151-E:1 Purpose. – I. The purpose of this chapter is to provide medicaid eligible elderly and chronically ill adults with a continuum of care appropriate to their needs and affordable to the state and its taxpayers. II. To a great extent, the current system relies on nursing facilities to provide care for this group. […]
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, […]
151-E:11 Program Management and Cost Controls. – I. The department shall designate in its operating budget requests specific class lines for nursing facility, mid-level, and home-based care provided for in this chapter. These class lines shall reflect, and the requesting documentation shall include, the anticipated number of persons to receive services. The department shall […]
151-E:12 Rulemaking. – The commissioner of the department of health and human services shall adopt rules, pursuant to RSA 541-A, relative to the administration of this chapter. Source. 1998, 388:1, eff. Nov. 25, 1998.
151-E:13 Repealed by by 2004, 260:21, II, eff. June 16, 2004. –
151-E:14 Nursing Facility Trust Fund Established. – 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 expenditures funded by these nursing […]
151-E:15 Expenditure of Funds From Nursing Facility Trust Fund. – 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: […]
151-E:15-a Repealed by 2019, 346:358, II, eff. July 1, 2019. –
151-E:16 Accurate Cost Estimates. – 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 to fund home […]
151-E:17 Availability of Targeted Management Services. – 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 management services provided […]
[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. […]
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 […]
151-E:2 Definitions. – 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" means public housing providing congregate services as defined in […]
151-E:20 Repealed by 2013, 144:133, eff. Nov. 1, 2013. –
151-E:21 Repealed by 2017, 152:2, eff. Dec. 1, 2017. –
151-E:3 Eligibility. – 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) Medical monitoring and nursing care when the […]
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 […]
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 […]
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 […]
151-E:6-a Repealed by 2010, 368:1(15), eff. Dec. 31, 2010. –
