New Hampshire PT, OT and SLP guide

For OT, PT and SLP clinics in New Hampshire: one office licenses all three disciplines; the licensing office’s FAQ cites the licensing law for direct access, with a referral due only beyond the scope of practice or where contraindicated; NH Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in New Hampshire?

The New Hampshire Office of Professional Licensure and Certification licenses all three disciplines, and each profession has its own statute and continuing-education requirement.⁠^1,7,8 A clinic that employs more than one discipline still keeps three registers, not one.

Physical therapists, occupational therapists and speech-language pathologists all answer to the New Hampshire Office of Professional Licensure and Certification, each profession under its own statute and continuing-education rule.⁠^1,7,8 The Physical Therapy Governing Board is one of the allied health governing boards whose administration RSA 328-F places with the Office of Professional Licensure and Certification; it has two physical therapists, one physical therapist assistant and two public members, and the office’s executive director issues the licenses.⁠^{1,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65} No person or business may use the words physical therapy or the PT letters, or bill services labeled as physical therapy, unless a physical therapist licensed under the act provides or directs the services; physical therapist assistants are licensed under the same act.⁠^{1,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65} The Occupational Therapists Governing Board, which the statute gives three occupational therapists, one occupational therapy assistant and one public member, is an allied health governing board administered by the Office of Professional Licensure and Certification.⁠^{7,66,67,68,69,70,71,72,73,74,75,76,77} No one may practice occupational therapy, assist in it or provide occupational therapy services without a license under RSA 326-C and RSA 328-F.⁠^{7,66,67,68,69,70,71,72,73,74,75,76,77} The Speech Language Pathology and Hearing Care Providers Governing Board, which the statute gives three speech-language pathologists, an audiologist, a hearing aid dealer and a public member with alternates, is an allied health governing board administered by the Office of Professional Licensure and Certification.⁠^{8,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92} No one may use the SLP letters or the speech-language pathology titles to imply licensure, or state or imply a current license, without a license under RSA 326-F; since July 1, 2022 speech-language pathologists in public schools must also hold the license.⁠^{8,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does a New Hampshire license renewal require?

The office sets the cycle and hours for each profession, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,7,8 A renewal missed is a lapse, and the office’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a New Hampshire PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing office’s physical therapy FAQ answers “Is there direct access in New Hampshire?” by quoting the licensing law’s lawful-practice section: a licensed physical therapist is fully authorized to practice physical therapy as the act defines it, which includes examining and evaluating to determine a diagnosis, prognosis and plan of intervention, and is only required to refer a patient to appropriate health care practitioners when symptoms or conditions require services beyond the scope of practice or physical therapy is contraindicated; the board’s rule names the practitioners to refer to and has the referral noted in the client’s medical record.⁠^{2,9,10,11,12,13} NH Medicaid, as a payer, covers physical, occupational and speech-language therapy when a physician or other licensed practitioner prescribes it in writing for each recipient. The Medicaid to Schools manual says speech therapists and physical therapists have the authority under their license to order their own services, so the rendering provider is then the ordering provider on the claim.⁠^{2,9,10,11,12,13} For occupational therapy, occupational therapy services can be provided without a referral, subject to regulatory and payer requirements, and the board’s rule lists consultation, screening, evaluation and re-evaluation, wellness, prevention and special education related services as needing no referral.⁠^93,94,95 NH Medicaid, as a payer, covers occupational therapy when a physician or other licensed practitioner prescribes it in writing for each recipient.⁠^93,94,95 For speech-language pathology, the licensing act requires a license and defines the practice of speech-language pathology to include screening, identifying, assessing, interpreting, diagnosing, rehabilitating and preventing disorders of speech and language, oral-pharyngeal function and cognitive communication, and augmentative and alternative communication.⁠^96,97,98 NH Medicaid, as a payer, covers services for speech, hearing and language disorders when a physician or other licensed practitioner prescribes them in writing for each recipient.⁠^96,97,98

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠³⁶ NH Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does NH Medicaid (Medicaid Care Management) pay for therapy?

