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 546.10 - Third Party Liability
Universal Citation: NH Admin Rules He-W 546.10
Current through Register No. 40, October 3, 2024
(a) All third party obligations shall be exhausted before medicaid is billed, in accordance with 42 CFR 433.139, except as noted in (b) below.
(b) The following services shall be exempt from third party billing requirements:
(1) Services provided to children who are
covered by third party liability enforced by the department's division of child
support services; and
(2) All
preventive pediatric care services, in accordance with
42 CFR
433.139(b) (3) (i)
.
(c) Providers may bill medicaid directly for the services described in (b) above and medicaid shall then seek reimbursement from the third party.
(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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