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 2506 - PAYMENT FOR SERVICES
Section He-P 2506.04 - Catastrophic Illness Program as Payor of Last Resort

Universal Citation: NH Admin Rules He-P 2506.04

Current through Register No. 40, October 3, 2024

(a) With respect to medicaid, medicare, or any medical insurance program or policy, the CIP shall be the payor of last resort. Nothing contained in these rules shall authorize or require the CIP to provide payment for drugs or services, which would otherwise be paid for by medicaid, medicare, or any other medical insurance program or policy.

(b) Payment for services shall not be made by the CIP until all third party resources are fully utilized. Providers shall file a claim with the third party insurer prior to billing the CIP. Upon receipt of the third party payment, the provider may forward a bill to CIP if a balance remains. Bills shall be itemized and submitted in duplicate.

(c) Each recipient shall notify CIP in writing within 30 days of any change in the recipient's medical insurance coverage, which results in coverage for drugs or medical services which are currently being paid for by the CIP.

#8864, eff 4-13-07

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