New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter II - Administrative Rules and Regulations › Subchapter L - Hospitals and Related Facilities › Part 86 - Reporting and Rate Certifications for Facilities › Subpart 86-6 - Hospices › Section 86-6.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
As used in this Subpart, the following terms shall have
						the following meanings.
(a) Hospice
					 shall mean a hospice as defined in article 40 of the Public Health Law
					 possessing a valid certificate of approval issued by the State Commissioner of
					 Health.
(b) A routine home care day
					 is a day on which an individual who has elected to receive hospice care is at
					 home and is not receiving continuous care as defined in subdivision (f) of this
					 section.
(c) A routine home care
					 day for AIDS patients is a day on which an individual who has been diagnosed
					 with Acquired Immune Deficiency Syndrome (AIDS) has elected to receive hospice
					 care, is at home and is not receiving continuous home care as defined in
					 subdivision (f) of this section.
(d) A routine home care day with an escort is
					 a day as defined in subdivision (b) of this section, when the nurse providing
					 care requires the use of an escort for security when visiting the patient's
					 home.
(e) A routine home care day
					 for AIDS patients with an escort is a routine home care day as defined in
					 subdivision (b) of this section when the individual who has elected to receive
					 hospice care has been diagnosed with Acquired Immune Deficiency Syndrome (AIDS)
					 and the nurse providing care requires the use of an escort for security when
					 visiting the patient's home.
(f) A
					 continuous home care day is a day on which an individual who has elected to
					 receive hospice care is not in an inpatient facility and receives hospice care
					 consisting predominantly of nursing care on a continuous basis at home. Home
					 health aide or homemaker services or both may also be provided on a continuous
					 basis. Continuous home care is only furnished during brief periods of crisis,
					 and only as necessary to maintain the terminally ill patient at home. A period
					 of crisis is a period in which the individual requires continuous care to
					 achieve palliation or management of acute medical symptoms.
(g) A continuous home care day for AIDS
					 patients is a day as defined in subdivision (f) of this section when the
					 patient receiving care has been diagnosed as having Acquired Immune Deficiency
					 Syndrome (AIDS).
(h) An inpatient
					 respite care day is a day on which the individual who has elected hospice care
					 receives care in an approved facility on a short-term basis for
					 respite.
(i) A general inpatient
					 care day is a day on which an individual who has elected hospice care receives
					 general inpatient care in an inpatient facility for pain control or acute or
					 chronic symptom management which cannot be managed in other settings.
(j) A general inpatient care day for AIDS
					 patients is a day as defined in subdivision (i) of this section, when the
					 patient receiving care has been diagnosed as having Acquired Immune Deficiency
					 Syndrome (AIDS).
(k) Supplemental
					 financial assistance program means the program as established pursuant to
					 section 4012-a  of the Public Health Law to
					 provide additional payments to hospices which provide care to patients with
					 special needs, which shall include patients diagnosed with acquired immune
					 deficiency syndrome or patients in environment situations which require the use
					 of escort services for delivery of routine home care in accordance with
					 approved plans required by section
					 86-6.6(b) 
					 of this Subpart, or persons receiving care in a hospice residence.
(l) Room and board services shall mean the
					 provision of personal care services, including assistance in activities of
					 daily living, socializing activities, administration of medications,
					 maintaining the cleanliness of a resident's room and supervising and assisting
					 in the use of durable medical equipment and prescribed therapies by a nursing
					 facility to an individual who has elected to receive hospice care. Room and
					 board services shall also include the services, activities and allowable costs
					 as set forth in section
					 86-2.10(d)
					 and (g)  of this Subpart.