Section He-W 552.13 - Documentation(a) The provider shall maintain supporting records, in accordance with He-W 520 and He-W 521.(b) The supporting records described in (a) above shall include, but not be limited to: (1) Documentation from the recipient's physician that includes documentation of the need for PCA services in accordance with He-W 552.03(c);(2) Results of the personal care assessment completed in accordance with He-W 552.09;(3) The plan of care, as described in He-W 552.09(b);(4) Documentation describing any changes in either the type of PCA services to be provided or the number of hours of PCA services provided, including an explanation of the basis for the change;(5) Documentation of the time during which PCA services were provided to each recipient, including the date of service, number of hours or units worked, including specific in and out times, and confirmed by the recipient in writing, verbally, or electronically that PCA services were performed;(6) Documentation of the PCA services for which reimbursement has been requested, including a detailed description of the specific PCA services provided;(7) Documentation of the face-to-face visits conducted in accordance with He-W 552.09(c), including any related notes and outcomes; and(8) Documentation of oversight measures taken by the provider to ensure PCA services are being provided when they are being provided outside the state of NH for longer than a 30-day period.(c) All electronic and written documentation submitted in accordance with (b) above shall be legible and written in English.(d) The provider shall provide all documentation to the department upon request for ongoing monitoring and oversight of the services for which the provider has submitted claims for.N.H. Admin. Code § He-W 552.13
#10676, eff 9-26-14 (from He-W 553.04)
Amended byVolume XXXIV Number 41, Filed October 9, 2014, Proposed by #10676, Effective 9/26/2014, Expires 9/26/2024.Amended by Number 2, Filed January 9, 2025, Proposed by #14154, Effective 12/21/2024, Expires 12/21/2034.