N.H. Code Admin. R. He-E 806.41

Current through Register No. 25, June 20, 2024
Section He-E 806.41 - Administrative Appeals
(a) Requests for administrative appeals by NFs, with the exception of state owned and operated facilities, shall be directed to the department with a copy of the appeal sent to Bureau of Elderly and Adult Services, Rate Setting and Audit Unit.
(b) The written request for an appeal shall be received by the department within 30 calendar days of the date of the notice of the new Medicaid NF rates.
(c) Requests for appeals shall state the reason for the appeal.
(d) Appeals shall be held and heard in accordance with He-C 200.
(e) In accordance with 42 CFR 447.253(e) , a provider shall request appeals:
(1) As specified in He-E 806; and
(2) Due to the action or inaction of the department relevant to He-E 806.
(f) An NF provider may request an appeal regarding a rate set by the department.
(g) A provider shall not request an appeal regarding:
(1) The department's internal ratesetting methodology; or
(2) Federal or state constitutional law.
(h) The hearings officer shall deny any request for an appeal which is not as described in (e) or (f) above.

N.H. Code Admin. R. He-E 806.41

#8547, eff 1-24-06 (formerly He-W 593.41 )