Section He-C 6350.04 - Reimbursement(a) Billing shall begin on the day of admission and continue through the day of discharge, as follows: (1) DCYF shall only reimburse a certified residential treatment program for a child as long as there is no concurrent payment for placement being made to another residential treatment program, with the exception of the day of admission and/or the day of discharge pursuant to (a) above; and(2) The residential treatment program shall bill for the day of admission when a child is admitted to the residential treatment program directly from a Juvenile Detention Alternatives Initiative (JDAI) service or assessment treatment program. If the child is admitted to the same residential treatment program that provided the JDAI service or assessment treatment program, the residential treatment program shall not bill for the day of discharge from the JDAI service or assessment treatment program.(b) If a child has an identified managed care organization, the residential treatment program shall only accept the child if the residential treatment program is enrolled with that child's managed care organization.(c) The residential treatment program may subcontract with other human services providers as long as the service is included in the child's treatment plan and the treatment plan has been signed by the DCYF staff member responsible for the child's case.(d) Any residential subcontractor used on a temporary or long-term basis shall operate with a current license in accordance with RSA 170-E or RSA 151, as applicable.(e) DCYF shall not be responsible for payments made by a residential treatment program to a subcontractor for services provided in accordance with (c) above.(f) Residential treatment programs shall not request additional contracts for residential treatment services identified within this rule.(g) In the event that a child is a runaway, is committed or detained at Sununu Youth Services Center, or is admitted to an in-patient psychiatric or acute care hospital, the residential treatment program may bill through the day that the youth runs away, is committed or detained at the Sununu Youth Services Center, or is admitted to the in-patient psychiatric or acute care hospital.(h) If agreed upon by the residential treatment program and DCYF, the residential treatment program from which the youth ran away or absconded may readmit the youth within 10 business days from the date the youth ran away or absconded in compliance with He-C 6350.32. Readmission within 10 business days shall not negate the billing requirement identified in (g) or (a) above.N.H. Admin. Code § He-C 6350.04
#4442, eff 7-1-88, EXPIRED 7-1-94
New. #6617, eff 10-25-97; ss by #8453, INTERIM, eff 10-25-05, EXPIRED: 4-23-06
New. #8693, eff 7-27-06
Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10759, Effective 1/17/2015, Expires1/17/2025.