Section 151-E:18 – Presumptive Eligibility.
[RSA 151-E:18 suspended by 2021, 91:406 for the biennium ending June 30, 2023.] 151-E:18 Presumptive Eligibility. – 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. […]
Section 151-E:19 – Support for Certain Residents of Nursing Homes and Assisted Living Facilities.
151-E:19 Support for Certain Residents of Nursing Homes and Assisted Living Facilities. – 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 […]
Section 151-E:10 – Notification by Hospitals.
151-E:10 Notification by Hospitals. – Prior to the discharge or referral of any person to any nursing facility, a hospital shall notify the department that such person requires nursing facility services which necessitate an assessment under RSA 151-E:7 or the provision of information and assistance under RSA 151-E:9. Source. 1998, 388:1, eff. Nov. 25, […]
Section 151-E:4 – Consumer Choice.
151-E:4 Consumer Choice. – 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 setting if such services are […]
Section 151-E:5 – Information and Referral.
151-E:5 Information and Referral. – The department shall establish a system of community-based information and referral resource centers that provide information and referral services to elderly and chronically ill adults. The information and referral network established under this section shall not be used for the purpose of political advocacy, but may inform and educate […]
Section 151-E:6 – Acuity-Based Reimbursement System.
151-E:6 Acuity-Based Reimbursement System. – 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. All nursing facilities shall use best efforts to provide […]
Section 151-E:6-a – Repealed by 2010, 368:1(15), eff. Dec. 31, 2010.
151-E:6-a Repealed by 2010, 368:1(15), eff. Dec. 31, 2010. –
Section 151-E:6-b – Memorandum of Agreement.
151-E:6-b Memorandum of Agreement. – 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 to payments which the counties are […]
Section 151-E:6-c – Payment System for Nursing Facilities.
151-E:6-c Payment System for Nursing Facilities. – 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 […]
Section 151-E:7 – Needs Assessment for Applicants for Nursing Facility Services.
151-E:7 Needs Assessment for Applicants for Nursing Facility Services. – 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 […]