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 546.08 - Non-Covered Services
Universal Citation: NH Admin Rules He-W 546.08
Current through Register No. 40, October 3, 2024
(a) The following services shall not be covered:
(1) Any service for which there is no
medical necessity or for which the medical necessity has not been
established;
(2) Services which are
not medical or dental in nature, except that transportation shall be covered in
accordance with He-W 546.05(d)
;
(3) Experimental or investigational
procedures in accordance with He-W 530;
(4) Services that have not been proven to be
safe or effective, as documented in medical peer review literature;
and
(5) Services which are more
costly than other services which could be expected to provide the recipient
with the same outcome.
(b) Services listed in He-W 522 through He-W 589 as non-covered services shall not be covered unless the service is determined to be medically necessary for the recipient pursuant to He-W 546.06.
(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 by #8782, eff 1-1-07
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