Section 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.N.H. Admin. Code § 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