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.
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 had to request.
- Service providers who work under the direction of a properly credentialed OT, PT, or SLP must be licensed as assistants under their respective Practice Act state license boards. For speech services, however, one exception is that a school district may hire an unlicensed speech language assistant to provide speech services as long as the speech assistant is working under the direction of a properly qualified speech pathologist. This exception only applies for speech assistants employed at a public school or nonpublic school approved by the NH Department of Education.
- 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.