New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-P - Former Division of Public Health Services
Chapter He-P 2500 - CATASTROPHIC ILLNESS PROGRAM
Part He-P 2505 - FINANCIAL ASSISTANCE PROVIDED
Section He-P 2505.02 - Recipients with Other Catastrophic Illnesses
Universal Citation: NH Admin Rules He-P 2505.02
Current through Register No. 40, October 3, 2024
(a) Recipients with a diagnosis of cancer, cystic fibrosis, spinal cord injury, hemophilia, or multiple sclerosis shall receive financial assistance for the following:
(1) Outpatient hospital services including
diagnostic x-ray, radiotherapy, and diagnostic and therapeutic
services;
(2) Physician services,
including:
a. Surgical and medical services,
including routine pre- and post-operative care, provided in a hospital, in a
hospital outpatient department, in a physician's office, or in the individual's
home;
b. Services provided by an
assisting physician in connection with an operative procedure;
c. Services provided by an anesthesiologist,
if anesthesia is administered by an individual other than the surgeon or
assisting surgeon; and
d.
Consultation services when requested by the attending physician; and
(3) Other services, including:
a. Ambulance services provided to the nearest
hospital when medically justified;
b. Durable medical equipment, including,
mastectomy prosthesis(es), wigs, ostomy supplies, or catheters, where medically
indicated by a physician for the treatment of the catastrophic
illness;
c. Drugs and medications
when prescribed by a physician, including over-the-counter pharmacy items
needed for the recipient's treatment; and
d. Related services including payment of
COBRA insurance premiums, and home health care as requested in writing by the
recipient and as required to meet the recipient's unique needs, subject to the
program budget.
(b) Recipients with a diagnosis of cancer, cystic fibrosis, spinal cord injury, hemophilia, or multiple sclerosis shall not receive financial assistance for the following services:
(1) Services which are experimental or
considered alternative therapies by current medical practice;
(2) In-patient hospital and emergency room
visits;
(3) Funeral
expenses;
(4) Dental care;
and
(5) Supplemental payment for
medicare part B and D.
#2484, eff 9-26-83; ss by #4167, eff 11-6-86; ss by #4638, eff 6-26-89, EXPIRED: 6-26-95
New. #8864, eff 4-13-07
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