reglab/housing_qa huggingface dataset:
NH Rev Stat § 151-E:6-b (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:6-b - Memorandum of Agreement.

    151-E:6-b Memorandum of Agreement. –||The department of health and human services shall establish, by means of a memorandum of agreement with the New Hampshire Association of Counties, a mechanism for the receipt of input from the Association of Counties regarding the type, cost, utilization, and procedures relative to payments which the counties are obligated to make pursuant to RSA 167:18-a. The memorandum of agreement shall be reviewed annually and amended as may be determined to be necessary by the parties.|||Source. 2001, 198:2, eff. July 5, 2001. 2007, 263:15, eff. July 1, 2008.|
NH Rev Stat § 151-E:6-c (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:6-c - Payment System for Nursing Facilities.

    151-E:6-c Payment System for Nursing Facilities. –||The payment system for nursing facility level of care shall be as follows:||I. Rate calculation worksheets for all providers will be provided at least 30 days prior to the effective date of any rate changes.||II. Acuity levels must be updated at least semi-annually, on a regular, predictable basis using the latest available data.||III. The commissioner of the department of health and human services shall continue to evaluate the effectiveness of the acuity-based payment system for medicaid payments for nursing facility care. The commissioner shall determine if any changes in the payment system are appropriate.||IV. [Repealed.]||V. Any rate changes due to the updating of acuity or cost data shall occur only with proper prior notification and explanation to affected providers and the affected beneficiary population.|||Source. 2001, 198:2, eff. July 5, 2001. 2012, 264:2, III, eff. Aug. 17, 2012.|
NH Rev Stat § 151-E:7 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:7 - Needs Assessment for Applicants for Nursing Facility Services.

    151-E:7 Needs Assessment for Applicants for Nursing Facility Services. –||I. In order to determine the most cost effective and appropriate level of long-term care services, the department shall assess the clinical eligibility of each applicant to a nursing facility in a uniform manner throughout the state. The assessment shall be voluntary for all applicants, except those who have applied for or have been determined to be eligible for medicaid benefits.||II. The assessment shall be completed prior to admission or, if necessary for reasons of the person's health or safety, as soon after admission as possible, in accordance with rules adopted by the department pursuant to RSA 541-A.||III. The department in a uniform manner throughout the state shall determine whether the person is clinically eligible for nursing facility services.||IV. The department shall inform both the applicant and the administrator of the nursing facility of the department's determination of the services needed by the applicant and shall provide information and assistance to the applicant in accordance with RSA 151-E:9.||V. If a nursing facility admits a person who at the time of admission was not determined to be clinically eligible for the level of services provided by a nursing facility and that person, within a 3-year period after admission, is determined to be financially eligible for medicaid benefits pursuant to RSA 151-E:3, I(b), the nursing facility shall be responsible for all costs of medicaid-funded long-term care services provided to the individual for the period of time, not to exceed one year, from the date of the determination of financial eligibility to the end of the third year of admission unless the individual is determined to be clinically eligible for nursing facility services.||VI. Any assessment of medical needs conducted under this section shall be conducted by a qualified medical professional.|||Source. 1998, 388:1, eff. Nov. 25, 1998.|
NH Rev Stat § 151-E:8 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:8 - Assessment or Reassessment at Time of Eligibility.

    151-E:8 Assessment or Reassessment at Time of Eligibility. –||The department shall perform an assessment or reassessment of the person's clinical eligibility when the person becomes financially eligible for medicaid benefits pursuant to RSA 151-E:3, I(b).|||Source. 1998, 388:1, eff. Nov. 25, 1998.|
NH Rev Stat § 151-E:9 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:9 - Information and Assistance.

    151-E:9 Information and Assistance. –||The department shall provide information and assistance to each applicant to a nursing facility. Such information and assistance shall:||I. Be based upon the principle that services shall be provided in the setting that is least restrictive of the applicant's ability to live independently;||II. Take into consideration the applicant's choice of service location;||III. Include information regarding the degree to which the services sought are available at home or in some other community-based setting;||IV. Explain the relative costs to the applicant of choosing care in the home or other setting rather than nursing facility care; and||V. Include advice as to whether receiving services in a home or other community-based setting is clinically appropriate for the applicant.|||Source. 1998, 388:1, eff. Nov. 25, 1998.|
NH Rev Stat § 151-E:10 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:10 - Notification by Hospitals.

