N.H. Code Admin. R. He-W 530.02 - Recipients Subject to Service Limits, Co-Payments, and Non-Covered Services

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

(a) All recipients shall be subject to service limits in accordance with He-W 530.03.
(b) All recipients shall be subject to the co-payments specified in He-W 530.04, except for:
(1) Recipients with income at or below 100% of the federal poverty level (FPL) ;
(2) Recipients residing in a nursing facility, hospital, intermediate care facility for individuals with intellectual disabilities, or other medical institution;
(3) Recipients participating in the home and community based care (HCBC) waiver programs;
(4) Recipients receiving services that relate to pregnancy, in accordance with 42 CFR 447.53(b) (2) , or any other medical condition that might complicate the pregnancy;
(5) Recipients under the age of 18;
(6) Women eligible through the Breast and Cervical Cancer Treatment Program, pursuant to 42 CFR 435.213;
(7) Recipients receiving hospice care pursuant to He-W 544; and
(8) Individuals who are members of a federally recognized Indian tribe or Alaskan natives who have ever been served through the Indian Health Services Programs, pursuant to 42 CFR 447.56(a) (x) .
(c) All recipients shall be subject to non-covered services provisions in accordance with He-W 530.05.


N.H. Code Admin. R. He-W 530.02

(See Revision Note at chapter heading He-W 500); ss by #4863, eff 7-12-90, EXPIRED: 7-12-96

New. #6745, eff 5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; ss by #8780, INTERIM, eff 1-1-07, EXPIRES: 6-30-07; ss by #8929, eff 6-30-07; amd by #10016, eff 11-1-11

Amended byVolume XXXIV Number 50, Filed December 11, 2014, Proposed by #10716, Effective 11/18/2014, Expires11/18/2024. Amended by Volume XXXV Number 36, Filed September 10, 2015, Proposed by #10915, Effective 8/26/2015, Expires8/26/2025. Amended by Volume XXXVI Number 23, Filed June 9, 2016, Proposed by #11101, Effective 5/25/2016, Expires 5/25/2026.

The following state regulations pages link to this page.

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.