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 573 - WHEELCHAIR VAN SERVICES
Section He-W 573.13 - Payment for Services

Universal Citation: NH Admin Rules He-W 573.13

Current through Register No. 40, October 3, 2024

(a) Payments for wheelchair van services shall be made in accordance with rates established by the department, in accordance with RSA 161:4, VI(a) .

(b) Payments for wheelchair van services shall consist of the following components:

(1) A base rate, which shall:
a. Include the first 5 miles of travel;

b. Be paid once only for a single one-way trip or round trip; and

c. Be paid twice for 2 one-way trips for the same recipient on the same day;

(2) A mileage rate, which shall:
a. Be based on the most direct route to and from a destination, and not necessarily the route used;

b. Be paid for loaded miles only, which:

1.Shall be the distance traveled while transporting recipients from a pick-up point to a drop-off point; and

2.Does not include mileage incurred on the way to pick up a recipient or after dropping off a recipient;

c. Not include the first 5 miles; and

d. Be paid only once per trip regardless of the number of recipients transported; and

(3) A payment for the wait time described in He-W 573.05(b) .

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

(d) The wheelchair van provider shall maintain supporting records, in accordance with He-W 573.08 and He-W 520.03.

#8563, eff 2-7-06

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