New Hampshire Telemedicine & Telehealth Reimbursement Overview

Provider Reimbursement Eligibility
Consent for Telemedicine Live Video Reimbursement Store & Forward Reimbursement Originating Site & Transmission Fees Eligible Practitioners
State Law

No Reference Found

New Hampshire law states that insurers may not deny coverage for telemedicine, including live video.
See New Hampshire Revised Statutes Annotated, 415-J:3

New Hampshire will reimburse for store and forward provided it is for the “purpose of diagnostic and therapeutic assistance.” Effective January 1, 2020. SB258

“Originating site” means the location of the patient, whether or not accompanied by a health care provider, at the time services are provided by a health care provider through telemedicine, including, but not limited to, a health care provider’s office, a hospital, or a health care facility, or the patient’s home or another nonmedical environment such as a school-based health center, a university-based health center, or the patient’s workplace.

See New Hampshire Telemedicine Act J2

Primary care, pediatrics, and subspeciality are eligible effective January 1, 2020.  SB258

Medicaid

No Reference Found

New Hampshire Medicaid follows the reimbursement policies of Medicare, meaning reimbursement for live video is limited.
See New Hampshire Bill SB 112 (2015)

New Hampshire will reimburse for store and forward provided it is for the “purpose of diagnostic and therapeutic assistance.” Effective January 1, 2020. SB258

At this time New Hampshire Medicaid follows the reimbursement policies of Medicare.

NH Revised Statutes 167:4-d

Primary care, pediatrics, and subspeciality are eligible effective January 1, 2020.  SB258

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

See Telemedicine Reimbursement Guide – Medicare Section

See Telemedicine Reimbursement Guide – Medicare Section

See Telemedicine Reimbursement Guide – Medicare Section

See Telemedicine Reimbursement Guide – Medicare Section

Private Payors

Private payors are actively exploring telemedicine and telehealth, but each provider is different. If you are in network with a specific provider, call and request documentation of their policy related to telehealth.

Self Pay

There are no limitations for self pay patients/clients, and providing telehealth services is a great way to increase revenue with patients that are selfpay or value premium services.

Provider Reimbursement Eligibility
Consent for Telemedicine
State Law

No Reference Found

Medicaid

No Reference Found

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

Live Video Reimbursement
State Law

New Hampshire law states that insurers may not deny coverage for telemedicine, including live video.
See New Hampshire Revised Statutes Annotated, 415-J:3

Medicaid

New Hampshire Medicaid follows the reimbursement policies of Medicare, meaning reimbursement for live video is limited.
See New Hampshire Bill SB 112 (2015)

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

Store & Forward Reimbursement
State Law

New Hampshire will reimburse for store and forward provided it is for the “purpose of diagnostic and therapeutic assistance.” Effective January 1, 2020. SB258

Medicaid

New Hampshire will reimburse for store and forward provided it is for the “purpose of diagnostic and therapeutic assistance.” Effective January 1, 2020. SB258

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

Originating Site & Transmission Fees
State Law

“Originating site” means the location of the patient, whether or not accompanied by a health care provider, at the time services are provided by a health care provider through telemedicine, including, but not limited to, a health care provider’s office, a hospital, or a health care facility, or the patient’s home or another nonmedical environment such as a school-based health center, a university-based health center, or the patient’s workplace.

See New Hampshire Telemedicine Act J2

Medicaid

At this time New Hampshire Medicaid follows the reimbursement policies of Medicare.

NH Revised Statutes 167:4-d

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

Eligible Practitioners
State Law

Primary care, pediatrics, and subspeciality are eligible effective January 1, 2020.  SB258

Medicaid

Primary care, pediatrics, and subspeciality are eligible effective January 1, 2020.  SB258

Medicare

See Telemedicine Reimbursement Guide – Medicare Section

Private Payors

Private payors are actively exploring telemedicine and telehealth, but each provider is different. If you are in network with a specific provider, call and request documentation of their policy related to telehealth.

Self Pay

There are no limitations for self pay patients/clients, and providing telehealth services is a great way to increase revenue with patients that are selfpay or value premium services.

Telemedicine CPT Codes

Unique CPT codes do not exist specifically for telemedicine or telehealth. Instead a modifier is applied to existing codes.

  • For interactive audio and video sessions, place a GT modifier in front of the CPT codes you typically use for in person services.
  • For services provided via an asynchronous telecommunication system, simply add a GQ modifier in front of the CPT codes you typically use for in person services.

Telehealth Parity

New Hampshire has a parity law that is applicable to private payors as well as state employee health plans.  The law requires that telemedicine be covered and the insurance reimbursement rates for telemedicine services shall be the same as that for such services provided in the provider’s office or facility.

See New Hampshire Telemedicine Act J1

See New Hampshire Telemedicine Act J2

See New Hampshire Telemedicine Act J3

Definitions

Telehealth Parity

Telehealth services are equal to in person services and reimbursed at the same rate.

Asynchronous Communication

The exchange of messages, such as among the hosts on a network or devices in a computer, by reading and responding as schedules permit rather than according to some clock that is synchronized for both the sender and receiver or in real time. Email, chat and text messaging are primary examples of asynchronous communication.

Distant or Hub Site

The location or site where the practitioner or provider is located while utilizing telemedicine services to meet with patients.

Originating Site

The location of the patient at the time services are provided. An originating site can be the client's home or a public facility like a rural hospital or physician's office. Many payors will reimburse for an originating site fee if it meets specific requirements. Rural use cases provide an applicable example for an eligible originating site fee where the patient will go to a local medical facility like a primary care physician's office and meet with a specialist located in distant urban health facility.

Additional Telemedicine Resources

Telehealth and telemedicine are fast growing and changing segments. Both state licensure and state legislation are changing rapidly along with federal legislation and for this reason the information provided cannot be considered legal advice. We make every attempt to keep state specific information up to date, but encourage you to validate this information through the following sites: