Section He-W 546.08 - Non-Covered Services(a) The following services shall not be covered:(1) Any service for which there is no medical necessity or for which the medical necessity has not been established;(2) Services which are not medical or dental in nature, except that transportation shall be covered in accordance with He-W 546.05(d) ;(3) Experimental or investigational procedures in accordance with He-W 530;(4) Services that have not been proven to be safe or effective, as documented in medical peer review literature; and(5) Services which are more costly than other services which could be expected to provide the recipient with the same outcome.(b) Services listed in He-W 522 through He-W 589 as non-covered services shall not be covered unless the service is determined to be medically necessary for the recipient pursuant to He-W 546.06.N.H. Admin. Code § He-W 546.08
(See Revision Note at chapter heading He-W 500); ss by #5532, eff 12-17-92, EXPIRED: 12-17-98
New. #6940, eff 1-30-99; ss by #8782, eff 1-1-07
Amended by Volume XXXV Number 23, Filed June 11, 2015 , Proposed by #10829, Effective 5/19/2015, Expires5/19/2025.