N.H. Medicaid Hospice Provider Manual, Vol. II, § 1

New Hampshire (NH) Medicaid Provider Billing Manuals include two volumes which must be used in

conjunction with each other. Policies and requirements detailed in these manuals are established by the

NH Department of Health and Human Services (DHHS), also referred to as the Department.

It is critical that the provider and the provider’s staff be familiar with, and comply with, all information

contained in the General Billing Manual – Volume I, and this Provider Specific Billing Manual – Volume

II.

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The General Billing Manual – Volume I: Applies to every enrolled NH Medicaid provider

(hereinafter referred to as the provider) who submits bills to NH Medicaid for payment. It

includes general policies and procedures applicable to NH Medicaid such as provider

responsibilities, verification of member eligibility, covered and non-covered services, service

authorizations, medical necessity, third party liability, surveillance and utilization review/program

integrity, access to fee schedules, claims processing, and obtaining reimbursement for providing

services. This manual also includes general information on how to enroll as a NH Medicaid

provider. The Appendices section encompasses a wide range of supplemental materials such as

Fee Schedules, Contact Information, Provider Type List, Sample Forms and Instructions, as well

as other general information.

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The Provider Specific Billing Manual – Volume II: Specific to a provider type and designed to

guide the provider through specific policies applicable to the provider type.