Title XI, Hospitals and Sanitaria

There is hereby established the nursing facility trust fund for the receipts from nursing facilities as defined in RSA 84-C:1, V(a), from the nursing facility quality assessment under RSA 84-C:3, any federal financial participation received by the state as a result of expenditure…

Notwithstanding any other provision of law, moneys in the nursing facility trust fund shall be expended in the following manner: I. All moneys in the fund shall be paid out no less frequently than on a quarterly basis and shall be disbursed as follows: (a) The moneys in the fund …

I. The department shall estimate and report the full cost to the state of adequately funding long-term care services at a level which ensures all eligible individuals the quality services which they need and for which they are eligible. The cost estimates shall include the cost t…

The department shall make available to and advise all Medicaid recipients who require a nursing facility level of care or are at risk of needing such care and who are patients in hospitals, rehabilitation hospitals, or nursing facilities of the availability of targeted case manag…

I. The commissioner of the department shall establish a presumptive eligibility program to prevent unnecessary and costly institutionalization of individuals who are Medicaid eligible for nursing facility services and choose to receive services in less restrictive settings. II. P…

I. In this section: (a) "Asset transfer disqualification" means a transfer of assets for less than fair market value by a Medicaid applicant or recipient as set forth in 42 U.S.C. 1396p(c)(1)(A) and 42 U.S.C. 1396p(c)(1)(B). (b) "Costs of care" means all costs of health care and …

In this chapter: I. "Assisted living facility" means a facility with individual living units where medical and social support services are provided on the basis of an individualized plan of care and which provides other common social support services. II. "Congregate housing" mea…

The purposes of this subdivision are to: I. Build upon existing infrastructure to establish a comprehensive and coordinated system of care to ensure that older adults and adults with disabilities have access to and timely delivery of supports and services and to ensure that they …

It is the policy of New Hampshire to establish and implement a comprehensive and coordinated system of care that promotes healthy aging and enables older adults and adults with disabilities to have a meaningful choice in care options, including the ability to receive the care the…

In this subdivision: I. "Disability" means a physical or mental impairment that substantially limits one or more major life activities. II. "Home and community-based services" means a range of medical and supportive services provided to persons in their own homes or other communi…

The commissioner of the department of health and human services shall: I. Modify the policies and practices of the department of health and human services necessary to implement this subdivision, to the extent possible within existing statutory and budget constraints. II. Coordin…

The department shall: I. Create a new person-centered counseling program in each contracted aging and disability resource center (ADRC) to provide support and assistance to persons living at home or in short or long-term institutional settings, including hospitals, to transition …

I. When preparing the biennial budget for the Choices for Independence program, the department shall prepare data showing the amount program provider rates would be increased to be in alignment with the rate plan as completed by the department. II. The department shall review and…

I. When all other resources are exhausted, hospitals seeking to assist older adults or adults with a disability as defined in RSA 151-E:24 with discharge from a hospital setting to a less restrictive setting may seek to have a guardian or conservator appointed by the probate cour…

I. The commissioner of the department of health and human services shall seek approval from the Centers for Medicare and Medicaid Services (CMS) to include family caregiver support services as an allowable service under the Acquired Brain Disorder (ABD) and the Choices for Indepe…

I. A person is medicaid eligible for nursing facility services or Medicaid home and community-based care waiver services if the person is: (a) Clinically eligible for nursing facility care because the person requires 24-hour care for one or more of the following purposes: (1) Med…

I. A person who has been determined to be Medicaid eligible for nursing facility services in accordance with RSA 151-E:3 shall have the right to receive nursing facility services; however, the person shall be offered and may choose to receive services in a less restrictive settin…

The department shall establish a system of community-based aging and disability resource centers that provide information and referral services to older adults and adults with disabilities. The aging and disability resource center network established under this section shall not …

I. The department shall pursue as expeditiously as possible the development and implementation of a reimbursement system for nursing facility services based primarily on the acuity level of patients consistent with state and federal law and all appropriate notice requirements. Al…

The department of health and human services shall establish, by means of a memorandum of agreement with the New Hampshire Association of Counties, a mechanism for the receipt of input from the Association of Counties regarding the type, cost, utilization, and procedures relative …

The payment system for nursing facility level of care shall be as follows: I. Rate calculation worksheets for all providers will be provided at least 30 days prior to the effective date of any rate changes. II. Acuity levels must be updated at least semi-annually, on a regular, p…

I. In order to determine the most cost effective and appropriate level of long-term care services, the department shall assess the clinical eligibility of each applicant to a nursing facility in a uniform manner throughout the state. The assessment shall be voluntary for all appl…

The department shall perform an assessment or reassessment of the person's clinical eligibility when the person becomes financially eligible for medicaid benefits pursuant to RSA 151-E:3, I(b).

The department shall provide information and assistance to each applicant to a nursing facility. Such information and assistance shall: I. Be based upon the principle that services shall be provided in the setting that is least restrictive of the applicant's ability to live indep…