N.H. Admin. Code § He-C 5010.09

Current through Register No. 49, December 5, 2024
Section He-C 5010.09 - Independence of the DUR Board

The DUR board's relationship to the SURS program, to the board of medicine, and to the board of pharmacy shall be as follows:

(a) The DUR board shall not directly participate in any SURS operation or activities except to the extent that educational materials prepared by the DUR board are provided to the department, as they are to providers, recipients, and the public;
(b) The DUR board shall not involve itself as an entity in any individual cases relating to professional conduct or practice standards that might be before the board of medicine, the board of pharmacy, or other regulatory or oversight boards or bodies; and
(c) If the DUR board finds evidence of continuing fraud, abuse, or gross misuse by medicaid providers after the implementation of educational interventions pursuant to He-C 5010.08(c) , they shall be referred to the department for further action.

N.H. Admin. Code § He-C 5010.09

#5529, eff 12-16-92; ss by #6907, eff 12-9-98; ss by #8743, eff 10-24-06; ss by #9587, eff 11-4-09

Amended by Volume XXXVIII Number 06, Filed February 8, 2018, Proposed by #12460, Effective 1/13/2018, Expires 1/13/2028.