New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-W - Former Division of Human Services
Chapter He-W 500 - MEDICAL ASSISTANCE
- Part He-W 501 - GENERAL MEDICAL ELIGIBILITY - EXPIRED
- Part He-W 502 - AID TO THE NEEDY BLIND PROGRAM
- Part He-W 503 - AID TO THE PERMANENTLY AND TOTALLY DISABLED (APTD) PROGRAM - EXPIRED AND RESERVED
- Part He-W 504 - MEDICAID FOR EMPLOYED ADULTS WITH DISABILITIES
- Part He-W 505 - RESERVED
- Part He-W 506 - MEDICAID CARE MANAGEMENT (MCM)
- Part He-W 507 - MEDICAL ASSISTANCE FOR CHILDREN WITH SEVERE DISABILITIES
- Part He-W 508 - MEDICAL ASSISTANCE FOR HOME CARE OF CERTAIN CHILDREN WITH SEVERE DISABILITIES
- Part He-W 509 - FAMILY PLANNING EXPANSION CATEGORY (FPEC)
- Part He-W 510 - RESERVED
- Part He-W 511 - HEALTH INSURANCE PREMIUM PAYMENT PROGRAM (HIPP)
- Part He-W 512 - ALTERNATIVE BENEFIT PLAN (ABP) AND PREMIUM ASSISTANCE PROGRAM
- Part He-W 513 - SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES
- Part He-W 514 through He-W 518 - RESERVED
- Part He-W 519 - PAYMENTS TO DISPROPORTIONATE SHARE PSYCHIATRIC HOSPITALS
- Part He-W 520 - GENERAL PROGRAM INFORMATION
- Part He-W 521 - GENERAL PAYMENT INFORMATION
- Part He-W 522 - INTERPRETER SERVICES - EXPIRED AND RESERVED
- Part He-W 529 - INDEPENDENT COVERAGE REVIEW - RESERVED
- Part He-W 530 - SERVICE LIMITS, CO-PAYMENTS, AND NON-COVERED SERVICES
- Part He-W 531 - PHYSICIAN SERVICES
- Part He-W 532 - PODIATRY SERVICES
- Part He-W 533 - RESERVED
- Part He-W 534 - ADVANCED REGISTERED NURSE PRACTITIONER SERVICES
- Part He-W 535 - PSYCHOTHERAPY SERVICES - EXPIRED
- Part He-W 536 - MEDICAL SERVICES CLINIC
- Part He-W 537 - RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTERS
- Part He-W 538 - CERTIFIED MIDWIFE SERVICES
- Part He-W 539 - RESERVED
- Part He-W 540 - PRIVATE DUTY NURSING SERVICES
- Part He-W 541 - FAMILY PLANNING SERVICES
- Part He-W 542 - ABORTION SERVICES - EXPIRED
- Part He-W 543 - HOSPITAL SERVICES
- Part He-W 544 - HOSPICE SERVICES
- Part He-W 545 - RESERVED
- Part He-W 546 - EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT SERVICES
- Part He-W 547 - NEWBORN HOME VISIT
- Part He-W 548 - EXTENDED SERVICES TO PREGNANT WOMEN
- Part He-W 549 - HOME VISITING FOR PRENATAL, CHILD, AND FAMILY SUPPORT SERVICES
- Part He-W 550 - ADULT MEDICAL DAY CARE SERVICES - EXPIRED (Now He-E 803)
- Part He-W 551 - RESERVED
- Part He-W 552 - PERSONAL CARE ATTENDANT SERVICES
- Part He-W 553 - HOME HEALTH SERVICES
- Part He-W 554 and He-W 555 - RESERVED
- Part He-W 556 - SUPPORTED RESIDENTIAL HEALTH CARE FACILITY SERVICES - EXPIRED AND RESERVED
- Part He-W 557 - RESERVED
- Part He-W 558 - HOME AND COMMUNITY-BASED SERVICES FOR THE ELDERLY AND CHRONICALLY ILL - EXPIRED
- Part He-W 559 - CASE MANAGEMENT OF ADVANCE CARE PLANNING AND DIRECTIVES - EXPIRED
- Part He-W 560 through He-W 564 - RESERVED
- Part He-W 565 - VISION CARE SERVICES
- Part He-W 566 - DENTAL SERVICES
- Part He-W 567 - HEARING AID SERVICES
