N.H. Code Admin. R. He-E 801.33 - Third Party Liability

Current through Register Vol. 41, No. 39, September 30, 2021

(a) All third party obligations shall be exhausted before Medicaid may be billed, in accordance with 42 CFR 433.139.
(b) Providers shall determine if third party liability exists and file a claim with the third party before billing Medicaid.
(c) If third party liability exists, and the provider is not enrolled with the third party in a manner that allows the provider to submit a claim for service, the provider shall not bill Medicaid or the participant.

Notes

N.H. Code Admin. R. He-E 801.33

(See Revision Note at part heading for He-E 801) #9969, eff 8-8-11

Amended by Volume XXXIX Number 32, Filed August 8, 2019, Proposed by #12830, Effective 8/7/2019, Expires 2/3/2020.

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