least 2 years of related experience;

(3) Is responsible for the day to day operation of the CMA services; and

(4) Hires staff necessary to assist in maintaining regulatory compliance.

(b) Case managers shall be responsible:

(1) For the completion of an assessment that includes a psychosocial history;

(2) For the development of a care plan in conjunction with the client and their agent, if applicable;

(3) For the coordination of services identified in the care plan and ensuring that providers hold all required licenses or registrations, as applicable;

(4) For the monitoring of services to determine that services identified in the care plan are provided according to the timeframes and frequencies identified in the care plan and are meeting the client's needs;

(5) To document changes in a client's needs and to develop recommendations for changes in the care plan as appropriate;

(6) For conducting a risk assessment for any client whose condition, behavior or other circumstances represent a risk to the individual, person(s) providing services or others; and

(7) For documenting all case management services provided and their outcomes.

(c) For reportable incidents, the licensee shall:

(1) Complete an investigation to determine if abuse or neglect could have been a contributing factor to the incident;

(2) Fax to 603-271-4968 or, if a fax machine is not available, convey by electronic mail to hfa-licensing@dhhs.nh.gov, or regular mail, the following information to the bureau of licensing and certification within 48 hours of a reportable incident:

a. The CMA name;

b. A description of the incident, including identification of injuries, if applicable;

c. The name of the licensee(s) or personnel involved in, witnessing, or responding to the reportable incident;

d. The name of the client(s) involved in or witnessing the reportable incident;

e. The date and time of the reportable incident;

f. The action taken in direct response to the reportable incident, including any follow-up;

g. If medical intervention was required, by whom, and the date and time;

h. When the clients' guardian, agent, or personal representative, was notified;

i. The signature of the person reporting the reportable incident;

j. The date and time the client's licensed practitioner was notified, if applicable; and

k. The date the CMA performed the investigation required by (1) above;

(3) As soon as practicable, notify the guardian, agent, or personal representative, and

(4) Notify the department with a written report within 5 days describing the actions taken by personnel, the final outcome or continuation of the reportable incident, and actions taken to prevent a reoccurrence if it was not submitted in the initial report.

N.H. Admin. Code § He-P 819.15

Derived from Number 37, Filed September 14, 2023, Proposed by #13709, Effective 8/1/2023, Expires 8/1/2033.