2006 New Hampshire Statutes - Section 420-J:7-a Filing Requirements for Medical Necessity Definitions.

    I. A health carrier shall maintain a definition of medical necessity and shall file with the insurance department a copy of the health carrier's definition of medical necessity. Any subsequent modifications to the definition also shall be filed. The department shall have 60 days after such filing to object to a health carrier's definition of medical necessity; provided that if the department does not object within the 60-day period, such definition shall be deemed approved.
    II. A health carrier shall provide a copy of the health benefit plan's medical necessity definition set forth in or attached to the policy, certificate, membership booklet, or other evidence of coverage provided to covered persons. The definition shall be written in easily understandable language, and shall be referenced in any table of contents of the above mentioned materials.

Source. 1998, 329:1, eff. Aug. 25, 1998.