Section He-W 521.10 - Medicare(a) Providers shall enroll with medicaid to receive payment of Medicare crossover claims. Providers shall not submit claims to medicaid or the MCOs if the provider submitted claims to Medicare and received payment. These claims shall be automatically submitted by Medicare to medicaid and MCO as crossover claims for processing.(b) Providers shall not bill qualified medicare beneficiaries (QMB) for co-payments or deductibles. Sections 1902(n)(3)(B), 1902(n)(3)(C), 1905(p)(3), 1866(a)(1)(A), and 1848(g)(3)(A) of the Social Security Act, prohibits providers from balance billing QMBs for Medicare cost-sharing.N.H. Admin. Code § He-W 521.10
Derived from Number 10, Filed March 7, 2024, Proposed by #13884, Effective 2/22/2024, Expires 2/22/2034 (See Revision Note at chapter heading for He-W 500) (See also part heading for He-W 521).