Section He-W 572.01 - Definitions(a) "Acute care hospital" means a hospital that provides short-term medical treatment for patients who have an acute illness or injury, or who are recovering from surgery.(b) "Advanced life support (ALS) services" means "advanced life support (ALS) " as defined by Saf-C 5901.04, namely, "medical procedures and the scope of practice rendered by advanced emergency medical care providers in accordance with RSA 153-A:12."(c) "Air ambulance" means a fixed-wing or rotary-wing aircraft that is certified by the Federal Aviation Administration as an air ambulance and which is designed and equipped for the provision of medically necessary supplies and services.(d) "Ambulance" means any vehicle designed, equipped, and used for the transport of sick or injured individuals and which are licensed to do so in the state in which they operate.(e) "Basic life support (BLS) services" means "basic life support (BLS) " as defined by Saf-C 5901.09, namely, "fundamental medical procedures and the scope of practice in which emergency medical care providers at the first responder or emergency medical technician-basic levels are trained."(f) "Department" means the New Hampshire department of health and human services.(g) "Emergency medical condition" means: (1) A medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that a prudent layperson, with an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in: a. Placing the health of the recipient, or, with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy;b. Serious impairment to bodily functions; orc. Serious dysfunction of any bodily organ or part; or(2) With respect to a pregnant woman who is having contractions: a. That there is inadequate time to effect a safe transfer to another hospital before delivery; orb. That transfer may pose a threat to the health or safety of the woman or unborn child.(h) "Medicaid" means the Title XIX and Title XXI programs administered by the department which makes medical assistance available to eligible individuals.(i) "Prior authorization agent" means an individual or agency contracted by the department responsible for reviewing all scheduled and routine ambulance transportation requests.(j) "Recipient" means an individual who is eligible for and receiving medical assistance under the medicaid program.(k) "Scheduled and routine ambulance transportation" means transportation by an ambulance for the purpose of attending an appointment to obtain a medicaid covered service from a medicaid enrolled provider when the use of any other mode of transportation would likely endanger the health and safety of the recipient and when the medicaid covered service is not to treat an emergency medical condition as defined in (g) above.(l) "Title XIX" means the joint federal-state program described in Title XIX of the Social Security Act and administered in New Hampshire by the department under the medicaid program.(m) "Title XXI" means the joint federal-state program described in Title XXI of the Social Security Act and administered in New Hampshire by the department under the medicaid program.N.H. Admin. Code § He-W 572.01
(See Revision Note at chapter heading He-W 500); ss by #6641, eff 11-27-97; EXPIRED: 11-27-05
New. #8502, INTERIM, eff 12-2-05, EXPIRES: 5-31-06; ss by #8638, eff 5-30-06; amd by #10139, eff 7-1-12; ss by #10294, eff 12-1-13