1. (a) All providers shall bill all third party sources of reimbursement, including private health insurance and Medicaid and Medicaid MCO, prior to billing DCYF.
2. (b) All providers shall bill the NH Medicaid fiscal agent or Medicaid MCO for Medicaid eligible recipients following the processes outlined by the NH Medicaid fiscal agent.
3. (c) The provider shall request and obtain from DCYF a service authorization form for services not billable to Medicaid, Medicaid MCO or private insurance prior to service delivery.
4. (d) A provider shall bill the DCYF through NH Bridges for non-Medicaid eligible recipients either via paper claims or electronic claims submission.
5. (e) For paper claim submissions, a provider shall copy the service authorization form for future billings, if the authorized service dates span a date range.

Source. (See Revision Note at part heading for He-C 6344) #9311, eff 11-5-08; ss by #12206, eff 6-10-17 (from He-C 6344.18)