Section He-Hea 907.03 - Special Review Criteria Any CCRC that seeks a certificate of need to add nursing home beds shall comply with RSA 151-C:7, He-Hea 303.02 through He-Hea 303.09, and the following:
(a) The applicant shall provide with the application an itemized and detailed description of how the facility meets the definition of a CCRC;(b) The CCRC shall have the resources to cover the full cost of any resident's required care in the nursing home unit of the CCRC by demonstrating it has adequate financial resources to do so without resorting to medical assistance funding, except as allowed under He-Hea 909.07(b);(c) Proof of adequate resources shall be made by providing with the application an independent financial analysis of the CCRC's ability to cover the cost of care for its residents;(d) The CCRC shall cover all costs of nursing home care in facilities not owned or operated by the CCRC in the event that nursing home beds are not available in the CCRC and the resident requires nursing home services;(e) The applicant shall submit a financial analysis with the application which documents that it has adequate resources to cover the costs of nursing care outside of the CCRC;(f) In addition to (e) above, the applicant shall submit with the application a plan for the coverage of nursing home care when beds are not available at the CCRC. This plan shall include signed written statements from the administrators of nursing homes within a 15 mile radius of the CCRC with whom the applicant intends to enter into an agreement stating that they agree to admit CCRC residents who need nursing home care until a bed becomes available in the CCRC;(g) The CCRC shall agree to readmit to the CCRC's nursing home any persons admitted to an acute care hospital or other healthcare facility for treatment as soon as a bed becomes available;(h) Proof of a readmission policy shall be made by providing with the application a signed statement attesting to this policy. This requirement shall not apply to any patient whose medical, personal and psychosocial needs cannot be met by the facility or to any person who is known to have or suspected of having a communicable disease;(i) Written policies shall exist or be established upon implementation of the project, guaranteeing that a bed in a CCRC's nursing home is available to a nursing home patient for at least 45 consecutive days following admission of that nursing home patient to an acute care hospital for inpatient treatment or care;(j) Proof of guarantee shall be made by providing with the application copies of the established or proposed policies;(k) In the case of a new CCRC, demand for the residential component of the CCRC in the service area shall be demonstrated;(l) Demand for a CCRC shall be demonstrated by providing with the application: (1) A definition of the service area for the CCRC, including demographic data and any available market studies justifying the location of the CCRC, and the nursing home in that service area; and(2) Evidence of prepaid deposits for placement in the CCRC; and(m) The nursing home service areas described in He-Hea 902.02 shall not apply to the applications by or on behalf of the CCRCs.N.H. Admin. Code § He-Hea 907.03
#4096, eff 7-22-86; 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, EXPIRED: 7-15-06
New. #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.