Section He-W 571.07 - Requirements for Maintaining Documentation(a) The dispensing provider shall maintain supporting records in accordance with He-W 520 and this part, and failure to maintain records in accordance with He-W 520 and this part shall entitle the department to recoupment of state or federal medicaid payments made as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456.(b) In addition to the requirement set forth in (a) above, the dispensing provider shall maintain the following documentation for a minimum of 6 years or until the resolution of any legal action(s) commenced within the 6 year period, whichever is longer: (1) All letters of medical necessity (LMN) described in He-W 571.05(b) ;(2) Documentation of adjustments made to and inspections of items or related accessories;(3) Documentation showing: a. The date and proof of delivery of all items to the recipient;b. For custom wheelchairs and customized strollers, the date of the order;c. For custom prosthetic and orthotic devices, the date of fabrication;d. For frame and seating systems to pediatric and adult wheelchairs, the date of order; ande. For medical supplies shipped, the date of shipment;(4) Documentation of a face-to-face encounter between the recipient and the recipient's provider no earlier than 60 days of the PA request as described in He-W 571.05(h) above; and(5) All other supporting documentation needed to justify monthly quantity(s) and type of item(s) dispensed.N.H. Admin. Code § He-W 571.07
(See Revision Note at chapter heading He-W 500); ss by #6158, eff 12-29-95, EXPIRED: 12-29-03
New. #8961, eff 8-20-07; amd by #9103, eff 3-12-08; amd by #9637, eff 1-16-10; amd by #10031, eff 11-19-11
Amended by Volume XXXVI Number 10, Filed March 10, 2016, Proposed by #11046, Effective 2/27/2016, Expires 2/27/2026.