- Part He-W 568 - PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SERVICES FOR INDIVIDUALS WITH SPEECH, HEARING AND LANGUAGE DISORDERS
- Part He-W 569 - RADIOLOGICAL SERVICES
- Part He-W 570 - PHARMACEUTICAL SERVICES
- Part He-W 571 - DURABLE MEDICAL EQUIPMENT, PROSTHETIC AND ORTHOTIC DEVICES, AND MEDICAL SUPPLIES
- Part He-W 572 - AMBULANCE SERVICES
- Part He-W 573 - WHEELCHAIR VAN SERVICES
- Part He-W 574 - GENERAL MEDICAL TRANSPORTATION
- Part He-W 575 - AUGMENTATIVE AND ALTERNATIVE COMMUNICATION AID SERVICES
- Part He-W 576 - MANAGED CARE ORGANIZATIONS - EXPIRED
- Part He-W 577 - LABORATORY SERVICES
- Part He-W 578 through He-W 588 - RESERVED
- Part He-W 589 - Medical Assistance Services Provided by Education Agencies
- Part He-W 590 - NURSING FACILITY SERVICES
- Part He-W 591 - NURSING FACILITY ENFORCEMENT REMEDIES - EXPIRED
- Part He-W 592 - NURSING ASSISTANT TRAINING REIMBURSEMENT
- Part He-W 593 - NURSING FACILITY REIMBURSEMENT - EXPIRED (Now He-E 806)
- Part He-W 594 through He-W 599 - RESERVED
- Appendix - APPENDIX
- Appendix A - Incorporation by Reference Information
- Appendix B
REVISION NOTE:
Pursuant to RSA 161:4, VI, the Division of Human Services (Division) in December, 1993 and January, 1994 filed with the Office of Legislative Services renumbered and reorganized existing rules under Chapter He-W 500 governing the Division's medical assistance program. The Director of the Office of Legislative Services (OLS) reviewed the changes pursuant to RSA 161:4, VI(b). As certified by the agency, these changes in numbering and organization of existing rules pursuant to RSA 161:4, VI(b) were limited to title, chapter, part, section, and subsection changes and non-substantive changes in the text so as to conform to the renumbering and reorganization.
The renumbered and reorganized Chapter He-W 500 supersedes all previous filings for rules in this chapter. However, these certified changes by the Division do not affect the adoption, effective, or expiration dates of the text of the rules in Chapter He-W 500. Pursuant to RSA 161:4, VI(b), the changes in numbering and organization were effective January 7, 1994 for citation purposes with a notice published in the New Hampshire Rulemaking Register.
The Division with its certification filed a conversion index to relate the new rule numbering to the former rule numbering and section titles, and that index is included below. The index also includes the most recent document numbers for rule filings under the former numbering, with the effective and expiration dates, so that the reader can examine the dates applicable to the respective rules in the renumbered and reorganized Chapter He-W 500.
New Part # |
Old Section # |
Old Section Title |
Doc. # |
Eff. Date |
Exp. Date |
520 |
501.01 |
General Program Information |
5018 |
11/30/90 |
11/30/96 |
501 |
502.01 |
General Medical Eligibility (Int. Rule #93-011) |
5749 |
12/1/93 |
3/31/94 |
502 |
502.02 |
Aid to the Needy Blind (ANB) Program |
5019 |
11/30/90 |
11/30/96 |
502.04 |
502.02(d) |
5272 |
