Section Ins 2705.02 - Scope(a) These rules shall apply to: (1) All health carriers, health maintenance organizations, health services corporations, and preferred provider programs in the state of New Hampshire in connection with managed care coverage governed by RSA 420-J or when using a utilization review entity subject to RSA 420-E;(2) Any pharmacy benefits manager with which any of the aforementioned entities contracts to perform prior authorization services for prescription drug benefits; and(3) All utilization review entities.(b) These rules shall not apply to the Medicaid managed care program under RSA 126-A:5, XIX.(c) These rules shall not apply to drugs administered directly by a medical provider in a medical setting.N.H. Admin. Code § Ins 2705.02
Derived From Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12125, Effective 3/8/2017, Expires 3/8/2027.