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 549.10 - Payment for Services

Universal Citation: NH Admin Rules He-W 549.10

Current through Register No. 40, October 3, 2024

(a) Payment for home visiting for prenatal, child, and family support services shall be made, per 15-minute unit of service, in accordance with rates established by the department in accordance with RSA 161:4, VI(a).

(b) For billing purposes, the number of units shall be calculated in accordance with (b)(1) and (2) and Table 549.1 entitled Calculations for Payment for Services below:

(1) Any period of time that consists of 8 minutes or less shall not be billed; and

(2) Any period of time that consists of more than 8 minutes shall be billed as one unit.

Table 549.1 Calculations for Payment for Services

Number of minutes

Number of 15-minute units that can be billed

Fewer than 8 minutes

No units can be billed

8 minutes up to 22 minutes

1 unit

23 minutes up to 37 minutes

2 unit

38 minutes up to 52 minutes

3 unit

53 minutes up to 67 minutes

4 unit

68 minutes up to 82 minutes

5 unit

83 minutes up to 97 minutes

6 unit

98 minutes up to 112 minutes

7 unit

113 minutes up 127 minutes

8 unit

(c) The participating provider shall submit claims for payment to the department's fiscal agent.

(d) The participating provider shall maintain supporting records, in accordance with He-W 520.

#10092, eff 3-1-12 (from He-W 549.09)

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