Section He-W 544.17 - Required Forms(a) Each participating hospice provider notifying the department under He-W 544.03, 544.04, 544.07, and 544.08 shall complete, as applicable, and submit Form 282A, "Medicaid Hospice Care Notification Form" (05/2012 edition) .(b) Each participating hospice provider notifying the department under He-W 544.10 shall complete and submit Form 282B, "Service Utilization within Hospice by Recipient " (09/2010 edition) .N.H. Admin. Code § He-W 544.17
#9726-B, eff 7-1-10; amd by #9867-B, eff 2-11-11