Section He-W 546.04 - Informing Requirements The department shall carry out the informing requirements specified in 42 CFR 441.56 as follows:
(a) The department shall inform all pregnant women and children who are eligible for a medicaid program, or the parent(s) or legal representative(s) of eligible children, about EPSDT services within 60 days of the individual's initial eligibility determination for a medicaid program, and, in the case of families which have not utilized EPSDT services, annually thereafter, pursuant to 42 CFR 441.56(a) (4) ;(b) The department shall complete the requirements set out in this section through written communications, oral communications, or any combination of both; and(c) The department shall provide to recipients, or their parent(s) or legal representative(s), information about: (1) The services available under the EPSDT program;(2) The location of, and the requirements to obtain and use the health care or dental services available under the EPSDT program;(3) The benefits of preventative health and dental care;(4) The availability of medicaid payment for medical and dental services provided under the EPSDT program;(5) The existence of other medical or social agencies available to assist a recipient, or to which a recipient may be referred, such as the department's bureau of maternal and child health services or bureau of special medical services;(6) The availability of assistance in locating and accessing medical and dental services, upon request; and(7) The availability of assistance with scheduling of medical or dental appointments and obtaining transportation, upon request.N.H. Admin. Code § He-W 546.04
(See Revision Note at chapter heading He-W 500); ss by #5532, eff 12-17-92, EXPIRED: 12-17-98
New. #6940, eff 1-30-99; ss and moved by #8782, eff 1-1-07 (from He-W 546.03 )
Amended by Volume XXXV Number 23, Filed June 11, 2015 , Proposed by #10829, Effective 5/19/2015, Expires5/19/2025.