N.H. Admin. Code § He-Hea 901.02

Current through Register No. 50, December 12, 2024
Section He-Hea 901.02 - Definitions
(a) "Applicant" means "applicant" as defined in RSA 151-C:2, II.
(b) "Application" means a proposal prepared by a person and filed with the board for a certificate of need.
(c) "Board" means "board" as defined in RSA 151-C:2, IV.
(d) "Certificate of need (CON)" means "certificate of need" as defined in RSA 151-C:2, VIII.
(e) "Construction" means "construction" as defined in RSA 151-C:2, XII.
(f) "Continuing care contract" means a contractual arrangement between the operator and resident of a CCRC that is in force for not less than one year, which details the rights and obligations of each party to the contract and which guarantees the resident nursing home care and other services for the duration of residence in the CCRC in exchange for an entrance or other fee.
(g) "Continuing care retirement community (CCRC)" means a residential complex which:
(1) Operates a residential unit and a nursing home under a single independent corporate structure;
(2) Operates a residential unit and nursing home on a single campus or, if not on the same campus, operates the nursing home within one mile of the residential complex; and
(3) Documents the existence of one of the following:
a. A continuing care contract with the residents of the CCRC in exchange for an entrance or other fee offering health care and support services including but not limited to:
1. Independent living;
2. Dietary services;
3. Medical services;
4. Housekeeping; and
5. Nursing home services; or
b. In lieu of a continuing care contract, a prominently and publicly displayed posted continuing care policy.
(h) "Continuum of care" means a comprehensive system of services having diagnostic, preventative, therapeutic, rehabilitative, supportive and maintenance services in institutional and non-institutional settings, including but not limited to:
(1) Medical care;
(2) Mental health services;
(3) Primary health care;
(4) Nursing care;
(5) Therapy;
(6) Nutrition services;
(7) Home health care;
(8) Pharmaceutical services;
(9) Personal care services;
(10) Domestic services;
(11) Full range of living arrangements;
(12) Transportation;
(13) Information and referral services; and
(14) Respite care.
(i) "Detrimental" means a significant adverse impact on the ability to maintain the accessibility, quality and cost of health care services in the area.
(j) "Entrance fee" means an initial or deferred payment of a sum of money made as full or partial payment to ensure the resident a place in the CCRC. The term also includes "accommodation fee" or "admission fee".
(k) "Long-term care (LTC)" means medical and support services provided to individuals who are frail and dependent due to chronic physical or mental impairments in order to assist them in attaining an optimal level of physical, social and psychological functioning.
(l) "Marshall Valuation Service (MVS)" means an appraisal guide for the development and reporting of replacement building and equipment costs used to determine construction/renovation costs of commercial buildings.
(m) "Nursing home" means "nursing home" as defined in RSA 151-C:2, XXVI. The term also includes "long-term-care facility."
(n) "Person" means "person" as defined in RSA 151-C:2, XXVIII.
(o) "Posted continuing care policy" means a written description, provided by the CCRC, of the obligations, rights and privileges of, and the services available to, all residents of the CCRC.
(p) "Priority" means the right described in He-Hea 903 given to a long-term care facility that has surrendered beds to add the same number of beds or portion thereof to its facility in advance of a request for applications for additional long-term care beds in the state.
(q) "Provider" means a person holding a certificate of need and licensed to do business in the state providing long-term care services in an institutional setting.
(r) "Quality assurance plan" means a continuous plan of collection, screening, and evaluation of information concerning patient care, placement, and clinical performance leading to the methods of resolving and/or eliminating problems as identified by professional and administrative staffs, patients and their families, and other professionals in the delivery of health care services.
(s) "Region" means the counties as set forth in table 900.1 of He-Hea 902.02.
(t) "Renovation" means a capital expenditure allotted to any combination of repairs, remodeling, or reconfiguration of existing space.
(u) "Replacement" means a capital expenditure allotted to the rebuilding, in whole or in part, of a long-term care facility on a new or the original site.
(v) "Resident" means:
(1) The purchaser of a continuing care contract who physically resides in the residential unit of a CCRC; or
(2) A person who physically resides in the residential unit of the CCRC which has a posted continuing care policy.
(w) "Residential complex" means an amalgamation of housing arrangements that includes one or more of the following on one physical site:
(1) Buildings;
(2) Apartments;
(3) Flats;
(4) Homes;
(5) Cottages; or
(6) Rooms.
(x) "Residential unit" means an apartment, sheltered care facility, or other independent living arrangement that does not require licensure as a nursing home under He-P 803.
(y) "Story height multiplier" means the number by which the base cost of a building is multiplied to adjust for any variation in average story height from the base of 12 feet.

N.H. Admin. Code § He-Hea 901.02

#4096, eff 7-22-86; ss by #4325, eff 10-21-87; ss by #5270, eff 11-6-91, EXPIRED: 11-6-97

New. #6654, INTERIM, eff 12-18-97, EXPIRED: 4-17-98

New. #6801, eff 7-15-98; amd by #7442, eff 2-2-01; paragraphs (a)-(l) & (n)-(t) EXPIRED: 7-15-06; amd by #8690, INTERIM, eff 7-25-06, EXPIRED: 1-21-07

New. #8917, eff 6-22-07

Amended by Volume XXXV Number 49, Filed December 10, 2015, Proposed by #10977, Effective 11/20/2015, Expires 11/20/2025.