- (a) Payments for covered services provided in a residential treatment program or foster care program shall be made in accordance with per diem rates, as specified in (b) and (c) below.
- (b) The percentages paid for Medicaid covered services shall be identified based on the Medicaid time study and annual budget, as a part of the residential per diem rate established pursuant to RSA 170-G:4, XVII-a.
(c) Medicaid portion of per diem rates shall have the following restrictions:
- (1) Payments for services in out-of-state residential treatment programs or foster care programs shall be made only if equal services are not available within New Hampshire at the time the child is placed;
- (2) Payments for professional medical services provided outside the residential treatment program or foster care program to children in a child care program, either at the facility or other medical setting, shall be made on a fee-for-service basis only if the specific services by that provider are not already included in the rate; and
- (3) Payments shall not be made for days when the child is absent from the residential treatment program or foster care program due to running away or hospitalization.
Source. #5804, eff 3-28-94, EXPIRED: 3-28-00 New. #9028, eff 11-17-07; ss by #10986, eff 11-26-15