N.H. Code Admin. R. He-M 507.16 - Prior Authorization and Payment

(a) In order to receive Medicaid reimbursement for community participation services, area agencies, as the enrolled providers of home and community-based care services, shall submit claims for payment to:

ACS Xerox

250 Commercial Street, #1

Manchester, NH 03101

(b) Payment for Medicaid waiver services shall only be made if prior authorization has been obtained from the bureau pursuant to He-M 517.08.

(c) Requests for prior authorization shall be made in writing to:

Division of Community Based Care Services

Bureau of Developmental Services

State Office Park South

105 Pleasant Street

Concord, NH 03301

Notes

N.H. Code Admin. R. He-M 507.16

#10426, eff 10-1-13