NH Medicaid is New Hampshire’s Medicaid program, run by the New Hampshire Department of Health and Human Services (DHHS), and a clinic enrolls through its provider enrollment route before it bills.⁠⁹⁹ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠¹⁰⁰ For members under 21, NH Medicaid’s EPSDT benefit covers medically necessary services beyond the service limits, so therapy past the fiscal-year limit is covered for an EPSDT-eligible child with an EPSDT service authorization reviewed case by case.⁠^3,4,5,6

All Title XIX recipients are eligible for physical, occupational and speech-language therapy when prescribed in writing by a physician or other licensed practitioner. The service-limits rule, He-W 568.04 (effective March 19, 2022), limits the three therapies combined to 20 visits per recipient per state fiscal year. The March 2023 therapy provider manual states the limit as 80 fifteen-minute units per member per state fiscal year (July 1 through June 30). Services past the limit need a service authorization.⁠^14,15,16 For fee-for-service members, therapy needs no service authorization until the fiscal-year limit would be exceeded, when the provider requests prior authorization. The three Medicaid Care Management health plans cover the same services but may set their own plan rules, such as prior authorization.⁠^101,102,103 Medicaid Care Management (MCM) delivers NH Medicaid benefits through three health plans, AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan, and most recipients are enrolled in one. Members who are not mandatory MCM enrollees are served through Medicaid Fee for Service, and a provider serving plan members enrolls with the state first and then contracts and credentials with the plan.⁠^{104,105,106,107} The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠¹⁰⁸

How does NH Medicaid want OT, PT and SLP claims coded?

Therapists bill NH Medicaid with CPT therapy procedure codes on the CMS1500, for direct treatment time only. Assistants cannot enroll, so the enrolled therapist providing oversight bills their services. A child under 3 receiving therapy through Family-Centered Early Supports and Services cannot also receive it under the state plan. Therapy records are kept at least six years from the date of service.⁠^{109,110,111,112,113,114} The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does NH Medicaid pay for therapy in schools?

Medicaid to Schools lets local education agencies and school administrative units receive federal Medicaid dollars for covered services, among them physical therapy, occupational therapy and speech pathology, provided in a school setting to a NH Medicaid-eligible student with a care plan. The rule covers students aged 3 to 22, with EPSDT-only services ending at 21.⁠^115,116,117 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does NH Medicaid cover therapy by telehealth?

NH Medicaid covers Medicaid-covered services delivered by telehealth within the provider’s scope of practice when the department finds the application appropriate under CMS regulations, and the General Billing Manual says Medicaid covers services delivered via telehealth, remote patient monitoring and store and forward.⁠^118,119 The telehealth section below covers the state’s own rules for the session itself.

What are New Hampshire’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠¹⁷ RSA 310:7 lets professionals licensed under RSA 328-F provide services by telemedicine or telehealth within their scope of practice. An out-of-state professional treating a patient located in New Hampshire must hold a New Hampshire license or a compact privilege, and a provider must use the in-person standard of care and keep a medical record.⁠^{120,121,122,123}

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^{18,19,20,21,22} The New Hampshire Telemedicine Act bars an insurer from denying coverage solely because a service is provided through telemedicine, requires coverage and reimbursement for telemedicine on the same basis as in person without extra limits, and names allied health professionals under RSA 328-F among the providers allowed to use all modes of telehealth, including audio-only.⁠^124,125,126

Which business steps are specific to New Hampshire?

The entity is registered with the New Hampshire Secretary of State’s Corporation Division, through its NH QuickStart portal.⁠^41,42,43 State tax registration is with the New Hampshire Department of Revenue Administration, which says a new business does not have to register with it but must obtain the state tax forms it has to file.⁠¹²⁷ New Hampshire has no general sales tax on goods purchased in the state, as the Department of Revenue Administration’s FAQ states.⁠¹²⁸ New Hampshire law requires employers to provide workers’ compensation insurance before hiring any employee. The Workers’ Compensation Law counts a private employer as one who employs one or more persons, and the employer secures compensation by insuring with a carrier licensed in the state or by proving to the labor commissioner its financial ability to pay compensation directly.⁠^129,130,131 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in New Hampshire?

