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 549 - HOME VISITING FOR PRENATAL, CHILD, AND FAMILY SUPPORT SERVICES
Section He-W 549.08 - Utilization Review and Control
Current through Register No. 40, October 3, 2024
(a) The department's program integrity unit shall monitor utilization of home visiting for prenatal, child, and family support services and specialty nutrition services to identify, prevent, and correct potential occurrences of fraud, waste, and abuse, in accordance with 42 CFR 455, 42 CFR 456, 42 CFR 1001, and He-W 520.
(b) The department shall recoup state and federal medicaid payments as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456 for a provider's failure to maintain supporting records in accordance with He-W 520 and He-W 536.
#7775, eff 10-8-02; ss by #9768, eff 10-8-10; ss by #10092, eff 3-1-12 (from He-W 549.07)
