N.H. Medicaid Hospice Provider Manual, Vol. II, § 12

Agent: An adult to whom authority to make health care decisions is delegated under an activated durable

power of attorney for health care executed in accordance with RSA 137-J.

Attending physician: The doctor of medicine or osteopathy or the advance practice registered nurse who

is identified by the member, at the time of election of hospice care, as having the most significant role in

the determination and delivery of medical care to the member.

Bereavement counseling: Emotional, psychosocial, and spiritual support and services provided before

and after death of the member to assist with issues related to grief, loss, and adjustment.

Continuous home care: Hospice care consisting of primarily nursing care provided by hospice

personnel on a continuous basis at home.

Day: The 24-hour period starting at 12:00 AM and ending at 11:59 PM of the same day.

Department: The New Hampshire Department of Health and Human Services.

Dietary counseling: Education and interventions provided to the patient and family regarding

appropriate nutritional intake as the patient’s condition progresses and provided by qualified individuals

including a registered nurse, dietician, or nutritionist, when identified in the member’s plan of care.

Election period: One or more periods for which a member may elect to receive Medicaid coverage for

hospice care, as follows:

1. Two 90-day periods; and

2. An unlimited number of subsequent 60-day periods.

Employee:

1. An employee of the hospice;

2. If the hospice is a subdivision of an agency or organization, an employee of the agency or

organization who is appropriately trained and assigned to the hospice unit; or

3. A volunteer under the jurisdiction of the hospice.

General inpatient care: Hospice care received in an inpatient facility for pain control or symptom

management, which cannot be managed in other settings.

Hospice: A comprehensive set of services described in section 1861(dd)(1) of the Social Security Act,

identified and coordinated by an interdisciplinary group to provide for the physical, psychosocial,

spiritual, and emotional needs of a terminally ill member and/or family members, as delineated in a

specific member plan of care.

Medicaid: The Title XIX and Title XXI programs administered by the Department which makes medical

assistance available to eligible individuals age 19 and over.

Member: Any individual who is eligible for and receiving medical assistance under programs entitled

Medicaid. Used interchangeably with “recipient”.

Palliative care: Patient and family-centered care that optimizes quality of life by anticipating,

preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing

physical, intellection, emotional, social, and spiritual needs and to facilitate patient autonomy, access to

information, and choice.

Physician: “Physician” as defined in 42 CFR 410.20.

Quarter: One of four calendar periods ending March 31, June 30, September 30, and December 31.

Recipient: Any individual who is eligible for and receiving medical assistance under programs entitled

Medicaid. Used interchangeably with “member”.

Respite care: Short-term inpatient care provided to the member only when necessary to relieve the

family members or other persons caring for the individual.

Room and board services: Includes performance of personal care services, including assistance in the

activities of daily living, in socializing activities, administration of medication, maintaining the

cleanliness of a resident’s room, and supervision and assistance in the use of durable medical equipment

and prescribed therapies.

Routine home care: Hospice care received at the place of residence and is not continuous home care as

defined in this Terminology section.

Terminally ill: A condition for which the member has a medical prognosis of a life expectancy of 6

months or less if the illness runs its normal course.

Title XIX: The joint federal-state program described in Title XIX of the Social Security Act and

administered in New Hampshire by the Department under programs entitled Medicaid.

Title XXI: The joint federal-state program described in Title XXI of the Social Security Act and

administered in New Hampshire by the Department under programs entitled Medicaid