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 500 - DEVELOPMENTAL SERVICES
Part He-M 507 - COMMUNITY PARTICIPATION SERVICES
Section He-M 507.16 - Prior Authorization and Payment
Current through Register No. 40, October 3, 2024
(a) In order to receive Medicaid reimbursement for community participation services, area agencies, as the enrolled providers of home and community-based care services, shall submit claims for payment to:
ACS Xerox
250 Commercial Street, #1
Manchester, NH 03101
(b) Payment for Medicaid waiver services shall only be made if prior authorization has been obtained from the bureau pursuant to He-M 517.08.
(c) Requests for prior authorization shall be made in writing to:
Division of Community Based Care Services
Bureau of Developmental Services
State Office Park South
105 Pleasant Street
Concord, NH 03301
#10426, eff 10-1-13