A NH Medicaid provider keeps the clinical records that support its claims for at least six years from the date of service, or until any legal action begun in that period is resolved. The therapy rule repeats the six years, and the state’s medical records law makes the record the patient’s property with copies due within 30 days of a request.⁠^37,38,39,40 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^132,133

New Hampshire places confidential communications between allied health practitioners, including those working under their supervision, and their patients on the same legal basis as physician and patient, and its patients’ rights law bars a health care provider from revealing confidential communications or information without the patient’s consent unless the law provides otherwise or the welfare of the individual or the public interest requires it.⁠^134,135,136 A person doing business in New Hampshire that owns or licenses computerized personal information must, on learning of a security breach, promptly determine the likelihood of misuse and, if misuse has occurred, is reasonably likely or cannot be ruled out, notify the affected individuals as soon as possible and notify the attorney general’s office or its primary regulator. Personal information is a name with a Social Security, driver’s license or government identification number, or a financial account number with its access code.⁠^137,138,139 New Hampshire requires the listed professionals, among them any therapist, and any other person with reason to suspect that a child has been abused or neglected to report it, immediately by telephone or otherwise to the department with a written report within 48 hours if requested. Knowingly failing to report is a misdemeanor, and any person who suspects in good faith that a vulnerable adult is abused, neglected, self-neglecting or exploited must report it too.⁠^{140,141,142,143}

Which New Hampshire rules shape a pediatric clinic?

New Hampshire’s Birth to 3 program, Family Centered Early Supports and Services (FCESS), is the Department of Health and Human Services’ Part C program for children under 3 who have or are at risk for developmental delay, exhibit atypical behavior or have an established condition. Any person may make a referral, the local area agency is the point of contact, services are coached at home or another familiar setting through 10 area agencies at no out-of-pocket cost, and no primary care provider referral is required.⁠^{44,45,46,47,48,49} A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. New Hampshire’s biologically-based mental illness coverage law lists pervasive developmental disorder or autism among the conditions every accident or health insurer, health service corporation and HMO must cover on terms no less extensive than for physical illness, and its treatment section includes services by a licensed speech, occupational or physical therapist. An insurer may require a signed treatment plan, updated no more than twice a year, and may not deny coverage because services are habilitative.⁠^144,145,146 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms.

Which New Hampshire rules shape an adult clinic?

Medicare claims from New Hampshire go to National Government Services, Inc., the Medicare Administrative Contractor for Jurisdiction K, Parts A and B (Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island and Vermont), whose local coverage articles for therapy are the ones a New Hampshire clinic reads.⁠^147,148 NH Medicaid’s adult therapy rules are in the Medicaid section above.

Which associations and directory pages serve New Hampshire?

The state chapters are APTA New Hampshire for physical therapy, the New Hampshire Occupational Therapy Association (NHOTA) for occupational therapy and the New Hampshire Speech Language Hearing Association (NHSLHA) for speech-language pathology.⁠^149,150,151 On DrSensory, families browse New Hampshire clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠¹⁵²

Which New Hampshire cities have DrSensory city pages?

Beyond its three New Hampshire pages, the directory publishes city pages for one New Hampshire city, Manchester, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹⁵²

How many New Hampshire PT, OT and SLP clinics does DrSensory list?

DrSensory lists 15 PT, OT and SLP clinics in New Hampshire, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹⁵²

Where does each requirement come from, and what does the clinic do?

Which templates does a New Hampshire launch need?

How might two New Hampshire clinics plan a launch?

