Section He-C 5004.05 - Covered Services(a) Telehealth services, provided through a medicaid managed care organization (MCO), as defined in He-W 506.03(h) shall be furnished in an amount, duration, and scope that is no less than the amount, duration, and scope for the same services furnished to recipients under fee-for-service as defined in He-W 506.03(f).(b) The following considerations shall apply to RPM, as defined in He-C 5004.01(i) above, medical conditions that may be treated or monitored by means of RPM include but are not limited to: (1) Congestive heart failure;(3) Chronic obstructive pulmonary disease;(5) Polypharmacy, mental or behavioral conditions, and technology dependent care such as the use of continuous oxygen, ventilator care, total parenteral nutrition, or enteral feeding;(8) Patients at high risk of hospitalization.(c) Medical devices supplied to patients as part of RPM services shall comply with section 201 of the Federal Food, Drug and Cosmetic Act (FDA) which requires the wirelessly synced device to be reliable and to transmit data electronically for interpretation and recommendations automatically rather than the patient having to self-report to providers.(d) Telehealth for developmental disabilities and acquired brain disorder home and community based care waiver services shall be provided in accordance with the Centers for Medicare and Medicaid's "Appendix K: Emergency Preparedness and Response for Home and Community Based (HCBS) 1915(c) Waivers" (effective March 2020 through 6 months after the end of the federal public health emergency), as available in Appendix A.(e) Telehealth for choices for independence home and community based waiver services shall be provided in accordance with the Centers for Medicare and Medicaid's "Appendix K: Emergency Preparedness and Response for Home and Community Based (HCBS) 1915(c) Waivers" (effective March 2020 through 6 months after the end of the federal public health emergency), as available in Appendix A.(f) Telehealth for in home supports home and community based waiver services shall be provided in accordance with the Centers for Medicare and Medicaid's "Appendix K: Emergency Preparedness and Response for Home and Community Based (HCBS) 1915(c) Waivers" (effective March 2020 through 6 months after the end of the federal public health emergency), as available in Appendix A.N.H. Admin. Code § He-C 5004.05
Derived from Number 23, Filed June 8, 2023, Proposed by #13651, Effective 5/26/2023, Expires 5/26/2033.