Section He-W 513.09 - Payment for Services(a) Payment for SUD treatment and recovery support services shall be made in accordance with rates of reimbursement established by the department in accordance with RSA 161:4, VI(a) .(b) The rate of reimbursement for rehabilitative services in a comprehensive SUD program shall: (1) Be on a per diem basis that takes into account the ASAM level of care and is inclusive of all component services rendered;(2) Not include room and board; and(3) Be established by the department in accordance with RSA 161:4, VI(a) .(c) The rate of reimbursement established by the department in accordance with RSA 161:4, VI(a) for partial hospitalization, medical monitored residential withdrawal management, and intensive outpatient SUD services shall be on a per diem basis inclusive of all component services rendered.(d) The rate of reimbursement established by the department in accordance with RSA 161:4, VI(a) , for medically monitored outpatient withdrawal management shall be on a per visit basis inclusive of all component services rendered.(e) SUD providers may bill separately for drug testing utilizing rapid read tests, except when in conjunction with opioid treatment services in accordance with He-W 513.05(e) .(f) The SUD treatment and recovery support services provider shall submit claims for payment to the department's fiscal agent.N.H. Admin. Code § He-W 513.09
#10655, INTERIM, eff 8-15-14, EXPIRES: 2-11-15
Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10774, Effective 1/27/2015, Expires7/27/2015.Amended by Volume XXXV Number 36, Filed September 10, 2015, Proposed by #10922, Effective 9/1/2015, Expires9/1/2025.Amended by Volume XXXVI Number 23, Filed June 9, 2016, Proposed by #11107, Effective 7/1/2016, Expires 7/1/2026.Amended by Volume XXXVIII Number 50, Filed December 13, 2018, Proposed by #12681, Effective 11/27/2018, Expires 11/27/2028.