1. (a) “Home health care agency” means an agency that:

   1. (1) Is approved under Medicare; or
   2. (2) Is licensed to provide home health care under applicable state law.

2. (b) “Hospice care” means a provider licensed, certified, or registered in accordance with New Hampshire law that provides a formal program of care that is:

   1. (1) For terminally ill patients whose life expectancy is 6 months or less;
   2. (2) Provided on an in-patient, out-patient, or in-home basis; and
   3. (3) Directed by a physician.
3. (c) “Major organ failure” means failure or loss of one or more organs requiring a surgical transplant of a partial or full human organ.
4. (d) “Medical necessity” means “medical necessity” as defined in RSA 420-J:3, XXV-b.
5. (e) “Specified disease coverage” means a policy or certificate of insurance that pays benefits for the diagnosis and treatment of a specifically named disease or diseases, including critical illnesses and named conditions.

Source. #13163, eff 1-25-21