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 546 - EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT SERVICES
Section He-W 546.04 - Informing Requirements

Universal Citation: NH Admin Rules He-W 546.04

Current through Register No. 40, October 3, 2024

The department shall carry out the informing requirements specified in 42 CFR 441.56 as follows:

(a) The department shall inform all pregnant women and children who are eligible for a medicaid program, or the parent(s) or legal representative(s) of eligible children, about EPSDT services within 60 days of the individual's initial eligibility determination for a medicaid program, and, in the case of families which have not utilized EPSDT services, annually thereafter, pursuant to 42 CFR 441.56(a) (4) ;

(b) The department shall complete the requirements set out in this section through written communications, oral communications, or any combination of both; and

(c) The department shall provide to recipients, or their parent(s) or legal representative(s), information about:

(1) The services available under the EPSDT program;

(2) The location of, and the requirements to obtain and use the health care or dental services available under the EPSDT program;

(3) The benefits of preventative health and dental care;

(4) The availability of medicaid payment for medical and dental services provided under the EPSDT program;

(5) The existence of other medical or social agencies available to assist a recipient, or to which a recipient may be referred, such as the department's bureau of maternal and child health services or bureau of special medical services;

(6) The availability of assistance in locating and accessing medical and dental services, upon request; and

(7) The availability of assistance with scheduling of medical or dental appointments and obtaining transportation, upon request.

(See Revision Note at chapter heading He-W 500); ss by #5532, eff 12-17-92, EXPIRED: 12-17-98

New. #6940, eff 1-30-99; ss and moved by #8782, eff 1-1-07 (from He-W 546.03)

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