New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-E - Former Division of Elderly and Adult Services
Chapter He-E 500 - SOCIAL SERVICES
Part He-E 503 - ALZHEIMER'S RESPITE CARE SERVICE
Section He-E 503.04 - Person-Centered Respite Care Plan

Universal Citation: NH Admin Rules He-E 503.04

Current through Register No. 40, October 3, 2024

(a) If the eligibility requirements in He-E 503.03 are met, the primary caregiver and contract agency shall collaborate to complete and develop the following:

(1) An assessment in accordance with (b) below;

(2) A person-centered respite care plan; and

(3) A respite care budget in accordance with (e) and (f) below.

(b) The assessment shall include the following information:

(1) The primary caregiver's name, address and telephone number;

(2) The name of the care recipient;

(3) The relationship of the primary caregiver to the person with ADRD;

(4) Confirmation of the care recipient's diagnosis required in He-E 503.03; and

(5) The primary caregiver's statement of his or her need for respite services.

(c) If the assessment indicates that the eligibility requirements for ADRD respite service, as described in He-E 503.03, are not met, the contract agency shall assist the primary caregiver to identify and explore other helpful resources.

(d) The person-centered respite care plan shall be based on the completed assessment described in (b) above.

(e) The primary caregiver and contract agency shall work to develop the respite care services budget based on the needs identified in (b) above.

(f) The respite care services budget shall not exceed $1500 per primary caregiver annually.

(g) The contract agency shall review the person-centered respite care plan and budget with the primary caregiver annually to determine the ongoing respite care service needs.

#7799, eff 12-4-02, EXPIRED: 12-4-10

New. #9834, INTERIM, eff 12-18-10, EXPIRES: 6-16-11; ss by #9931, eff 5-26-11

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