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 547 - NEWBORN HOME VISIT
Section He-W 547.04 - Covered Services
Universal Citation: NH Admin Rules He-W 547.04
Current through Register No. 40, October 3, 2024
The following services shall be covered when provided during a home visit:
(a) Newborn health assessment of the:
(1) Skin, including
color, condition and birthmarks;
(2) Head, including fontanelles;
(3) Neck, including mobility;
(4) Eyes, including appearance, movement and
evidence of sight;
(5) Ears,
including evidence of hearing;
(6)
Nose, including patency and septum;
(7) Mouth, including lips, mucosa, palate,
and gums;
(8) Chest and lungs,
including appearance, respiration, auscultation, and breasts;
(9) Heart, including rate and
rhythm;
(10) Abdomen, including
appearance, palpation, umbilicus, and femoral pulses;
(11) Skeleton, including upper and lower
structure, and range of upper and lower motion;
(12) Genitourinary system, including
genitalia, urine stream and circumcision;
(13) Back, including spine and
anus;
(14) Neurological and
behavioral systems, including general appearance, cry, motor system, reflexes,
signs and symptoms of neonatal abstinence syndrome; and
(15) Weight;
(b) Maternal postpartum assessment services including:
(1) A determination of whether the
following health characteristics and functions are within normal limits:
a. Diet;
b. Rest, activity, and exercise;
c. Breast feeding;
d. Abdominal cramping and
tenderness;
e. Urinating and
bowels;
f. Emotional response,
including postpartum depression screening;
g. Bonding;
h. General appearance;
i. Blood pressure;
j. Temperature;
k. Heart and lungs;
l. Breasts and nipples;
m. Abdomen and fundus;
n. Perineum and episiotomy;
o. Lochia;
p. Wound care and healing; and
q. Substance use, including:
1.Alcohol;
2.Tobacco; and
3.Illicit and illegal drug use;
(2) Postpartum education
including, but not limited to:
a. Family
planning;
b. Breast care;
c. Hygiene;
d. Sexuality;
e. Perineal care for stitches and
hemorrhoids;
f. Psychological
adjustment and postpartum depression;
g. Exercising; and
h. Sleep safety measures;
(3) The provision of referrals to
other community agencies as appropriate, including, but not limited to:
a. Supplemental nutrition program for women,
infants and children (WIC);
b.
Mental health services;
c. Domestic
violence resources;
d
Breastfeeding support;
e. Home
visiting New Hampshire (HVNH) program for continued support;
f. Local Family Resource Center;
and
g. Safe transportation programs
to include car seat fitting; and
(4) The discussion of other health, social,
or environmental concerns; and
(c) Parent or guardian education including:
(1) Nutrition, including:
a. Breastfeeding;
b. Preparation and storage of
formula;
c. Feeding problems;
and
d. Supplements;
(2) Behavioral issues, including:
a. Crying patterns;
b. Colic;
c. Consolability;
d. Sleep patterns;
e. Elimination; and
f. Individuality;
(3) Family relationships and interactions,
including:
a.
Parent/guardian-child;
b. Sibling
rivalry;
c.
Parent/guardian-to-parent/guardian; and
d. Relatives;
(4) Safety, and injury prevention, including:
a. Home environment including, but not
limited to:
1.Fire safety;
2.Maintaining a smoke-free environment; and
3.Gun safety;
b. Use and placement of an appropriate infant
car seat;
c. Poison
control;
d. Safe water
temperature;
e. Drowning;
f. Falling;
g. Crib safety, including safe sleeping
environment;
h. Pets;
i. Sleep positioning and current safe sleep
practices;
j. Choking;
k. Younger siblings;
l. Abusive head trauma, formally known as
shaken baby syndrome; and
m. Sudden
infant death syndrome (SIDS) risk prevention and sudden unexplained infant
death safe sleep initiatives (SUID);
(5) Resources, including:
a. The supplemental nutrition program for
women, infants and children (WIC);
b. Family planning programs;
c. Respite care;
d. Support from family and friends;
e. Mental health services;
f. Domestic violence programs;
g. Breastfeeding support services;
h. Home visiting programs for continued
support;
i. Family Resource
Centers, and
j. Programs that
assist with car seat selection and fitting;
(6) Health promotion and related concerns,
including:
a. Immunizations;
b. Rashes and jaundice;
c. When to call the newborn's primary health
care provider for advice and concerns;
d. The importance of keeping appointments
with the primary health care provider for the newborn's health check-ups, in
accordance with the recommendations set forth in "Bright Futures: Guidelines
for Health Supervision of Infants, Children and Adolescents," 3rd edition,
2008, available as noted in Appendix A;
e. The medicaid program and the importance of
maintaining continued medicaid coverage through the infant's first
birthday;
f. Bathing and skin
care;
g. Urinary tract
infections;
h. Temperature
taking;
i. The care of the
umbilical cord and circumcision; and
j. Oral health care and the importance of
bringing the child for his or her first dental visit with a dental provider no
later than the child's first birthday, in accordance with the periodicity
schedule contained in "Clinical Guideline on Periodicity of Examination,
Preventive Dental Services, Anticipatory Guidance, and Oral Treatment for
Children", of the American Academy of Pediatric Dentistry, 81 Reference Manual
2004-2005, Originating Committee- Clinical Affairs Committee, Review Council-
Council on Clinical Affairs, adopted 1991, Revised, 1992, 1996, 2000, and 2003,
available as noted in Appendix A;
(7) Identifying if the newborn is at risk
for, or has, a nutritional problem or unstable housing;
(8) Ensuring follow-up appointments are
scheduled with their primary health care providers; and
(9) Information regarding the child health
assurance program, as described in He-W 546, Early and Periodic Screening,
Diagnosis and Treatment Services.
(See Revision Note at chapter heading He-W 500); ss by #6018, eff 4-1-95, EXPIRED: 4-1-03
New. #8446, eff 10-7-05; ss by #10428, eff 10-7-13
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