Current through Register No. 40, October 3, 2024
(a) Service
coordinators or their designees shall maintain a separate record for each
individual who receives services and ensure the confidentiality of information
pertaining to the individual, including:
(1)
Maintaining the confidentiality of any personal data in the records;
(2) Storing and disposing of records in a
manner that preserves confidentiality; and
(3) Obtaining a release of information
pursuant to He-M 522.04(f)
prior to release of any part of a record to a third party.
(b) An individual's record shall include:
(1) Personal and identifying information,
including the individual's:
a.
Name;
b. Address;
c. Date of birth; and
d. Telephone number;
(2) All information used to determine
eligibility for services pursuant to
He-M
522.05,
He-M
522.06 and
He-M
522.07;
(3) Information about the individual that
would be essential in case of an emergency, including:
a. The name, address, and telephone number of
the legal guardian or next of kin or
other person to be notified;
b. The names, addresses, and telephone
numbers of current service providers;
c. Medical information, including the
individual's:
1. Diagnosis(es);
2. Health history;
3. Allergies;
4. Do not resuscitate (DNR) orders, as
appropriate; and
5. Advance
directives, as determined by the individual;
(4) Copies of correspondence within the past
year with the individual and guardian, service providers, physicians,
attorneys, state and federal agencies, family members, and others in the
individual's life;
(5) Other
correspondence or memoranda concerning any significant events in the
individual's life; and
(6)
Information about transfer or termination of services, as
appropriate.
(c) All
entries made into an individual record shall be legible and dated and have the
author identified by name and position.
(d) In addition to the documentation
requirements identified in He-M 522, each area agency shall comply with all
applicable documentation requirements of other bureau rules.
(e) Each area agency shall:
(1) Retain records supporting each Medicaid
bill for a period of not less than 6 years; and
(2) Retain an individual's social history,
medical history, evaluations, and any court-related documentation for a period
of not less than 6 years after termination of services.
(f) For those receiving Medicaid home- and
community-based care services, the record shall additionally contain, as
applicable, a copy of:
(1) The individual's
current service agreement;
(2) All
service agreement amendments;
(3)
Progress notes on goals and support services provided as identified in the
service agreement;
(4) All service
coordination contact notes and quarterly assessments pursuant to
He-M
522.12(g) (2) -(4) ; and
(5) Evaluations and reviews by providers and
professionals.
#7120, eff 10-20-99; ss by #8974, INTERIM, eff 10-6-07,
EXPIRED: 4-3-08
New. #9734, eff
6-25-10
The
amended version of this section by
New
Hampshire Register Volume 38, Number 50, eff.
11/30/2018 is not
yet available.
