Section He-W 544.06 - Certification of Terminal Illness(a) The hospice provider shall obtain certification of terminal illness as follows: (1) For the first 90-day election period, the hospice provider shall obtain, within 2 calendar days after hospice care is initiated, written certification of terminal illness signed and dated by: a. The medical director of the hospice provider or the licensed practitioner member of the hospice interdisciplinary group; andb. The recipient's medicaid attending licensed practitioner.(2) For subsequent election periods of coverage specified in He-W 544.05(a)(2) and (3) above, within 2 calendar days after the beginning of each election period, a written certification of terminal illness signed and dated by the medical director of the hospice provider or the licensed practitioner member of the hospice interdisciplinary group;(3) A hospice licensed practitioner or hospice nurse practitioner shall have a FTF encounter with each hospice recipient whose total stay across all hospices is anticipated to reach the 3rd benefit period. The FTF encounter shall occur prior to, but no more than 30 calendar days prior to, the 3rd benefit period recertification, and every benefit period recertification thereafter, to gather clinical findings to determine continued eligibility for hospice care; and(4) If the written certification in (a) above cannot be obtained within 2 days, a verbal certification shall be considered acceptable and be:a. Documented in the recipient's medical records;b. Followed by a written certification pursuant to (a)(1) and (2) above prior to submission of claim for payment;c. Completed no more than 15 calendar days prior to the effective date of election; andd. Completed no more than 15 calendar days prior to the start of the subsequent benefit period.(b) A medicaid payment shall be made only after the agency has provided certification in accordance with (a)(1) - (a)(4) above.N.H. Admin. Code § He-W 544.06
Amended by Number 6, Filed February 8, 2024, Proposed by #13847, Effective 1/6/2024, Expires 1/6/2034 (See Revision Note at part heading for He-W 544).