New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-M - Former Division of Mental Health and Developmental Services
Chapter He-M 500 - DEVELOPMENTAL SERVICES
Part He-M 524 - IN-HOME SUPPORTS
Section He-M 524.21 - Administrative Requirements

Universal Citation: NH Admin Rules He-M 524.21

Current through Register No. 40, October 3, 2024

(a) When in-home supports are provided, the area agency shall, in collaboration with the individual or representative and family and, if applicable, the subcontract agency, specify the roles of the area agency, family, individual or representative, and subcontract agency in service planning, service provision, and oversight including:

(1) Implementation of the service agreement;

(2) Specific training and supervision requirements for service providers;

(3) Compensation amounts and procedures for paying providers;

(4) Oversight of the service provision, as required by the service agreement;

(5) Documentation of compliance with He-M 524.21 through He-M 524.24;

(6) Employer services provided by the area agency, subcontract agency, or other person or entity to facilitate the delivery of in-home supports;

(7) Compliance with applicable laws and rules, including delegation of medication administration and other nursing-related tasks by a nurse to unlicensed providers pursuant to Nur 404 or He-M 1201;

(8) The provision of service coordination; and

(9) Procedures for review and revision of the service agreement as deemed necessary by any of the parties.

(b) When an individual or representative chooses in-home supports to be provided by an entity other than the area agency or subcontract agency, the area agency shall:

(1) Discuss items specified under (a) above with the individual, representative, and family to enable them to make an informed decision regarding the roles and responsibilities of the family and providers; and

(2) Establish a contract with the individual or representative that specifies the parties responsible for the items under (a) above.

(c) The individual or representative and the area agency shall develop an individualized budget that includes:

(1) The specific service components;

(2) The frequency and duration of the services required;

(3) An itemized cost of services; and

(4) The frequency at which budget reports pursuant to (e) below will be provided by the area agency or subcontractor to the individual or representative.

(d) The individual or representative and the area agency shall develop a job description for providers that outlines the expectations and responsibilities of the provider.

(e) As a part of the service provision, the area agency or subcontract agency shall establish a budget reporting mechanism, detailing expenditures to date and the amount remaining in the budget, to assist the individual or representative to manage the individual's budget.

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