    151-E:10 Notification by Hospitals. –||Prior to the discharge or referral of any person to any nursing facility, a hospital shall notify the department that such person requires nursing facility services which necessitate an assessment under RSA 151-E:7 or the provision of information and assistance under RSA 151-E:9.|||Source. 1998, 388:1, eff. Nov. 25, 1998.|
NH Rev Stat § 151-E:11 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:11 - Program Management and Cost Controls.

    151-E:11 Program Management and Cost Controls. –||I. The department shall designate in its operating budget requests specific class lines for nursing facility, mid-level, and home-based care provided for in this chapter. These class lines shall reflect, and the requesting documentation shall include, the anticipated number of persons to receive services. The department shall not increase expenditures in approved budgets for these class lines or the number of persons to receive mid-level or home care services without the approval of the legislative fiscal committee, and the prior review of the county-state finance commission. The medicaid rates paid for nursing facility services, mid-level care services, and home and community-based care services shall not be reduced below those levels in effect on the last day of the previous biennium. No transfers may be made from the nursing facility medicaid quality incentive program and all funding derived from that program shall be paid to nursing facilities.||II. [Repealed.]||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, including but not limited to personal care, home health services, physical therapy, occupational therapy, speech therapy, adult medical day program services, private duty nursing, and case management services.||(b) Such methodology shall not include 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 prior reporting to the oversight committee on health and human services, shall adopt by rule methodologies for determining the cost and average annual cost of home-based care, mid-level care, and intermediate, skilled, or specialized nursing facility care, including:||(a) Bases for the methodologies;||(b) Identification of services considered in determining costs;||(c) Average annual costs based on the annual average number of recipients in the setting;||(d) The requirement that nursing facility care include both the initial Medicaid rate and supplemental rates paid through the Medicaid Quality Incentive Program; and||(e) The requirement that the nursing facility will include the cost for transitional case management.|||Source. 1998, 388:1. 2003, 223:5, eff. July 1, 2003; 319:35, eff. July 1, 2003. 2005, 175:13, eff. Aug. 29, 2005. 2010, 112:1, 2, eff. Jan. 1, 2011. 2015, 259:16, eff. July 1, 2015. 2020, 32:7, 8, eff. Jan. 1, 2021. 2021, 122:41, eff. July 9, 2021.|
NH Rev Stat § 151-E:12 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:12 - Rulemaking.

    151-E:12 Rulemaking. –||The commissioner of the department of health and human services shall adopt rules, pursuant to RSA 541-A, relative to the administration of this chapter.|||Source. 1998, 388:1, eff. Nov. 25, 1998.|
NH Rev Stat § 151-E:13 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:13 - Repealed by by 2004, 260:21, II, eff. June 16, 2004.

    151-E:13 Repealed by by 2004, 260:21, II, eff. June 16, 2004. –|
NH Rev Stat § 151-E:14 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:14 - Nursing Facility Trust Fund Established.

    151-E:14 Nursing Facility Trust Fund Established. –||There is hereby established the nursing facility trust fund for the receipts from nursing facilities as defined in RSA 84-C:1, V(a), from the nursing facility quality assessment under RSA 84-C:3, any federal financial participation received by the state as a result of expenditures funded by these nursing facility quality assessments, and the interest thereon. All of these funds shall be credited to and for the purposes of the nursing facility trust fund and shall not be used for any other purposes.|||Source. 2003, 223:11, eff. July 1, 2003. 2008, 253:6, eff. June 26, 2008.|
NH Rev Stat § 151-E:15 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:15 - Expenditure of Funds From Nursing Facility Trust Fund.

    151-E:15 Expenditure of Funds From Nursing Facility Trust Fund. –||Notwithstanding any other provision of law, moneys in the nursing facility trust fund shall be expended in the following manner:||I. All moneys in the fund shall be paid out no less frequently than on a quarterly basis and shall be disbursed as follows:||(a) The moneys in the fund shall be used to eliminate or reduce to the maximum extent possible the difference between the allowable medicaid costs, derived from the nursing facility medicaid acuity rate setting system, which nursing facilities incur in providing care to medicaid residents, and the amount which the state has budgeted in order to fund that care.||(b) If after the disbursement required in subparagraph (a) there are still any moneys remaining in the fund, the nursing facility rate setting system shall be adjusted to insure that all moneys in the fund are expended for nursing facility care.||II. The state treasurer shall transfer from the nursing facility trust fund to the general fund on the first business day of each quarter the amount necessary to fund the payments under paragraph I.||III. The state treasurer shall transfer, and the commissioner of health and human services shall fund the full amount of the nursing facility trust fund in each quarter.||IV. Notwithstanding the provisions of RSA 167:18-a, no county shall be required to make any contribution to the distribution under this section.|||Source. 2003, 223:11. 2004, 260:18, eff. June 16, 2004. 2007, 263:16, eff. July 1, 2008.|
NH Rev Stat § 151-E:15-a (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:15-a - Repealed by 2019, 346:358, II, eff. July 1, 2019.

