All participating EPSDT providers shall:

1. (a) Meet the state licensing or board certification requirements, of the state in which they practice, to provide medical or dental care;
2. (b) Be a NH enrolled medicaid provider;
3. (c) Perform the necessary components whether in whole or in part required for each EPSDT examination; and
4. (d) Request and obtain prior authorization from the department before providing services which require prior authorization, in accordance with He-W 530 and He-W 546.06.

Source. (See Revision Note at chapter heading He-W 500); ss by #5532, eff 12-17-92, EXPIRED: 12-17-98 New. #6940, eff 1-30-99; ss and moved by #8782, eff 1-1-07 (from He-W 546.04); ss by #10829, eff 5-19-15; ss by #14383, eff 9-20-25, EXPIRES: 9-20-35