Revision: Dec. 10, 2009, midnight
HB 1526 – AS INTRODUCED
2010 SESSION
01/05
HOUSE BILL 1526
AN ACT requiring the department of health and human services to establish a methodology for determining certain high cost long-term care cases.
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires the department of health and human services to establish a methodology for determining certain high cost long-term care cases.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
10-2315
01/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Ten
AN ACT requiring the department of health and human services to establish a methodology for determining certain high cost long-term care cases.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraphs; Long-Term Care; Methodology Required. Amend RSA 151-E:11 by inserting after paragraph II the following new paragraphs:
III.(a) The methodology for determining the cost of care for recipients in the home and community-based care waiver program for the elderly and chronically ill shall include the cost of:
(1) Waiver program services; and
(2) Other medicaid long-term care services, such as personal care or home health services, included in the medicaid nursing facility reimbursement rate.
(b) Such methodology shall not include the cost of case management services or services rendered for the treatment of an acute illness or injury.
IV. Pursuant to RSA 541-A, the commissioner of the department of health and human services, with approval by the oversight committee on health and human services, shall adopt by rule:
(a) Methodologies for determining the cost and average annual cost of home-based care, of mid-level care, and of intermediate, skilled, or specialized nursing facility care, including:
(1) Bases for the methodologies;
(2) Identification of services considered in determining costs; and
(3) Average annual costs based on the annual average number of recipients in the setting;
(b) A process to identify persons in home-based or mid-level care whose costs are expected to exceed 80 percent of the average annual cost for the provision of services to a person in a nursing facility; and
(c) A standard of review and process for prior approval by the commissioner, in accordance with paragraph II of this section, for the cases identified through the process in subparagraph (b).
2 Effective Date. This act shall take effect upon its passage.