N.H. Admin. Code § He-W 575.05

Current through Register No. 50, December 12, 2024

Section He-W 575.05 - Non-Covered Services

The following equipment, accessories, items, and services shall not be covered:

(a) Computer equipment and accessories that do not meet the criteria in He-W 575.04(c) above;

(b) Software or computer equipment that is not specifically integral to communication devices;

(c) Multiple AAC aids and accessories unless such items together expand the functional capability of the aid, such as increased recording time or vocabulary, and represent the most clinically appropriate and least costly alternative in equipment options for the recipient;

(d) Equipment that duplicates equipment already funded by medicaid, per He-W 530.05(b) (25) ;

(e) More than one charger per AAC aid;

(f) Extended warranty and maintenance agreements;

(g) Shipping and handling fees on purchased equipment, except as allowed by He-W 575.11(e) -(f) below;

(h) Repair of original AAC aids once a replacement has been provided;

(i) Replacement or repair of rented AAC aids;

(j) Replacement of AAC aids when the replacement is requested solely as a result of changing technology, or when the existing device effectively addresses the beneficiary's needs;

(k) Replacement of AAC aids when the replacement occurs within 5 years from the date of purchase of the original equipment unless there is a clinical justification for a replacement in less time, such as a significant change in the recipient's needs and abilities relative to AAC use such that the current aid limits communication, or no longer provides access to communication;

(l) Environmental control equipment;

(m) Equipment or appliances that are not considered medical equipment in nature, such as tape recorders, fans, lights, radios, and toys, with the exception of computer equipment and accessories covered in accordance with He-W 574.04(c) above;

(n) Internet access, including costs associated with initial and recurring internet service provider fees, purchase or rental of modems, mobile device data plans, or network access for mobile devices;

(o) Subscriptions for mobile device applications, also known as "apps"; and

(p) Replacement, repair, or modifications of an item when the need is the result of:

(1) Abuse, misuse, or inappropriate use or neglect of the AAC aid;

(2) Failure to protect the item from the elements;

(3) Using the item inappropriately or contrary to its designed and intended use;

(4) Making improper repairs to the item, which would void any manufacturer's warranty;

(5) Loss of the item when basic safeguarding measures could have been instituted;

(6) Failure to maintain the item through proper routine maintenance by an authorized dealer; or

(7) Taking any action that would otherwise void the manufacturer's written warranty or is contrary to the manufacturer's recommendations for care, use, and maintenance.

N.H. Admin. Code § He-W 575.05

#10636, eff 7-12-14