N.H. Code Admin. R. He-W 540.08
Utilization Review and Control
Effective Jan 28, 2023(See Revision Note at chapter heading He-W 500); ss by #6134, eff 11-30-95, EXPIRED: 11-30-03 New. #8069, eff 4-17-04; ss by #10107, INTERIM, eff 4-17-12, EXPIRES: 10-15-12; ss by #10186, eff 10-15-12; ss by #13544, eff 1-28-23Former Division of Human Services
- (a) The department’s program integrity unit shall monitor utilization of PDN, in accordance with 42 CFR 455, 42 CFR 456, 42 CFR 1001 and He-W 520; and
- (b) The department shall recoup state and federal medicaid payments as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456 for a provider’s failure to maintain supporting records in accordance with He-W 520 and He-W 540.
Source. (See Revision Note at chapter heading He-W 500); ss by #6134, eff 11-30-95, EXPIRED: 11-30-03 New. #8069, eff 4-17-04; ss by #10107, INTERIM, eff 4-17-12, EXPIRES: 10-15-12; ss by #10186, eff 10-15-12; ss by #13544, eff 1-28-23