11/15/91 |
11/15/97 |
|
503 |
502.03 |
Aid to the Permanently and Totally Disabled (Int. Rule #93-011) |
5749 |
12/1/93 |
3/31/94 |
502.04 |
(Reserved) |
||||
505 |
502.05 |
Aid to Families with Dependent Children Program |
5623 |
5/13/93 |
5/13/99 |
502.06 |
(Reserved) was: Notice Requirement - Medicaid (EXPIRED) |
2918 |
11/30/84 |
11/30/90 |
|
507 |
502.07 |
Medical Assistance for Children with Severe Disabilities |
4560-A |
1/1/89 |
1/1/95 |
508 |
502.08 |
Medical Assistance for Home Care of Certain Children with Severe Disabilities |
4681 |
10/4/89 |
10/4/95 |
521 |
503.01 |
General Payment Information |
4488-a |
9/13/88 |
9/13/94 |
521.01 |
503.01(a) |
4560-B |
1/1/89 |
1/1/95 |
|
521.02(c)(1) |
503.01(b)(3)a |
4560-B |
1/1/89 |
1/1/95 |
|
521.02(c)(3) |
503.01(b)(3)c |
4560-B |
1/1/89 |
1/1/95 |
|
521.02(c)(9) |
503.01(b)(3)i |
4560-B |
1/1/89 |
1/1/95 |
|
519 |
503.02 |
Payments to Disproportionate Share Psychiatric Hospitals |
5194 |
7/26/91 |
7/26/97 |
530 |
504.01 |
Service Limits, Non-Covered Services and Co-Payments |
4863 |
7/12/90 |
7/12/96 |
530.03(d) |
504.01(c)(4) |
5714 |
10/1/93 |
10/1/99 |
|
533 |
504.02 |
Chiropractic Services |
4817 |
6/1/90 |
6/1/96 |
531 |
504.03 |
Physician Services |
4629 |
6/16/89 |
6/16/95 |
531.03 |
504.03(b) |
4694 |
11/9/89 |
11/9/95 |
|
531.05(h) |
504.03(d)(8) |
4694 |
11/9/89 |
11/9/95 |
|
531.05(m) |
504.03(d)(13) |
4779 |
3/1/90 |
3/1/96 |
|
531.05(s) |
504.03(d)(18) |
4630 |
6/16/89 |
6/16/95 |
|
531.05(s)(1) and (2) |
504.03(d)(18)a. and b. |
4694 |
11/9/89 |
11/9/95 |
|
531.05(s)(4) through (6) |
504.03(d)(18)d. through f. |
Physician Services (cont'd) |
4694 |
11/9/89 |
11/9/95 |
531.06 |
504.03(e) |
4694 |
11/9/89 |
11/9/95 |
|
531.06(b) |
504.03(e)(2) |
4779 |
3/1/90 |
3/1/96 |
|
531.08(f) through (h) |
504.03(g)(5) through (7) |
5181 |
7/22/91 |
7/22/97 |
|
537 |
504.04 |
Rural Health Clinics |
4884 |
8/1/90 |
8/1/96 |
532 |
504.05 |
Podiatrist Services |
4818 |
6/1/90 |
6/1/96 |
542 |
504.06 |
Abortion Services |
4968 |
11/7/90 |
11/7/96 |
536 |
504.07 |
Medical Services Clinic |
4690 |
12/1/89 |
12/1/95 |
535 |
504.08 |
Psychologist Services |
4794 |
3/30/90 |
3/30/96 |
535.05 |
504.08(e) |
5182 |
7/22/91 |
7/22/97 |
|
541 |
504.09 |
Family Planning Services |
4969 |
11/7/90 |
11/7/96 |
546 |
504.10 |
Early and Periodic Screening, Diagnosis and Treatment Services |
5532 |
12/17/92 |
12/17/98 |
548 |
504.11 |
Extended Services to Pregnant Women |
5578 |
2/11/93 |
2/11/99 |
504.12 |
(Reserved) |
4771 |
3/1/90 |
||
543 |
504.13 |
Hospital Services |
4488-a |
9/13/88 |
9/13/94 |
543.01 |
504.13(a) |
4560-B |
1/1/89 |
1/1/95 |
|
543.04(i) |
504.13(d)(8) |
4695 |
11/9/89 |
11/9/95 |
|
543.07 |
504.13(g) |
4560-B |
1/1/89 |
1/1/95 |
|
543.11(a) |
504.13(k)(1) |
4560-B |
1/1/89 |
1/1/95 |
|
543.11(c) |
504.13(k)(3) |
4560-B |
1/1/89 |
1/1/95 |
|
543.11(i) |
504.13(k)(9) |
4560-B |
1/1/89 |
1/1/95 |
|
504.14 |
(Reserved) |
4773 |
3/1/90 |
||
504.15 |
(Reserved) |
4774 |
3/1/90 |
||
565 |
504.16 |
