New Hampshire Telehealth State Laws & Reimbursement Policies

New Hampshire Medicaid follows the Center for Medicare and Medicaid Services requirements and Federal regulations for the use of telehealth and telemedicine. Reimbursement is available for live video under some circumstances. There is no reimbursement for store-and-forward or remote patient monitoring services, based on Medicare restrictions.

“Telehealth services” and the term “telemedicine” shall comply with 42 C.F.R. section 410.78 and the Centers for Medicare and Medicaid Services requirements.

No reimbursement for email.
No reimbursement for telephone.
No reimbursement for FAX.

Parental consent is required when delivering medical services reimbursed by Medicaid to children in public schools.

No reference found.

As of December 1, 2013 New Hampshire Medicaid transitioned to a managed care model of administration under three health plans. These plans each have their own telehealth coverage policy.

“Telemedicine, as it pertains to the delivery of health care services, means the use of audio, video, or other electronic media for the purpose of diagnosis, consultation, or treatment. Telemedicine does not include the use of audio-only telephone or facsimile.”

Insurers are not prohibited from providing coverage for only those services that are medically necessary and subject to the terms and conditions of the covered person’s policy.

Insurers may not deny coverage for services on the sole basis that the coverage is provided through telemedicine if the health care service would be covered if it were provided through in-person consultation between the covered person and a health care provider.

Telemedicine means the use of audio, video, or other electronic media for the purpose of diagnosis, consultation, or treatment. Telemedicine shall not include the use of audio-only telephone or facsimile.

Patient consent is required prior to forwarding medical records to the patient’s primary care or treating provider, if appropriate.

A physician-patient relationship requires an in-person exam that may take place via a face-to-face two-way real time interactive communication.

Member of the following: Interstate Medical Licensure Compact, Nurse Licensure Compact, Physical Therapy Compact.

A committee has been established to study health care reimbursement for telemedicine and telehealth in New Hampshire. The committee must report its findings by Nov. 1, 2018.