ARTICLE
22 December 2015

Will New Hampshire Offer Medicaid Telehealth Coverage?

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Foley & Lardner

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A single sentence at the end of New Hampshire's new telemedicine law could mean the Granite State will, sometime in 2016, join other states in offering Medicaid FFS coverage of telehealth services.
United States Food, Drugs, Healthcare, Life Sciences

A single sentence at the end of New Hampshire's new telemedicine law could mean the Granite State will, sometime in 2016, join other states in offering Medicaid FFS coverage of telehealth services.

The very end of SB 84 includes this sentence: "Medicaid coverage for telehealth services shall comply with the provisions of 42 C.F.R. section 410.78 and RSA 167:4-d." Currently, telehealth services in New Hampshire are covered under select Medicaid managed care plans, although SB 112 and RSA 167:4-d are designed to provide for broader Medicaid coverage.

The sentence suggests New Hampshire Medicaid will cover the Act's telehealth services upon the review and approval of a state plan amendment by the Centers for Medicare and Medicaid Services. Is there a draft New Hampshire state plan amendment in the works incorporating telehealth services?

If so, that would be good news for New Hampshire providers and Medicaid recipients alike. The actual coverage could be limited if the state plan amendment ultimately defers to the same standards as Medicare coverage for telehealth services under federal regulations (as the Act seems to suggest).

But any change would be an opportunity for telemedicine providers (see Six Ways to Take Advantage of New Hampshire's New Telemedicine Law), as New Hampshire and Massachusetts are the only states with no Medicaid FFS coverage of telehealth services.

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