RSA 358-T:1 · Definitions

358-T:1 Definitions. – In this chapter:

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I.

"Covered benefits" means "covered benefits" as defined in RSA 420-J:3.

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II.

"Covered person" means "covered person" as defined in RSA 420-J:3.

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III.

"Emergency medical condition" means "emergency medical condition" as defined in RSA 420-J:3.

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IV.

"Emergency services" means "emergency services" as defined in RSA 420-J:3.

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V.

"Facility" means "facility" as defined in RSA 420-J:3. V-a. "Ground ambulance provider" means a public or private organization licensed by the department of safety under RSA 153-A:10 to provide ground ambulance emergency medical services or the transportation of patients upon any public way of the state. V-b. "Ground ambulance services" means:

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(a)

The rendering of medical treatment and care at the scene of a medical emergency or while transporting a patient from the scene to an appropriate health care facility or behavioral health emergency services provider when the services are provided by one or more ground ambulance vehicles designed for this purpose and licensed by the department of safety under RSA 153-A:10; and

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(b)

Ground ambulance transport between hospitals or behavioral health emergency services providers, hospitals or behavioral health emergency services providers and other health care facilities or locations, and between health care facilities when the services are medically necessary and are provided by one or more ground ambulance vehicles designed for this purpose and licensed by the department of safety under RSA 153-A:10.

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VI.

"Health benefit plan" means a policy, contract certificate or agreement entered into, offered or issued by a health carrier or group health plan, as defined in 42 U.S.C. section 300gg-91(a), to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services.

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VII.

"Health care provider" or "provider" means "health care provider" or "provider" as defined in RSA 420-J:3.

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VIII.

"Health carrier" means "health carrier" as defined in RSA 420-J:3.

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IX.

"Nonparticipating emergency facility" means "nonparticipating emergency facility" as defined in RSA 420-J:3. IX-a. "Nonparticipating ground ambulance provider" means a ground ambulance provider that is acting within the scope of practice for ground ambulance providers as set out in RSA 153-A and that does not have a contractual relationship directly or indirectly with a health carrier.

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X.

"Nonparticipating provider" means "nonparticipating provider" as defined in RSA 420-J:3.

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XI.

"Participating provider or facility" means "participating provider or facility" as defined in RSA 420-J:3. Source. 2024, 143:1, eff. Jan. 1, 2025. 2025, 262:3, 4, eff. Jan. 1, 2026.

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