New Hampshire Telepractice Requirements for Audiologists and Speech-Language Pathologists

The information below is collected from state licensure boards or regulatory agencies responsible for regulating the professions of audiology and/or speech-language pathology. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Telepractice State Licensure Board Requirements

This state has no licensure laws or regulations for telepractice. The absence of laws and regulations does not imply telepractice is allowed. Please contact the board for further information.

Telesupervision State Licensure Board Laws and Regulations

This state has laws or regulations for telesupervision for speech-language pathology. The state has no laws or regulations for telesupervision for audiology. 

Definitions 301.04  "Direct supervision" means in-view observation and guidance by an SLP while an assigned activity is performed by an individual being supervised, provided in person or via real time telecommunication technology, and includes but is not limited to:

         (a)  Observation of a portion of the screening or treatment procedures performed by the speech-language assistant;
         (b)  Coaching the supervisee; and
         (c)  Modeling for the supervisee.

301.05  "Indirect supervision" means supervision where the supervisor is not required to be in the same facility or in close proximity to the individual being supervised, but is available to provide supervision by electronic means, including but not limited to:

         (a)  Demonstration;
         (b)  Record review;
         (c)  Review and evaluation of audio or videotaped sessions; and
         (d)  Interactive television and supervisory conferences conducted by telephone, e-mail, or live webcam.

Citation: N.H. Code Admin. R. Spe. 301

Support Personnel

Speech-language pathology – permitted 

Audiology – no regulations

Clinical Fellow

Speech-language pathology – permitted 

Audiology – no regulations

Student Intern

Speech-language pathology – permitted 

Audiology – no regulations  

Telepractice Reimbursement Laws and Regulations

Telepractice Private Insurance

The law is not clearly defined indicating that any health care provider and service may be covered.  It is left up to interpretation and/or will be determined by the payers. Clinician will have to contact payer sources to determine if and how telepractice is covered.

415-J:3 Coverage for Telemedicine Services

I. It is the intent of the general court to recognize the application of telemedicine for covered services provided within the scope of practice of a physician or other health care provider as a method of delivery of medical care by which an individual shall receive medical services from a health care provider without in-person contact with the provider.

II. An insurer offering a health plan in this state may not deny coverage on the sole basis that the coverage is provided through telemedicine if the health care service would be covered if it were provided through in-person consultation between the covered person and a health care provider.

III. Nothing in this section shall be construed to prohibit an insurer from providing coverage for only those services that are medically necessary and subject to the terms and conditions of the covered person's policy.

Citation: N.H. Rev. Stat. Ann. § 415-j:3 

Telepractice Medicaid 

New Hampshire Medicaid provides coverage for services delivered via telepractice but does not specify rules for speech-language pathologists and audiologists. Under SB 258 (2019):

Medicaid Coverage of Telehealth Services

III.(a) Coverage under this section shall include the use of telehealth or telemedicine for Medicaid-covered services provided within the scope of practice of a physician or other health care provider as a method of delivery of medical care: 
     (1) Which is an appropriate application of telehealth services provided by physicians and other health care providers, as determined by the department based on the Centers for Medicare and Medicaid Services regulations, and also including persons providing psychotherapeutic services as provided in He-M 426.08 and 426.09;
     (2) By which telemedicine services for primary care, remote patient monitoring, and substance use disorder services shall only be covered in the event that the patient has already established care at an originating site via face-to-face in-person service; and 
     (3) By which an individual shall receive medical services from a physician or other health care provider who is an enrolled Medicaid provider without in-person contact with that provider. 
  (b) Nothing in this section shall be construed to prohibit the Medicaid program from providing coverage for only those services that are medically necessary and subject to all other terms and conditions of the coverage. 

Citation: SB 258, General Court 2019 Session [PDF] (2019). 

ASHA Guidance

Telepractice State Licensure

  • Obtain a license from the state in which you reside and from the state in which the patient/client resides.
  • If a state has not established regulations on telepractice, then contact the licensure board for further guidance and ask for written verification.
  • It is the responsibility of the clinician to review the regulations on the state licensure board website in their entirety and regularly for updates or changes.

Telesupervision

  • If a state has not established regulations on telesupervision, then contact the licensure board for further guidance and ask for written verification.

Reimbursement for Telepractice Services

Audiologists and speech-language pathologists should keep in mind that while a state may have passed telepractice reimbursement laws and/or regulations, this does not guarantee that payers will reimburse for these services. Learn more about considerations for audiologists and speech-language pathologists.  

Resources

For further information on telepractice requirements for audiologists and speech-language pathologists, please visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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