Current through Reg. 49, No. 38; September 20, 2024
(a) Eligible
providers performing telemedicine medical, telehealth, or home telemonitoring
services are defined in §
RSA 354.1430 of this
title (relating to Definitions), §
RSA
354.1432 of this title (relating to
Telemedicine and Telehealth Benefits and Limitations), and §
RSA
354.1434 of this title (relating to Home
Telemonitoring Benefits and Limitations).
(b) The Health and Human Services Commission
(HHSC) reimburses eligible distant site professionals providing telemedicine
medical services as follows:
(1) Physicians
are reimbursed for their Medicaid telemedicine medical services in the same
manner as their other professional services in accordance with §
RSA
355.8085 of this title (relating to
Reimbursement Methodology for Physicians and Other Practitioners).
(2) Physician assistants are reimbursed for
their Medicaid telemedicine medical services in the same manner as their other
professional services in accordance with §
RSA
355.8093 of this title (relating to
Reimbursement Methodology for Physician Assistants).
(3) Advanced Practice Registered Nurses
(APRNs) are reimbursed for their Medicaid telemedicine medical services in the
same manner as their other professional services in accordance with §
RSA
355.8281 of this title (relating to
Reimbursement Methodology for Nurse Practitioners and Clinical Nurse
Specialists).
(4) Certified nurse
midwives are reimbursed for their Medicaid telemedicine medical services in the
same manner as their other professional services in accordance with §
RSA
355.8161 of this title (relating to
Reimbursement Methodology for Midwife Services).
(c) HHSC reimburses eligible distant site
professionals providing telehealth services as follows:
(1) Licensed professional counselors,
including licensed marriage and family therapists, and licensed clinical social
workers (including Comprehensive Care Program social workers) are reimbursed
for their Medicaid telehealth services in the same manner as their other
professional services in accordance with §
RSA
355.8091 of this title (relating to
Reimbursement to Licensed Professional Counselors, Licensed Clinical Social
Workers, and Licensed Marriage and Family Therapists).
(2) Licensed psychologists (including
licensed psychological associates) and psychology groups are reimbursed for
their Medicaid telehealth services in the same manner as their other
professional services in accordance with §
RSA
355.8085 of this title.
(3) Durable medical equipment suppliers are
reimbursed for their Medicaid telehealth services in the same manner as their
other professional services in accordance with § 355.8023 of this title
(relating to Reimbursement Methodology for Durable Medical Equipment,
Prosthetics, Orthotics and Supplies (DMEPOS)).
(d) Telemedicine and telehealth patient site
locations, as defined in §
RSA 354.1430 and
§
RSA
354.1432 of this title, are reimbursed a
facility fee determined by HHSC.
(e) HHSC reimburses eligible providers
performing home telemonitoring services in the same manner as their other
professional services described in §
RSA
355.8021 of this title (relating to
Reimbursement Methodology for Home Health Services).
(f) Telemedicine medical services provided in
a school-based setting by a physician, even if the physician is not the
patient's primary care physician, will be reimbursed in accordance with the
applicable methodologies described in subsection (b)(1) of this section and
§
RSA
355.8443 of this title (relating to
Reimbursement Methodology for School Health and Related Services (SHARS)) if
the following conditions are met:
(1) the
physician is an authorized health care provider under Medicaid;
(2) the patient is a child who receives the
service in a primary or secondary school-based setting;
(3) the parent or legal guardian of the
patient provides consent before the service is provided; and
(4) a health professional as defined by
Government Code §
RSA
531.0217(a)(1) is present
with the patient during the treatment.
(g) Fees for telemedicine, telehealth, and
home telemonitoring services are adjusted within available funding as described
in §
RSA
355.201 of this title (relating to
Establishment and Adjustment of Reimbursement Rates by the Health and Human
Services Commission).
