Current through Reg. 49, No. 38; September 20, 2024
(a)
Subject to the specifications, conditions, requirements, and limitations
established by HHSC, Community First Choice (CFC) services are provided subject
to provisions in
RSA 441.500 -
RSA
441.590. Services include:
(1) CFC personal assistance services. CFC
personal assistance services include:
(A) non
skilled assistance with the performance of the ADLs and IADLs through hands-on
assistance, supervision, and/or cueing;
(B) household chores necessary to maintain
the home in a clean, sanitary, and safe environment;
(C) escort services, which consist of
accompanying, but not transporting, and assisting an individual to access
personal assistance services or activities in the community; and
(D) assistance with health-related
tasks.
(2) CFC
habilitation. CFC habilitation is provided to allow an individual to reside
successfully in a community setting by assisting the individual to acquire,
retain, and improve self-help, socialization, and daily living skills or
assisting with and training the individual on ADLs and IADLs. Personal
assistance may be a component of CFC habilitation for some individuals. CFC
habilitation services include habilitation training, which is interacting
face-to-face with an individual, to train the individual in activities such as:
(A) self-care;
(B) personal hygiene;
(C) household tasks;
(D) mobility;
(E) money management;
(F) community integration, including how to
get around in the community;
(G)
use of adaptive equipment;
(H)
self-advocacy;
(I) personal
decision making;
(J) interpersonal
communication;
(K) reduction of
challenging behaviors;
(L)
socialization and the development of relationships;
(M) participating in leisure and recreational
activities;
(N) use of natural
supports and typical community services available to the public; and
(O) self-administration of medication and
other health-maintenance activities.
(3) CFC emergency response services. CFC
emergency response services are available for individuals who live alone, who
are alone for significant parts of the day, or have no regular caregiver for
extended periods of time, and who would otherwise require extensive routine
supervision.
(4) CFC support
management. The CFC support management benefit is available to individuals
receiving CFC personal attendant services or CFC habilitation services
regardless of service delivery option.
(b) CFC services can only be delivered in a
home and community-based setting. These settings do not include:
(1) a hospital providing long-term
services;
(2) a nursing
facility;
(3) an institution for
mental disease;
(4) an intermediate
care facility for individuals with an intellectual disability or related
conditions; or
(5) a setting with
the characteristics of an institution as described in
RSA
441.530(a)(2)(v).
(c) Individuals receiving services
through CFC are not precluded from receiving other home and community-based
long-term services and supports through other Medicaid state plan, waiver,
grant, or demonstration authorities.
(d) Services are limited by functional need
as determined by the assessment described in §354.1363(b) of this division
(relating to Assessment).
(e) MCOs
are required to offer all CFC services to those MCO members who are eligible
and are determined to need the services based on an assessment conducted in
accordance with §354.1363 of this division.
