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 544.06 - Certification of Terminal Illness

Universal Citation: NH Admin Rules He-W 544.06

Current through Register No. 40, October 3, 2024

The hospice provider shall obtain certification of terminal illness as follows:

(a) For the first 90-day election period, the hospice provider shall obtain, within 2 calendar days after hospice care is initiated, written certification of terminal illness signed and dated by:

(1) The medical director of the hospice provider or the physician member of the hospice interdisciplinary group; and

(2) The recipient's Title XIX attending physician, if the recipient has an attending physician, except that an advance practice registered nurse shall not be allowed to sign;

(b) For subsequent election periods of coverage specified in He-W 544.05(a) (2) and (3) above, the hospice provider shall obtain, within 2 calendar days after the beginning of each election period, a written certification of terminal illness signed and dated by the medical director of the hospice provider or the physician member of the hospice interdisciplinary group;

(c) If the written certification in (a) or (b) above cannot be obtained within 2 days, a verbal certification shall be:

(1) Obtained within 2 days;

(2) Documented in the recipient's medical records; and

(3) Followed by a written certification pursuant to (a) or (b) above within 30 calendar days; and

(d) No Title XIX payment shall be made for days prior to certification in accordance with (a) - (c) above.

#9726-A, eff 7-1-10

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