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 511 - HEALTH INSURANCE PREMIUM PAYMENT PROGRAM (HIPP)
Section He-W 511.08 - Payment of Cost Sharing

(a) Recipient cost sharing obligations shall be either paid directly by medicaid or reimbursed to the recipient if the recipient paid out of pocket, such as for mail order prescription medications.

(b) If a non-medicaid family member is enrolled in the group health plan, then medicaid funds shall be expended for payment of premiums, but not for any other cost sharing expenses attributable to the non-medicaid family members.

(c) The HIPP program shall pay for the minimum coverage option that allows the medicaid-eligible person/persons to be covered.

(d) When more than one cost effective group health plan is available, the department shall pay the premium for only one plan, but the newly eligible adult may choose the cost effective plan in which to enroll.

(e) If the newly eligible adult's health plan offers more services than what is covered under medicaid, the newly eligible adult shall be responsible for any deductibles, coinsurance, and other cost sharing obligations attributable to those services not covered by medicaid.

(f) The newly eligible adult shall be responsible for payment of any nominal cost sharing amounts permitted under section 1916 of the SSA.