    151-E:15-a Repealed by 2019, 346:358, II, eff. July 1, 2019. –|
NH Rev Stat § 151-E:16 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:16 - Accurate Cost Estimates.

    151-E:16 Accurate Cost Estimates. –||I. The department shall estimate and report the full cost to the state of adequately funding long-term care services at a level which ensures all eligible individuals the quality services which they need and for which they are eligible. The cost estimates shall include the cost to fund home and community-based, mid-level, and nursing facility care at a reimbursement level necessary to ensure that individuals who are eligible for Medicaid-funded long-term care services have access to quality services in all 3 settings, are able to live with dignity in a safe environment, and are able to exercise choice in their care setting. The department estimate shall be based on provider reimbursement rates that ensure a provider workforce that is sufficient to fully meet the needs of eligible consumers.||II. The department shall include the estimate required by paragraph I as an informational addendum to its budget submission.|||Source. 2007, 330:10, eff. Jan. 1, 2008.|
NH Rev Stat § 151-E:17 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:17 - Availability of Targeted Management Services.

    151-E:17 Availability of Targeted Management Services. –||The department shall make available to and advise all Medicaid recipients who require a nursing facility level of care or are at risk of needing such care and who are patients in hospitals, rehabilitation hospitals, or nursing facilities of the availability of targeted case management services provided by independent case managers, to explore the feasibility of transitioning to home and community-based care.|||Source. 2007, 330:10, eff. Jan. 1, 2008.|
NH Rev Stat § 151-E:18 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:18 - Presumptive Eligibility.

[RSA 151-E:18 suspended by 2021, 91:406 for the biennium ending June 30, 2023.]|    151-E:18 Presumptive Eligibility. –||I. The commissioner of the department shall establish a presumptive eligibility program to prevent unnecessary and costly institutionalization of individuals who are Medicaid eligible for nursing facility services and choose to receive services in less restrictive settings.||II. Pending verification of application information, the department shall authorize medical assistance in the interval between application and the final Medicaid eligibility determination if the department determines the applicant is likely to be eligible. Presumptive eligibility shall be made available at department district offices, information and referral resource centers, and other qualified providers. The presumptive eligibility period shall not include coverage of home or environmental modifications.||III. Presumptive eligibility authorizations shall be dependent upon a face-to-face clinical assessment of each applicant and review of a completed Medicaid application. The department shall perform the face-to-face clinical assessment within 20 business days of a request for medical assistance. The department shall review the application for presumptive eligibility within 5 business days of completion of the Medicaid application and clinical assessment.||IV. The presumptive eligibility period begins on the date the department determines the applicant likely meets the eligibility criteria and ends on the date eligibility is verified or the individual is determined ineligible.||V. The Medicaid applicant shall acknowledge in writing the uncertainty of continuing service coverage beyond the presumptive eligibility period and the potential for financial responsibility for costs incurred in the event of a determination of Medicaid ineligibility.||VI. If an applicant is determined ineligible for Medicaid, the department shall promptly notify the applicant and the applicant's providers of the finding and the immediate termination of service coverage authorization. In such a case, the department shall use non-Medicaid funds to pay for any waiver services which the applicant has already received. In the event an application was filed with fraudulent intent, the department shall be entitled to reimbursement of funds expended on behalf of the applicant.||VII. The commissioner of the department shall adopt rules, pursuant to RSA 541-A, relative to:||(a) A process to determine presumptive eligibility.||(b) A definition of a qualified provider.||(c) Content and format of forms required under this section.|||Source. 2007, 330:10, eff. Jan. 1, 2008.|
NH Rev Stat § 151-E:20 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:20 - Repealed by 2013, 144:133, eff. Nov. 1, 2013.

    151-E:20 Repealed by 2013, 144:133, eff. Nov. 1, 2013. –|
NH Rev Stat § 151-E:21 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-E - Long-Term Care|Section 151-E:21 - Repealed by 2017, 152:2, eff. Dec. 1, 2017.

    151-E:21 Repealed by 2017, 152:2, eff. Dec. 1, 2017. –|
NH Rev Stat § 151-G:1 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:1 - Commission Established; Membership.

