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 530 - SERVICE LIMITS, CO-PAYMENTS, AND NON-COVERED SERVICES
Section He-W 530.02 - Recipients Subject to Service Limits, Co-Payments, and Non-Covered Services
Universal Citation: NH Admin Rules He-W 530.02
Current through Register No. 40, October 3, 2024
(a) All recipients shall be subject to service limits in accordance with He-W 530.03.
(b) All recipients shall be subject to the co-payments specified in He-W 530.04, except for:
(1) Recipients with income at or below 100%
of the federal poverty level (FPL);
(2) Recipients residing in a nursing
facility, hospital, intermediate care facility for individuals with
intellectual disabilities, or other medical institution;
(3) Recipients participating in the home and
community based care (HCBC) waiver programs;
(4) Recipients receiving services that relate
to pregnancy, in accordance with
42 CFR
447.53(b) (2) , or any other
medical condition that might complicate the pregnancy;
(5) Recipients under the age of 18;
(6) Women eligible through the Breast and
Cervical Cancer Treatment Program, pursuant to
42 CFR
435.213;
(7) Recipients receiving hospice care
pursuant to He-W 544; and
(8)
Individuals who are members of a federally recognized Indian tribe or Alaskan
natives who have ever been served through the Indian Health Services Programs,
pursuant to 42 CFR
447.56(a) (x) .
(c) All recipients shall be subject to non-covered services provisions in accordance with He-W 530.05.
(See Revision Note at chapter heading He-W 500); ss by #4863, eff 7-12-90, EXPIRED: 7-12-96
New. #6745, eff 5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; ss by #8780, INTERIM, eff 1-1-07, EXPIRES: 6-30-07; ss by #8929, eff 6-30-07; amd by #10016, eff 11-1-11
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