N.H. Code Admin. R. He-M 517.10 - Payment

(a) Community-based care providers shall submit claims for covered community-based care services to:

Xerox Provider Services

ATTN: Claims Administration

PO Box 2003

Concord, NH 03302-2003

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

(c) Requests for prior authorization shall be made electronically utilizing the NH Medicaid Management Information System or in writing to:

Xerox Provider Services

ATTN: Claims Administration

PO Box 2003

Concord, NH 03302-2003

(d) For those individuals whose net income exceeds the appropriate standard of need, medicaid claims payment will reflect a reduction in reimbursement equal to the cost of care amount.

(e) Payment for community-based care services shall not be available to any service provider who:

(1) Is the parent of an individual under age 18;

(2) Is a person under age 18; or

(3) Is the spouse of an individual receiving services.

Notes

N.H. Code Admin. R. He-M 517.10

#4315, eff 9-25-87; EXPIRED: 9-25-93

New. #6360, eff 10-23-96, EXPIRED: 10-23-04

New. #8195, INTERIM, eff 10-29-04, EXPIRED: 4-27-05

New. #8424, eff 9-1-05 (from He-M 517.09 ); ss by #10454, eff 10-31-13