N.H. Admin. Code § He-M 426.10

Current through Register No. 50, December 12, 2024
Section He-M 426.10 - Evaluations and Testing
(a) Psychiatric diagnostic interview exam shall include:
(1) History of present illness;
(2) Mental status examination; and
(3) Disposition.
(b) Psychiatric diagnostic interview exam shall:
(1) Be a covered CMHP service when conducted by staff meeting qualifications as outlined in He-M 426.08(h) -(k) ;
(2) Be billed for the initial intake service;
(3) Be billed as one event;
(4) Be billed in accordance with current procedural terminology; and
(5) Be co-signed by a licensed supervisor when completed by CMHC staff qualified pursuant to He-M 426.08(i) -(l) .
(c) Evaluation and management shall include:
(1) History of present illness;
(2) Examination; and
(3) Medical decision-making.
(d) Evaluation and management shall:
(1) Be a covered CMHP service;
(2) Be billed as one event; and
(3) Be billed in accordance with current procedural terminology.
(e) Psychological testing shall be a covered CMHP service and consist of psychometric or projective tests, or both, with a written report. This procedure shall be billed per hour and be limited to 6 hours per recipient per 6 month period.
(f) Neuropsychological tests shall be evaluations that are:
(1) Designed to determine the functional consequences of known or suspected brain injury through testing of the neurocognitive domains responsible for language, including:
a. Perception;
b. Memory;
c. Language;
d. Problem solving;
e. Adaptation; and
f. Constructional praxis; and
(2) Carried out on persons who have suffered neurocognitive effects of medical disorders that impinge directly or indirectly on the brain.
(g) Neuropsychological tests shall be billed per hour and be limited to 6 hours per recipient per 6 month period. Persons licensed by state statute to provide psychological services shall provide this service.
(h) Neuropsychological testing may be performed by persons enrolled in formal internship in a professional field of study of psychology or neuropsychological testing if they are enrolled in a doctoral or postdoctoral program at a college or university accredited in psychology by an accrediting agency recognized by the U.S. Department of Education.
(i) Persons providing neuropsychological testing pursuant to (h) above shall receive direct supervision of at least one hour per week from a person licensed by state statute to provide psychological services:
(1) Direct supervision shall occur when the supervisor meets with the intern to review his or her neurological testing practice in order to evaluate his or her performance;
(2) The supervisor shall write and sign a weekly note in the intern's supervisory record stating his or her observations and recommendations relative to the intern's performance;
(3) The supervisor shall write and sign a monthly note summarizing his or her evaluation; and
(4) The person shall meet the supervision requirements relative to meeting his or her internship requirements, if applicable.
(j) The medicaid program shall reimburse CMHPs and community mental health providers only when supervision occurs and is documented.
(k) PASRR evaluations shall be covered CMHP services and include psychiatric evaluations and related services to determine appropriateness for nursing home placement.

N.H. Admin. Code § He-M 426.10

(See Revision Note at part heading for He-M 426) #5433, eff 7-2-92; amd by #5971, eff 2-1-95; ss by #7088, eff 8-31-99; ss by #8867, eff 4-13-07; ss by #9285, eff 9-30-08 (from He-M 426.09 )

Amended by Volume XXXVI Number 41, Filed October 13, 2016, Proposed by #11182, Effective 9/29/2016, Expires 3/28/2017.
Amended by Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12154, Effective 3/28/2017, Expires 3/28/2027.