N.H. Code Admin. R. He-E 801.31 - Payment for Services
Current through Register Vol. 41, No. 39, September 30, 2021
(See Revision Note at part heading for He-E 801) #9969, eff 8-8-11
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He-E 801.31 Payment for Services.
(a) Providers shall submit all initial claims to the Medicaid fiscal agent, so that the fiscal agent receives the claims no later than one year from the earliest date of service on the claim.
(b) If a provider has submitted a claim during the one-year billing period and the claim is subsequently rejected by the fiscal agent, the provider shall resubmit the claim within 15 months from the earliest date of service if the provider still wishes to receive reimbursement.
(c) Providers shall not bill the participant if Medicaid does not pay due to billing practices of the provider which result in non-payment for a Medicaid item, supply, or service.
(d) Payment to providers of CFI services shall be made in accordance with rates established by the department in accordance with RSA 161:4, VI(a) and RSA 126-A:18-a, as applicable.
Source. (See Revision Note at part heading for He-E 801) #9969, eff 8-8-11; ss by #12830, INTERIM, eff 8-7-19, EXPIRED: 2-3-20