    151-G:1 Commission Established;  Membership. –||I. There is established a commission to review and analyze quality of care issues including, but not limited to, medical errors, unexpected adverse outcomes, and near misses, and to propose changes to improve health care.||II. The members of the commission shall be as follows:||(a) One representative of each hospital in New Hampshire, licensed under RSA 151, nominated by the hospital and appointed by the governor.||(b) One representative of each freestanding ambulatory surgical center in New Hampshire, nominated by the ambulatory surgical center and appointed by the governor.||(c) The commissioner of the department of health and human services, or designee.||(d) The state epidemiologist, department of health and human services, or designee.||(e) The chief executive officer of the New Hampshire hospital, or designee.||(f) Three members-at-large, one member appointed by the speaker of the house of representatives, one member appointed by the president of the senate, and one member appointed by the governor.|||Source. 2005, 157:2, eff. Aug. 20, 2005. 2006, 292:2, eff. July 1, 2007. 2010, 98:1, eff. May 26, 2010. 2016, 167:2, eff. June 3, 2016. 2019, 222:2, eff. July 12, 2019.|
NH Rev Stat § 151-G:2 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:2 - Duties.

    151-G:2 Duties. –||The commission shall review and analyze quality care issues including, but not limited to, medical errors, unexpected adverse outcomes, and near misses, and it shall propose changes that will improve health care. Sources of data may include, but are not limited to, reviews and reports currently required by or submitted to state or national regulatory and accrediting organizations.|||Source. 2005, 157:2, eff. Aug. 20, 2005.|
NH Rev Stat § 151-G:3 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:3 - Chair; Vice-Chair.

    151-G:3 Chair;  Vice-Chair. –||The members of the commission shall elect a chair and vice-chair from among the members at the first meeting. The term of the chair and vice-chair shall be 2 years and until successors are elected. The chair shall be responsible for the orderly proceedings of the commission meetings and for compliance with mandates of this chapter. The vice-chair shall serve in the absence of the chair.|||Source. 2005, 157:2, eff. Aug. 20, 2005. 2019, 222:3, eff. July 12, 2019.|
NH Rev Stat § 151-G:4 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:4 - Education.

    151-G:4 Education. –||Each member of the commission shall be responsible for the dissemination of commission discussions to his or her respective institutions. All such information shall be disseminated through each participant's quality assurance program in order to protect the confidentiality of all participants and patients involved in any incident or topic discussed.|||Source. 2005, 157:2, eff. Aug. 20, 2005.|
NH Rev Stat § 151-G:5 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:5 - Confidentiality.

    151-G:5 Confidentiality. –||All information of any type submitted to or collected by the commission, including, but not limited to, written, oral, and electronic information; records and proceedings of the commission, including, but not limited to, oral testimony and discussions, notes, minutes, summaries, analyses, and reports; and information disseminated by the commission or its members to hospitals and ambulatory surgical centers, shall be confidential and privileged and shall be protected from direct or indirect means of discovery, subpoena, or admission into evidence in any judicial, administrative, or other type of proceeding. The provision of information to the commission and the dissemination of information by the commission shall not be deemed to void, waive, or impair in any manner the confidentiality protection of this section or which the information may have under any other law or regulation. However, information, documents, or records otherwise available from original sources shall not be construed as immune from discovery or use in any civil or administrative action merely because they were presented to the commission. Furthermore, any person who supplies information to or testifies before the commission shall not be immune from discovery in such civil or administrative action because the information or testimony was presented to the commission, but such witness shall not be asked about and shall not provide information about his or her testimony before this commission or opinions formed by him or her as a result of commission participation.|||Source. 2005, 157:2, eff. Aug. 20, 2005. 2019, 222:4, eff. July 12, 2019.|
NH Rev Stat § 151-G:6 (2021)
2021 New Hampshire Revised Statutes|Title XI - Hospitals and Sanitaria|Title 151-G - New Hampshire Health Care Quality and Safety Commission|Section 151-G:6 - Administration.

    151-G:6 Administration. –||The commission may delegate to the Foundation for Healthy Communities the functions of collecting, analyzing, and disseminating quality assurance information, organizing and convening meetings of the commission, and other substantive and administrative tasks as may be incident to these activities or directed by the commission. The activities of the Foundation for Healthy Communities and its employees or agents shall be subject to the same confidentiality provisions as those that apply to the commission.|||Source. 2005, 157:2, eff. Aug. 20, 2005.|