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 513 - SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES
Section He-W 513.07 - Utilization Review and Control

(a) The department's provider program integrity unit shall monitor utilization of SUD treatment services to identify, prevent, and correct potential occurrences of fraud, waste, and abuse, in accordance with 42 CFR 455, 42 CFR 456, and He-W 520.

(b) Failure to maintain records in accordance with He-W 520 and He-W 513 shall entitle the department to recoupment of state and federal medicaid payments made as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456.