State Law

New Hampshire Statutes-Title XXXVII-Chapter 417-F: Coverage for Emergency Services

08/15/2023 New Hampshire Section 417-F:3

Prior Authorization

Retroactive Denial

I. A participating provider or other authorized representative of the plan that gives prior authorization shall not rescind or modify the authorization after the health care provider has rendered the authorized emergency services care in good faith and the enrollee’s, insured’s, or subscriber’s coverage was effective on the date of service.

II. When emergency services are a covered benefit under a health plan subject to this chapter, no prior authorization shall be required for emergency services necessary to screen and stabilize an individual.

III.  No health benefit plan shall require a prior authorization for medically necessary interfacility transports for services related to the treatment and diagnosis of certain biologically-based mental illnesses.