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 549.09 - Third Party Liability
Universal Citation: NH Admin Rules He-W 549.09
Current through Register No. 40, October 3, 2024
(a) All third party obligations shall be exhausted before Title XIX shall be billed, in accordance with 42 CFR 433.139, with the exception of the following:
(1) Pregnant women and children who are
covered by third party liability, enforced by the New Hampshire division of
child support services, shall be exempt from third party billing practices;
and
(2) All preventive pediatric
and prenatal care services shall be exempt from third party billing
practices.
(b) Participating providers may bill medicaid directly for (a)(1) and (a)(2) above, and medicaid shall then seek reimbursement from the third party.
#7775, eff 10-8-02; ss by #9768, eff 10-8-10; ss by #10092, eff 3-1-12 (from He-W 549.08)
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