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Application for Special Medical Services Financial Assistance - New Hampshire
Application for Special Medical Services Financial Assistance is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
FAQ
Q: What is the Special Medical Services Financial Assistance?
A: The Special Medical Services Financial Assistance is a program in New Hampshire that provides financial support for eligible individuals who require specialized medical services.
Q: Who is eligible for the Special Medical Services Financial Assistance?
A: Eligibility for the Special Medical Services Financial Assistance is determined based on income and medical necessity criteria. Individuals with limited income and who require specialized medical services may qualify.
Q: What types of medical services are covered under the program?
A: The program covers a range of specialized medical services, including but not limited to, diagnostic tests, surgeries, medical equipment and supplies, prescription medications, and therapies.
Q: Is there a fee to apply for the Special Medical Services Financial Assistance?
A: No, there is no fee to apply for the Special Medical Services Financial Assistance.
Q: Are non-citizens eligible for the program?
A: Yes, non-citizens who meet the income and medical necessity criteria are eligible for the Special Medical Services Financial Assistance.
Q: How long does it take to process the application?
A: The processing time for the application varies, but you will typically receive a decision within a few weeks after submitting all required documents.
Q: What happens if my application is approved?
A: If your application is approved, you will receive financial assistance to cover the cost of the specialized medical services identified in the application.
Q: What if my application is denied?
A: If your application is denied, you have the right to appeal the decision. The denial letter will provide instructions on how to initiate the appeals process.
Q: Can I apply for the program if I have private health insurance?
A: Yes, individuals with private health insurance can still apply for the program. The financial assistance provided will be based on the uncovered costs of the specialized medical services.
Form Details:
- Released on October 11, 2021;
- The latest edition currently provided by the New Hampshire Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
