New Hampshire Medicaid Telehealth Reimbursement

 Medicaid Reimbursement / Posted 6 months ago by Telehealthist

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.

Definitions
“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.

Live Video
Policy
Limited reimbursement for some live video services. NH Medicaid follows the reimbursement policies of Medicare with the exception of CMS’ geographic requirement.

Eligible Services/Specialties
New Hampshire Medicaid complies with the Centers for Medicare and Medicaid Service requirements for telehealth. See Medicare’s list of CPT codes for a full list of services reimbursable under New Hampshire Medicaid.

Eligible Providers
Click for a list of eligible providers.

Eligible Sites
Click for a list of eligible sites.

Geographic Limits
New Hampshire Medicaid does not follow 42 CFR 410.78(b)(4), listing geographic and site restrictions on originating sites. No other reference found.

Facility/Transmission Fee
New Hampshire Medicaid complies with the Centers for Medicare and Medicaid Service requirements for telehealth. Based on the Medicare requirements, originating sites are eligible for a facility fee.

Store-and-Forward
Policy
New Hampshire Medicaid reimburses for store-and-forward as it pertains to telemedicine and as an exception to 42 CFR 410.78.

Eligible Services/Specialties
No reference found.

Geographic Limits
No reference found.

Transmission Fee
No reference found.

Remote Patient Monitoring
Policy
New Hampshire Medicaid reimburses for remote patient monitoring, which may or may not take place in real-time.

Conditions
No reference found.

Provider Limitations
No reference found.

Other Restrictions
No reference found.

Email/Phone/Fax
No reimbursement for email.
No reimbursement for telephone.
No reimbursement for FAX.

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

Out of State Providers
No reference found.

Miscellaneous
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.