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 589 - Medical Assistance Services Provided by Education Agencies
Section He-W 589.05 - Non-Covered Services

(a) Services not listed in a student's care plan;

(b) Services that are not coverable under the Social Security Act and for which no FFP is available for said service;

(c) Services performed by unqualified individuals pursuant to the Social Security Act, or services delivered by provider types not approvable under the Social Security Act to provide Medicaid services;

(d) Consultations, visits, trainings, meetings, or discussions between healthcare providers or individuals in which the student was not physically present for at least 51% of the time;

(e) Services which are non-covered pursuant to rules in He-W 500 and are not covered under EPSDT;

(f) Supported employment such as vocational goals and job tasks;

(g) Services which are solely educational, remedial education, or vocational instruction or tutoring;

(h) Services performed by educators or individuals who are not healthcare clinicians such as teachers of the visually impaired or deaf unless:

(i) Leisure and social activities that are non-medical;

(j) General supervision of a student as required for any student based on the student's development and for non-medical reasons;

(k) Services that are solely personal care services delivered by a legally responsible family member pursuant to 42 CFR 440.167;

(l) Performance of tasks for the sole purpose of assistance with completion of educational assignments;

(m) Services under a CMS NH medicaid waiver;

(n) Medicaid state plan services only provided under the 1915(i) provisions of the Social Security Act;

(o) Day care;

(p) Teaching parenting skills;

(q) Review of records, documentation development, or report writing;

(r) Attending meetings, including individualize education program meetings and IEP team meetings;

(s) Parent consultations, contacts, or trainings;

(t) School guidance counselor services unless:

(u) Services by individuals not having a current license for the practice specialty area for the service area being provided; and

(v) Services requiring the technical or professional skill that a state statute or regulation mandates shall be performed by a health care clinician licensed or certified by the state.