Section He-E 801.12 - Non-Covered Services(a) No service or item shall be covered though the CFI waiver program if the service or item: (1) Is covered through the medicaid state plan, and the participant is eligible for that coverage;(2) Is covered through Medicare or any other insurance, and the participant is eligible for that service;(3) Is provided as a component of any other covered service;(4) Duplicates another service being provided to the participant;(5) Addresses needs being met by another paid or unpaid service;(6) Is provided by a legally responsible relative;(7) Is primarily for the purpose of recreation;(8) Cannot be provided in accordance with the setting requirements of 42 CFR 441.301(c)(4); or(9) The requested service would result in the department's inability to obtain federal financial participation.(b) With the exception of respite care provided in an intermediate care facility or residential care facility, payment for CFI waiver services shall exclude room and board.N.H. Code Admin. R. He-E 801.12
(See Revision Note at part heading for He-E 801) #9969, eff 8-8-11
Amended by Volume XXXIX Number 32, Filed August 8, 2019, Proposed by #12830, Effective 8/7/2019, Expires 2/3/2020.Amended by Volume XLII Number 6, Filed February 10, 2022, Proposed by #13340, Effective 1/29/2022, Expires 1/29/2032 (formerly He-E 801.13).