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 571 - DURABLE MEDICAL EQUIPMENT, PROSTHETIC AND ORTHOTIC DEVICES, AND MEDICAL SUPPLIES
Section He-W 571.11 - Payment for Equipment, Devices, and Supplies

(a) The department shall determine rates for all DME, prosthetic devices, orthotic devices, and medical supplies in accordance with RSA 161:4, VI(a) .

(b) The DME, prosthetic device, orthotic device, and medical supply providers shall submit claims for payment to the department's fiscal agent.

(c) Payment for disposable incontinence supplies, including gloves used for this condition, provided to recipients shall be made only for supplies obtained from the exclusive supplier of incontinence products contracted through the department.

(d) Billing of and payment for prosthetics, orthotics, DME, medical supplies, and repair parts shall be made at the lesser of:

(e) Payment for labor costs for repairs shall be at a rate established by the department.

(f) Payment shall be denied or recouped if the provider bills for and is paid for disposable incontinence supplies, including gloves used for such condition, which are not obtained from the exclusive supplier of incontinence products contracted through the department.

(g) Payment shall be denied if the recipient is not eligible on the date of service, with the exception of (h) below.

(h) For the following items only, payment shall be denied if the recipient is not eligible on the date of the order:

(i) No DME item, prosthetic device, orthotic device, medical supply, or service shall be paid prior to delivery of the DME item, prosthetic device, orthotic device, medical supply, or service to the recipient.

(j) In accordance with the payment rates established in (a) above, the rate for wheelchairs shall include the following required provider services:

(k) Providers shall supply a comparable substitute wheelchair for 2 weeks during the repair of the original wheelchair. For repairs that require move than 2 weeks to complete, the provider shall seek PA for a rental fee.