New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-M - Former Division of Mental Health and Developmental Services
Chapter He-M 1300 - SPECIALIZED SERVICES
Part He-M 1301 - MEDICAL ASSISTANCE SERVICES PROVIDED BY EDUCATION AGENCIES
Section He-M 1301.07 - Documentation of Expenditure of Non-Federal Funds

Universal Citation: NH Admin Rules He-M 1301.07

Current through Register No. 40, October 3, 2024

(a) The LEA or SAU shall provide documentation annually regarding all services rendered pursuant to these rules.

(b) Such documentation shall:

(1) Demonstrate that:
a. The percentage of federal medical assistance reimbursed, as required by section 1905(b) of the Social Security Act, does not exceed 50% of the actual cost of covered services claimed under the medical assistance program; and

b. In no case are services that are reimbursable under the medical assistance program, but paid by other federal funding, claimed under the medical assistance program;

(2) Be reviewed and signed by the LEA or SAU superintendent; and

(3) Be submitted to the bureau no later than October 30 of each year for the preceding fiscal year period; and

(4) Be accompanied by a completed form "Documentation of Expenditure of Non-Federal Funds" (8/2016) for a specific July 1 through June 30 time period which includes an attestation signed and dated by the superintendent stating,

"I hereby certify that all Medicaid funds paid to the above named districts under He-M 1301, Medical Assistance Services Provided by Educational Agencies for the period July 1, xxxx through June 30, xxxx have been supplemented with LEA/SAU and/or non-federal funds to total 100% of the cost of services rendered and that the Medicaid reimbursement does not exceed 50% of the total cost of the services rendered."

(c) Failure to provide the information required pursuant to He-M 1301.07(a) shall result in termination of the LEA's or SAU's enrolled provider status.

#4925, INTERIM, eff 8-31-90; ss by #5038, eff 12-28-90; ss by #5456, eff 9-1-92, EXPIRED: 9-1-98

New. #6861, INTERIM, eff 10-2-98, EXPIRED: 1-30-99

New. #6987, eff 4-27-99; ss by #8874, INTERIM, eff 4-25-07, EXPIRED 10-22-07

New. #9035, eff 11-22-07; amd by #10278, eff 2-23-13

The amended version of this section by New Hampshire Register Volume 38, Number 37, eff. 8/20/2018 is not yet available.

The amended version of this section by New Hampshire Register Volume 39, Number 37, eff.8/28/2019 is not yet available.

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.