Section He-E 801.36 - Third Party Liability(a) All third party obligations shall be exhausted before medicaid is billed, in accordance with 42 CFR 433.139.(b) All providers shall determine if third party liability exists and file a claim with the third party before billing medicaid.(c) If third party liability exists, and the provider is not enrolled with the third party in a manner that allows the provider to submit a claim for service, the provider shall not bill medicaid or the CFI participant.N.H. Code Admin. R. He-E 801.36
Derived from Volume XLII Number 6, Filed February 10, 2022, Proposed by #13340, Effective 1/29/2022, Expires 1/29/2032 (formerly He-E 801.33).