New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 500 - MEDICAL ASSISTANCE
Part He-W 544 - HOSPICE SERVICES
Section He-W 544.03 - Provider Participation

(a) Be medicare certified as a hospice provider;

(b) Be a NH enrolled Title XIX provider;

(c) Hold a current NH state license as a home hospice care provider or hospice house in accordance with RSA 151:2 and He-P 823 or He-P 824, or be licensed as such by the state in which they practice; and

(d) Notify the department of a recipient's discharge from the hospice provider due to the recipient's death, within 5 state business days of the recipient's death, via Form 282A, "Medicaid Hospice Care Notification Form," incorporated by reference in He-W 544.17.