1. (a) The department shall:

   1. (1) Administer and maintain the medicaid state plan, pursuant to 42 CFR 430.10 and RSA 161:2, VI;
   2. (2) Provide the mandatory medicaid services pursuant to 42 CFR 440.210 and 42 CFR 440.220;
   3. (3) Provide the medicaid optional services which are specified in the medicaid state plan;
   4. (4) Describe the provider and recipient requirements for the medicaid services found in chapter He-W 500, and pursuant to RSA 161:4-a, X; and
   5. (5) Authorize and train qualified entities to determine presumptive eligibility.

2. (b) The provider shall:

   1. (1) Be a NH enrolled medicaid provider; and
   2. (2) Request and obtain prior authorization from the department before providing any medicaid covered services requiring prior authorization.
3. (c) The recipient of covered services shall be an eligible medicaid recipient at the time the service is rendered.

Source. (See Revision Note at chapter heading He-W 500); ss by #6574, eff 9-12-97; ss by #6745, eff 5-1-98, EXPIRED: 12-31-98; ss by #6925, eff 1-1-99; ss by #8781, eff 1-1-07, EXPIRED: 1-1-15 New. #10776, INTERIM, eff 1-31-15, EXPIRES: 7-30-15; ss by #10887, eff 7-17-15; ss by 14415, eff 10-22-25, EXPIRES 10-22-35