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 517 - MEDICAID-COVERED HOME AND COMMUNITY-BASED CARE SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES AND ACQUIRED BRAIN DISORDERS
Section He-M 517.10 - Payment
Current through Register No. 40, October 3, 2024
(a) Community-based care providers shall submit claims for covered community-based care services to:
Xerox Provider Services
ATTN: Claims Administration
PO Box 2003
Concord, NH 03302-2003
(b) Payment for community-based care services shall only be made if prior authorization has been obtained from the bureau pursuant to He-M 517.08(c) .
(c) Requests for prior authorization shall be made electronically utilizing the NH Medicaid Management Information System or in writing to:
Xerox Provider Services
ATTN: Claims Administration
PO Box 2003
Concord, NH 03302-2003
(d) For those individuals whose net income exceeds the appropriate standard of need, medicaid claims payment will reflect a reduction in reimbursement equal to the cost of care amount.
(e) Payment for community-based care services shall not be available to any service provider who:
#4315, eff 9-25-87; EXPIRED: 9-25-93
New. #6360, eff 10-23-96, EXPIRED: 10-23-04
New. #8195, INTERIM, eff 10-29-04, EXPIRED: 4-27-05
New. #8424, eff 9-1-05 (from He-M 517.09); ss by #10454, eff 10-31-13
