CurrentNew Hampshire Department of Health and Human ServicesPolicy N/A

Emergency Order #8 — Temporary Expansion of Access to Telehealth Services

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Requires applicable New Hampshire health plans and Medicaid programs to allow in-network providers to deliver clinically appropriate, medically necessary covered services through telehealth, with payment parity, COVID-19 cost-sharing waivers, broad provider eligibility, and no originating-site restrictions while the order remains in effect.

Policy Summary

PayerNew Hampshire Department of Health and Human Services

PolicyEmergency Order #8 — Temporary Expansion of Access to Telehealth Services

Policy CodePolicy N/A

Change TypeTemporary emergency expansion

Effective DateMarch 17, 2020

Next Review DateN/A

Key ActionAllow clinically appropriate, medically necessary covered services to be delivered to members through telehealth by in-network providers.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

All in-networkEligible providers

All modesTelehealth modes

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CurrentNew Hampshire Department of Health and Human ServicesPolicy N/A

Emergency Order #8 — Temporary Expansion of Access to Telehealth Services

Customize your policy alerts

Sign up for all New Hampshire Department of Health and Human Services policy alerts

Know when New Hampshire Department of Health and Human Services releases new policies or updates existing guidance.

Monitor payer policy activity

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Policy Summary

PayerNew Hampshire Department of Health and Human Services

PolicyEmergency Order #8 — Temporary Expansion of Access to Telehealth Services

Policy CodePolicy N/A

Change TypeTemporary emergency expansion

Effective DateMarch 17, 2020

Next Review DateN/A

Key ActionAllow clinically appropriate, medically necessary covered services to be delivered to members through telehealth by in-network providers.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

All in-networkEligible providers

All modesTelehealth modes

Telehealth Coverage Requirements

General Telehealth Coverage

Covered telehealth services must meet all of the following requirements:

ALL of the following

The service is a clinically appropriate, medically necessary covered service provided to a member.
The service is delivered by an eligible in-network provider through telehealth, including video and audio, audio-only, or other electronic media.
The coverage applies to all health insurance carriers regulated by the New Hampshire Insurance Department, all health benefit plans authorized under RSA 5-B, and New Hampshire Medicaid coverage, including Medicaid Managed Care Organizations.
Eligible providers include physicians; physician assistants; APRNs, clinical nurse specialists, and nurse midwives; certified registered nurse anesthetists; clinical psychologists and school psychologists licensed by the Board of Psychologists; clinical social workers; master's-level psychiatric nurses; pastoral psychotherapists; marriage and family therapists; clinical mental health counselors; other providers licensed by the Board of Mental Health Practice; LADC and MLADC providers; CRSWs; applied behavioral analysts; registered dietitians and nutritional professionals; dentists; and community mental health providers.
There is no restriction on the eligible originating site, meaning the member's location when the service is furnished through a telecommunications system. Examples include a practitioner's office, the member's home, a school, a hospital including a critical access hospital or a hospital with a renal dialysis center, a skilled nursing facility, an FQHC or RHC, and a community mental health center.
The carrier reimburses an in-network provider for a telehealth service at a rate no lower than the rate established for the corresponding traditional, in-person service.
The carrier provides providers with any instructions necessary to facilitate billing for telehealth services.
The telehealth requirement remains in effect until rescinded or until the State of Emergency is terminated, whichever occurs first.

COVID-19 Telehealth Cost-Sharing Waiver

COVID-19 treatment delivered via telehealth is covered when all of the following are met:

ALL of the following

The treatment is medically necessary and related to COVID-19.
The treatment is delivered via telehealth by an in-network provider.
The member has no cost-sharing responsibility, including copayments, deductibles, or coinsurance.

Operational Requirements for Health Plans and Providers

Documentation Required

Permit medically necessary telehealth services

Allow all in-network providers to deliver clinically appropriate, medically necessary covered services to members via telehealth.

Billing Rule

Accept all telehealth modalities

Allow medically necessary services to be delivered through all telehealth modes, including video and audio, audio-only, or other electronic media.

Billing Rule

Telehealth Terms

Originating site

DefinitionThe location of the member at the time the service is being furnished via a telecommunications system.

Eligible-site ruleThere shall be no restriction on eligible originating sites for telehealth services.

Examples of originating sitesA practitioner’s office, a patient’s home, schools, hospitals, skilled nursing facilities, FQHCs/RHCs, and community mental health centers.

Telehealth

DefinitionDelivery of health care services through video and audio, audio-only, or other electronic media.

Permitted modalitiesVideo and audio, audio-only, or other electronic media.