The New Hampshire Medicaid to Schools Program regulations were reviewed and amended during the past few months as some portions of the regulations were due to expire.
MSB has worked closely with the Medical Care Advisory Committee, NHASEA, NHSAA and the Department of Health and Human Services to provide input during the review process.
Due to regulatory changes, all necessary adjustments to Lumea and paper logs are being made to continue to best assist districts with compliance.
Overall, there were few changes, however there are a few key additions we would like to highlight below.
- NH Licensed Clinical Social Workers, Licensed Mental Health Counselors, and out of state licensed Social Workers are qualified to provide Mental Health Services consistent with their respective practice acts and perform all duties consistent with the regulatory definition of a Licensed Practitioner of the Healing Arts (LPHA). We hope that this will reduce the number of waivers that districts have historically have had to request.
- Service providers who work under the direction of a properly qualified licensed Speech Language Pathologist must be certified as Speech-Language Assistants by the NH Office of Licensed Allied Health Professionals, as defined under the NH Speech Pathology Practice Act. In addition, individuals may be employed at a public school or nonpublic school approved by the Department of Education who do not act independently but work under the direction and supervision of a Speech-Language Pathologist licensed by the NH Office of Licensed Allied Health Professionals. A school Speech Language Specialist, certified by the NH Department of Education, must also work under the direction of a Speech-Language Pathologist licensed by the NH Office of Licensed Allied Health Professionals.
- Service providers working under the direction of a properly credentialed OT, PT, or SLP now must obtain a second signature of the directing OT, PT, or SLP for all services provided.
- Any time co-therapy is being provided to a child at the same time by more than one licensed practitioner of the healing arts, the practitioners must split the time billed. For example, if both practitioners are working with a child at the same time for 30 total minutes, each practitioner may only bill for 15 minutes.
Please also call or email for specialized training in Lumea or to discuss the organization of Medicaid in your districts.