New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-C - Commissioner, Department of Health and Human Services
Chapter He-C 6400 - PROGRAM AND SERVICE INFORMATION
Part He-C 6420 - MEDICAID COVERED SERVICES
Section He-C 6420.05 - Qualifications for Providers of Covered Services

Universal Citation: NH Admin Rules He-C 6420.05

Current through Register No. 40, October 3, 2024

(a) A provider shall be enrolled as a New Hampshire Medicaid provider and be either:

(1) A residential treatment program licensed by the department in accordance with RSA 170-E:25 through 49 as appropriate for the type of program and certified for payment by DCYF or in accordance with He-C 6350; or

(2) A foster care program licensed under RSA 170-E:25 and certified for payment by DCYF in accordance with He-C 6355.

(b) Individuals who provide covered services under He-C 6420 shall be:

(1) A physician licensed to practice in New Hampshire, pursuant to RSA 329;

(2) An APRN, an RN, or an LPN licensed to practice in New Hampshire;

(3) A psychiatrist licensed by the New Hampshire board of medicine to practice in New Hampshire;

(4) A psychologist licensed to practice in New Hampshire;

(5) A family worker or case manager with a bachelor's degree in education, in a clinical field such as social work, marriage and family therapy, psychology, guidance counseling, or a degree which would make one eligible for a license from the NH board of mental health practice or NH board of psychologists or a related field with emphasis in human services and family systems, and have 2 years of human services experience;

(6) A certified recovery support worker (CRSW) certified by the NH board of licensing for alcohol and other drug use professionals or a licensed alcohol and drug counselor (LADC) or master's licensed alcohol and drug counselor (MLADC) licensed by the board of licensing for alcohol and other drug use professionals;

(7) A clinical coordinator, including a treatment coordinator, who:

a. Is a full-time staff member employed by the residential treatment program or foster care program;

b. Meets the requirements of (8) below; and

c. Is responsible for administrative oversight of the clinical services provided at the program;

(8) A clinical staff member who has a master's degree in a clinical field such as social work, marriage and family therapy, psychology, guidance counseling, or a degree which would make one eligible for a license from the NH board of mental health practice or NH board of psychologists; or

(9) Other child care staff approved by the department as meeting the requirements to work in a residential program or foster care program pursuant to RSA 170-E:25.

(d) Staff of a foster care program shall meet the requirements in He-C 6355.

(e) Individuals identified in (b) above who do not practice in New Hampshire shall be licensed, certified, or otherwise approved as required by the laws and rules of the state where they do practice.

#9028, eff 11-17-07

Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.