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 6420.09 - Payment for Services
Universal Citation: NH Admin Rules He-C 6420.09
Current through Register No. 40, October 3, 2024
(a) Payments for covered services provided in a residential treatment program or foster care program shall be made in accordance with per diem rates, as specified in (b) and (c) below.
(b) The percentages paid for Medicaid covered services shall be identified based on the Medicaid time study and annual budget, as a part of the residential per diem rate established pursuant to RSA 170-G:4, XVII-a.
(c) Medicaid portion of per diem rates shall have the following restrictions:
(1) Payments
for services in out-of-state residential treatment programs or foster care
programs shall be made only if equal services are not available within New
Hampshire at the time the child is placed;
(2) Payments for professional medical
services provided outside the residential treatment program or foster care
program to children in a child care program, either at the facility or other
medical setting, shall be made on a fee-for-service basis only if the specific
services by that provider are not already included in the rate; and
(3) Payments shall not be made for days when
the child is absent from the residential treatment program or foster care
program due to running away or hospitalization.
#9028, eff 11-17-07
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