Sources

1. New Hampshire Office of Professional Licensure and Certification. Physical Therapy Governing Board. Checked October 30, 2026.
2. New Hampshire Office of Professional Licensure and Certification. Physical Therapy FAQs. Checked October 30, 2026.
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   “Is there direct access in New Hampshire? Per 328-A:9 Lawful Practice, a physical therapist is only required to refer a patient or client to appropriate health care practitioners when: (a) The physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice; or (b) Physical therapy is contraindicated.”
3. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 546.02, Recipient Eligibility (Part He-W 546, Early and Periodic Screening, Diagnostic and Treatment Services). “He-W 546.02 Recipient Eligibility. All recipients under the age of 21 shall be eligible for EPSDT services.” Checked October 30, 2026.
4. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid EPSDT Provider Manual, Volume II (August 2026). Checked October 30, 2026.
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   “Services in excess of the service limits in He-W 530 shall be covered for EPSDT-eligible children, if medically necessary, in accordance with the requirements in He-W 546.06 and in accordance with administrative rules from the Centers for Medicare and Medicaid Services pertaining to EPSDT.”
5. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid EPSDT Provider Manual, Volume II (August 2026). Checked October 30, 2026.
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   “Prior authorization is required for services in excess of the service limits and for any services not listed in He-W 500 as covered, including experimental and investigational services. All prior authorizations requested for a member under 21 years of age will be reviewed on an individualized case by case basis per EPSDT requirements.”
6. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.02, Recipient Eligibility (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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   “He-W 568.02 Recipient Eligibility. All Title XIX recipients shall be eligible for physical therapy, occupational therapy, and services for speech, hearing and language disorders, in accordance with He-W 568.”
7. New Hampshire Office of Professional Licensure and Certification. Occupational Therapists Governing Board. Checked October 30, 2026.
8. New Hampshire Office of Professional Licensure and Certification. Speech Language Pathology and Hearing Care Providers Governing Board. Checked October 30, 2026.
9. New Hampshire General Court. RSA 328-A:9, Lawful Practice (Chapter 328-A, Physical Therapy Practice Act). Checked October 30, 2026.
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   “I. A physical therapist licensed under this chapter is fully authorized to practice physical therapy as defined herein. II. A physical therapist shall refer a patient or client to appropriate health care practitioners when: (a) The physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice; or (b) Physical therapy is contraindicated.”
10. New Hampshire General Court. RSA 328-A:2, Definitions (Chapter 328-A, Physical Therapy Practice Act). Checked October 30, 2026.
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    “XI. "Practice of physical therapy" or "practice of physiotherapy" means: (a) Testing, examining and evaluating impairments, movement dysfunctions, and disabilities or other health and movement-related conditions in order to determine a diagnosis, prognosis, and plan of intervention, and to assess the outcomes of intervention.”
11. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Phy 410.02, Required Referral (Chapter Phy 400, Continued Status). Checked October 30, 2026.
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    “Phy 410.02 Required Referral. (a) Pursuant to RSA 328-A:9, II, a physical therapist shall refer a client to one of the practitioners listed in (b) below when: (1) The client requires services outside the practice of physical therapy as defined in RSA 328-A:2, XI; or (2) Physical therapy is contraindicated. (b) Practitioners to be referred to shall be: (1) A person licensed to practice: a. Medicine; b. Dentistry; c. Chiropractic; d. Podiatry; or e. Naturopathic medicine; or (2) A person licensed as a physician assistant or advanced registered nurse practitioner. (c) The referring physical therapist shall note the referral in the client’s medical record.”
12. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.05, Covered Services (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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    “He-W 568.05 Covered Services. (a) Physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders shall be covered when prescribed, in writing, by a physician or other licensed practitioner, for each recipient treated.”
13. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Medicaid to Schools Provider Manual, Volume II (March 2024). Checked October 30, 2026.
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    “*Speech therapists and physical therapists have the authority under their license to “order” their own services. If this is the case and the therapist ordered their own services, then the rendering provider would be the ordering provider on the claim.”
14. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.04, Service Limits (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders; effective March 19, 2022). Checked October 30, 2026.
