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 568 - PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SERVICES FOR INDIVIDUALS WITH SPEECH, HEARING AND LANGUAGE DISORDERS
Section He-W 568.10 - Payment for Services

(a) Reimbursement to providers of physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders shall be made in accordance with fee schedules established by the department, in accordance with RSA 161:4, VI(a).

(b) The provider shall bill with a therapy procedure code as defined by the American Medicaid Association's "Current Procedural Terminology (CPT) 2022 Professional Edition" available as noted in Appendix A, and submit claims for payment to the department's fiscal agent.

(c) The provider shall maintain supporting records, in accordance with He-W 520 and He-W 568.08.

(d) Providers shall submit claims for payment for services in accordance with the following:

(e) The time a recipient spends not being treated, for any reason, shall not be billed.

(f) Services provided by a physical therapy assistant, occupational therapy assistant, or speech-language assistant, in accordance with He-W 568.05(b) and (c) above, shall be billed by the enrolled therapist providing oversight of the physical therapy assistant, occupational therapy assistant, or speech-language assistant.