1. (a) “Department” means the New Hampshire department of health and human services.
2. (b) “Direct care time” means the time a licensed nursing assistant (LNA), registered nurse (RN), or licensed practical nurse (LPN) spends with one recipient during which home health services are provided only to that individual recipient during a visit.
3. (c) “Home health aide” means an LNA, licensed in accordance with RSA 326-B.
4. (d) “Home health aide services” means services provided to a recipient which constitute hands-on care and are required to maintain the recipient’s health, facilitate treatment of the recipient’s medical condition, illness, or injury, and when performed by a LNA, provided under the supervision of a RN or LPN.
5. (e) “Home health care provider” means any organization or business entity engaged in arranging for or providing home health services as described in RSA 151:2-b(I) and 42 CFR 440.70(d) and which is a NH enrolled medicaid provider in accordance with He-W 553.04.
6. (f) “Home health services” means skilled nursing services, home health aide services, and physical therapy, occupational therapy, speech pathology, and audiology services provided by a licensed therapy provider in accordance with He-W 568.
7. (g) “Independent nurse” means an RN who is not an employee with or an independent contractor of a home health care provider and is qualified to provide skilled nursing services.
8. (h) “Light housekeeping” means preparing meals for the recipient, cleaning the recipient’s bedroom and bathroom, and changing the recipient’s bed linens.
9. (i) “Medicaid” means the Title XIX and Title XXI programs administered by the department, which makes medical assistance available to eligible individuals.
10. (j) “Non-routine supplies” means those supplies necessary to complete specific medical treatments ordered by a physician, such as ostomy supplies, IV supplies, catheters and catheter supplies, syringes and needles, sterile dressings, and wound care supplies, and does not include routine supplies.
11. (k) “Recipient” means an individual who is eligible for and receiving medical assistance under the medicaid program.
12. (l) “Routine supplies” means those supplies used incidentally in the course of a visit and include gloves, alcohol wipes, blood drawing supplies, adhesive and paper tape, and non-sterile dressings.
13. (m) “Skilled nursing services” means services that must be provided by an RN or a LPN because the nature of the service is inherently complex or the recipient’s condition is such that the service can be safely and effectively provided only by a RN or LPN.
14. (n) “Title XIX” means the joint federal-state program described in Title XIX of the Social Security Act and administered in New Hampshire by the department under the medicaid program.
15. (o) “Title XXI” means the joint federal-state program described in Title XXI of the Social Security Act and administered in New Hampshire by the department under the medicaid program.
16. (p) “Unit” means 15 minutes.
17. (q) “Visit” means a personal encounter with the recipient by staff of a home health care provider for the purpose of providing a covered service(s).

Source. (See Revision Note at chapter heading He-W 500); ss by #5342, eff 3-3-92, EXPIRED: 3-3-98 New. #8972, eff 9-11-07; amd by #9105, eff 3-18-08; amd by #10139, eff 7-1-12; ss by #11127, eff 7-1-16 (formerly He-W 553.01) (See Revision Note at part heading for He-W 553)