N.H. Code Admin. R. He-E 801.30 - Required Documentation

Current through Register Vol. 41, No. 39, September 30, 2021

(a) Each participating provider, with exceptions noted in (b) below, shall develop, maintain, and implement a written care plan as follows:
(1) The care plan shall be developed in consultation with the participant and the participant's legal representative, if any;
(2) The provider shall communicate with the participant's case manager in order to ensure the care plan is consistent with and addresses the applicable service needs identified in the comprehensive care plan;
(3) The care plan shall contain, at a minimum:
a. A description of the participant's needs and the scope of services to be provided;
b. The dates upon which services will begin and end;
c. The frequency of the services;
d. The total number of service units authorized and the number that will be provided on each date of service;
e. Information on the participant's health condition, medications, allergies, and special dietary needs as it relates to the provision of the service; and
f. The anticipated goals and outcomes of service provision;
(4) The care plan shall be updated at least annually and as necessary; and
(5) The provider shall communicate the elements of the care plan to the participant's case manager, upon the completion or revision of the plan, and document the date it was communicated.
(b) Providers of the following services shall not be required to develop a care plan:
(1) Environmental accessibility adaptations;
(2) Home-delivered meals services;
(3) Non-medical transportation services;
(4) Personal emergency response system services;
(5) Specialized medical equipment services; and
(c) Each participating provider shall:
(1) Maintain documentation in accordance with applicable licensure, certification or other requirements;
(2) Maintain any other supporting records in accordance with He-W 520; and
(3) Maintain documentation in their records to fully support each claim billed for services including the specific service provided, the number of service units provided, the name of the employee who provided the service, and the date and time of service provision, as applicable.
(d) In addition to (c) above, documentation of personal care services shall include verification of the personal care services worker's time, including, when paper timesheets are used, the signature of the participant or PCS representative indicating that the service was provided in accordance with the care plan and to the participant's satisfaction.
(e) The documentation required by this section shall be made available to the department upon request.
(f) The documentation required by this section shall be maintained for a period of at least 6 years from the date of service or until the resolution of any legal action(s) commenced during the 6 year period, whichever is longer.


N.H. Code Admin. R. He-E 801.30

(See Revision Note at part heading for He-E 801) #9969, eff 8-8-11

Amended by Volume XXXIX Number 32, Filed August 8, 2019, Proposed by #12830, Effective 8/7/2019, Expires 2/3/2020.

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