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 6420.07 - Documentation of Services
Universal Citation: NH Admin Rules He-C 6420.07
Current through Register No. 40, October 3, 2024
(a) Residential treatment programs that provide covered services pursuant to He-C 6420.04 shall document services for each child, including:
(1) A written treatment plan, as
described in He-C 6350, which identifies Medicaid covered services that the
child receives through the residential treatment program;
(2) A case plan completed by DCYF staff,
which shall be submitted prior to the deadline for the establishment of the
treatment required in (1) above;
(3) The signature of a prescribing
practitioner on the child's treatment plan, indicating approval of the Medicaid
covered service;
(4) Maintenance of
logs, at least weekly, summarizing the Medicaid covered services that were
provided to the child in accordance with a written treatment plan;
(5) Written progress reports on each child in
accordance with He-C 6350;
(6)
Compliance with other documentation requirements of He-C 6350, as appropriate
for the level of certification; and
(7) Copies of claims submission for covered
services to the Medicaid fiscal agent.
(b) Foster care programs that provide covered services pursuant to He-C 6420.04 shall document each service for each child, including:
(1) A
written treatment plan, as described in He-C 6355, which identifies Medicaid
covered services that the child receives at the foster care program;
(2) A case plan, completed by DCYF staff,
which shall be submitted prior to the deadline for the establishment of the
treatment plan, required in (1) above;
(3) The signature of a prescribing
practitioner on the child's treatment plan, indicating approval of the Medicaid
covered service;
(4) Maintenance of
daily logs, summarizing the Medicaid covered services that were provided to the
child in accordance with a written treatment plan;
(5) Weekly notes completed by the case
manager documenting Medicaid covered services per He-C 6355;
(6) Written progress reports on each child in
accordance with He-C 6355;
(7)
Compliance with other documentation requirements of He-C 6355, as appropriate
for the level of certification; and
(8) Copies of claims submissions for covered
services to the Medicaid fiscal agent.
#9028, eff 11-17-07
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