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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
New Hampshire Medicaid QMB Types |
Individuals may qualify for the following benefits, as outlined in the chart below:
Medicare & NH Medicaid Benefits (no QMB eligibility)
The NH Medicaid Program pays coinsurance and deductible on Medicare crossover claims for services that are both Medicare and Medicaid benefits and pays for all regular Medicaid Program benefits not covered by Medicare.
QMB & NH Medicaid Benefits (QMB-Plus)
The NH Medicaid Program pays coinsurance and deductible on Medicare crossover claims for services that are both Medicare and Medicaid benefits and pays for all regular Medicaid Program benefits not covered by Medicare.
The NH Medicaid Program also pays the monthly Medicare premiums for the Medicare beneficiary.
QMB-only Benefits
The NH Medicaid Program pays monthly Medicare premiums, coinsurance and deductibles on crossover claims for Medicare covered benefits.
Reference
New Hampshire Medicaid
General Billing Manual § 13.1
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