Section He-W 552.05 - Covered Services(a) PCA services shall be covered when they are: (1) PCA services as defined by He-W 552.02(h) and as further described in (b) below;(2) Documented by the recipient's physician who certifies to the necessity of the PCA services in accordance with He-W 552.03(c) ;(3) Part of a plan of care developed by a registered nurse as provided for in He-W 552.09(b) ;(4) Provided in the home or in locations other than the home, such as school and work, if the PCA services would have otherwise been provided in the home;(5) Of a type, frequency, and duration that is consistent with the recipient's demonstrated needs for PCA services as documented in the plan of care; and(6) Provided in accordance with the requirements of this part.(b) PCA services, provided in accordance with the plan of care, shall include, as applicable: (1) Personal hygiene, such as providing or assisting an individual with bathing, washing hair, grooming, shaving, nail care, foot care, skin care, mouth care, and oral hygiene, including special mouth care;(2) Assistance with toileting, or a bowel and bladder care program, such as assisting the recipient getting to and from the bathroom, on and off the toilet, or assistive device used for toileting, changing incontinence supplies, following a toileting schedule, cleansing an individual or adjusting clothing relate to toileting, emptying a catheter drainage bag or assistive device, ostomy care, and bowel care;(3) Assistance with movement and mobility, transfers or repositioning, such as transferring a recipient from a bed to a wheelchair, turning an individual or adjusting padding for physical comfort or pressure relief, and assisting with range-of-motion exercises;(4) Under the direction of the recipient, assistance with medications to the extent allowable under RSA 326-B;(5) Assistance with dressing;(6) Meal preparation and clean-up when such activities are not otherwise being provided, and may include preparing meals for modified diets, assisting with eating, and monitoring to prevent choking or aspiration; and(7) The performance of light household tasks related to the recipient's needs, such as but not limited to, changing and washing the recipient's bed linens, doing the recipient's laundry, cleaning of recipient occupied space, or moving furniture to remove obstacles and hazards to enable the recipient to move easily in the home.(c) The recipient shall be responsible for informing the personal care attendant about his or her preferences regarding the PCA services, and how they are to be performed.N.H. Admin. Code § He-W 552.05
(See Revision Note at chapter heading He-W 500); ss by #4993, eff 11-30-90, EXPIRED: 11-30-96
New. #6742, eff 4-30-98; ss by #8597, eff 3-30-06; ss by #10562, INTERIM, eff 3-30-14, EXPIRES: 9-26-14; ss by #10676, eff 9-26-14 (from He-W 552.04 )
Amended byVolume XXXIV Number 41, Filed October 9, 2014, Proposed by #10676, Effective 9/26/2014, Expires 9/26/2024.