Vision Care |
4819 |
6/1/90 |
6/1/96 |
550 |
504.17 |
Adult Medical Day Care |
4482 |
9/1/88 |
9/1/94 |
504.18 |
(Reserved) |
4908 |
8/17/90 |
||
540 |
504.19 |
Private Duty Nursing Services |
4691 |
12/1/89 |
12/1/95 |
552 |
504.20 |
Personal Care Attendant Services |
4993 |
11/30/90 |
11/30/96 |
566 |
504.21 |
Dental Services |
5639 |
6/17/93 |
6/17/99 |
576 |
504.22 |
Health Maintenance Organizations |
4907 |
9/1/90 |
9/1/96 |
576.06 |
504.22(f) |
5165 |
6/17/91 |
6/17/97 |
|
576.07 |
504.22(g) |
5165 |
6/17/91 |
6/17/97 |
|
576.08 |
504.22(h) |
5165 |
6/17/91 |
6/17/97 |
|
576.09 |
504.22(i) |
5165 |
6/17/91 |
6/17/97 |
|
553 |
504.23 |
Home Health Services |
5342 |
3/3/92 |
3/3/98 |
522 |
504.24 |
Interpreter Services |
5735 |
11/12/93 |
11/12/99 |
568 |
504.25 |
Therapy Services |
4995 |
11/30/90 |
11/30/96 |
569 |
504.26 |
Laboratory and Radiological Services |
4886 |
8/1/90 |
8/1/96 |
569.08(f) through (h) |
504.26(g)(5) through (7) |
5183 |
7/22/91 |
7/22/97 |
|
504.27 |
(Reserved) |
4887 |
8/1/90 |
||
570 |
504.28 |
Pharmaceutical Services |
5742 |
12/1/93 |
12/1/99 |
567 |
504.29 |
Hearing Aid Services |
4778 |
3/1/90 |
3/1/96 |
567.05(a)(4) |
504.29(e)(4) |
4888 |
8/1/90 |
8/1/96 |
|
571 |
504.30 |
Durable Medical Equipment, Prosthetic Devices and Medical Supplies |
4712 |
1/1/90 |
1/1/96 |
572 |
504.31 |
Ambulance Services |
5022 |
11/30/90 |
11/30/96 |
573 |
504.32 |
Wheelchair Van Services |
5023 |
11/30/90 |
11/30/96 |
574 |
504.33 |
General Medical Transportation |
4696 |
1/1/90 |
1/1/96 |
556 |
504.34 |
Supported Residential Care Services |
5676 |
8/1/93 |
8/1/99 |
534 |
504.35 |
Advanced Registered Nurse Practitioner Services |
4793 |
3/30/90 |
3/30/96 |
558 |
504.36 |
Home and Community-Based Care for the Elderly and Chronically Ill |
4482 |
9/1/88 |
9/1/94 |
558.05(h), except (h) (1)a. and b. |
504.36(e)(8), except (e)(8) a. 1. and 2. |
4776 |
3/1/90 |
3/1/96 |
|
504.37 |
(Reserved) was: Preadmission Screening Program (EXPIRED) |
4062 |
5/29/86 |
5/29/92 |
|
559 |
504.38 |
Case Management Services |
4482 |
9/1/88 |
9/1/94 |
590 |
505.01 |
Nursing Facility Services |
4908 |
8/17/90 |
8/17/96 |
590.01 |
505.01(a) |
5085 |
3/5/91 |
3/5/97 |
|
590.16 |
505.01(m) |
5085 |
3/5/91 |
3/5/97 |
|
590.02(d)(3) |
505.01(b)(1) d. 3. |
5164 |
6/12/91 |
6/12/97 |
|
593 |
505.02 |
Nursing Facility Reimbursement |
5058 |
1/31/91 |
1/31/97 |
593.09(g) |
505.02(b)(7) a. 7. |
5268 |
11/1/91 |
11/1/97 |
|
593.22 |
505.02(b)(7) j. 5. |
5268 |
11/1/91 |
11/1/97 |
|
593.27 |
505.02(b)(7)o. |
Nursing Facility Reimbursement (cont'd) |
5268 |
11/1/91 |
11/1/97 |
593.28 |
505.02(b)(7)p. |
5268 |
11/1/91 |
11/1/97 |
|
593.37 |
505.02(b)(9)b. |
5531 |
12/16/92 |
12/16/98 |
|
593.38 |
505.02(b)(9)c. |
5531 |
12/16/92 |
12/16/98 |
|
593.39 |
505.02(b)(9) d. and e. |
5531 |
12/16/92 |
12/16/98 |
|
591 |
505.03 |
Nursing Home Enforcement Remedies |
4741 |
1/23/90 |
1/23/96 |
592 |
505.04 |
Nursing Assistant Training Reimbursement |
5618 |
4/28/93 |
4/28/99 |