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    “He-W 568.04 Service Limits. (a) The service limits for physical therapy, occupational therapy, and services for speech, hearing and language disorders shall apply to all such services, regardless of whether these services are provided through a hospital outpatient department, another provider, such as a home health agency, or by the individual therapists. (b) Physical therapy, occupational therapy, and services for speech, hearing and language disorders shall be limited to 20 visits per recipient per state fiscal year. (c) The 20 visits described in (b) above may be used for physical therapy, occupational therapy, services for speech, hearing and language disorders, or any combination of these services.”
15. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023), 3.1 Service Limits. Checked October 30, 2026.
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    “Physical therapy, occupational therapy, and services for speech, hearing and language disorders shall be limited to 80 fifteen-minute units per member per state fiscal year (July 1 – June 30). The 80 units described above may be used for physical therapy, occupational therapy, services for speech, hearing and language disorders, or any combination of these services.”
16. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023). “Physical therapy, occupational therapy, and services for individuals with speech, hearing and language disorders shall be covered when prescribed in writing by a physician or other licensed practitioner for each member treated.” Checked October 30, 2026.
17. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
18. PT Compact Commission. PT Compact Map. “Member States (38) Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware District of Columbia Georgia Indiana Iowa Kansas Kentucky Louisiana Maryland Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey ...” Checked October 30, 2026.
19. PT Compact Commission. PT Compact Map. “38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
20. New Hampshire General Court. RSA 328-A:5-a, Physical Therapy Licensure Compact (Chapter 328-A, Physical Therapy Practice Act). “328-A:5-a Physical Therapy Licensure Compact. – The physical therapy licensure compact is enacted into law and entered into by this state with all states legally joining therein in the form substantially as follows ...” Checked October 30, 2026.
21. New Hampshire General Court. RSA 328-A:5-a, Physical Therapy Licensure Compact (Chapter 328-A, Physical Therapy Practice Act). “Source. 2017, 189:2, eff. July 1, 2017.” Checked October 30, 2026.
22. New Hampshire Office of Professional Licensure and Certification. Physical Therapy Laws & Rules. “Phy 307.01.pdf - Physical Therapy Compact - Effective August 25, 2026 ...” Checked October 30, 2026.
23. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “New Hampshire Not Yet not required ...” Checked October 30, 2026.
24. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “State Accepting OTC Applications? Jurisprudence Information State Regulations Practice Acts ...” Checked October 30, 2026.
25. New Hampshire General Court. RSA 326-C:9, Occupational Therapy Licensure Compact (Chapter 326-C, Occupational Therapists). “326-C:9 Occupational Therapy Licensure Compact. – The state of New Hampshire hereby adopts the provisions of the Occupational Therapy Licensure Compact as follows ...” Checked October 30, 2026.
26. New Hampshire General Court. RSA 326-C:9, Occupational Therapy Licensure Compact (Chapter 326-C, Occupational Therapists). “Source. 2021, 205:2, Pt. IV, Sec. 3, eff. July 1, 2021.” Checked October 30, 2026.
27. New Hampshire Office of Professional Licensure and Certification. Occupational Therapists Governing Board. “The Occupational Therapy Licensure Compact allows eligible licensed occupational therapists an alternative method for providing services in other member states.” Checked October 30, 2026.
28. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Legislation Enacted - Not Yet Issuing Privileges: 33 Legislation Enacted - Issuing Privileges: 4 Active Legislation: 3 No Active Legislation:16 ...” Checked October 30, 2026.
29. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (the map’s location data for New Hampshire). “New Hampshire | id NH | style Enacted | SB 133 (2021)” Checked October 30, 2026.
30. New Hampshire General Court. RSA 326-F:17, Interstate Compact Adopted (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). “326-F:17 Interstate Compact Adopted. – The state of New Hampshire hereby adopts the provisions of the Audiology and Speech-Language Pathology Compact as follows ...” Checked October 30, 2026.
31. New Hampshire General Court. RSA 326-F:17, Interstate Compact Adopted (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). “Source. 2021, 205:2, Pt. IV, Sec. 2, eff. July 1, 2021.” Checked October 30, 2026.
32. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege to Practice Status Update. “The ASLP-IC Operationalizes! Licensed practitioners in Louisiana and West Virginia can register and begin the privilege to practice process.” Checked October 30, 2026.
33. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege to Practice Status Update. “Licensed practitioners in Ohio can register and begin the privilege to practice process.” Checked October 30, 2026.
34. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege to Practice Status Update. “Licensed practitioners in Tennessee can register and begin the privilege to practice process.” Checked October 30, 2026.
35. New Hampshire Office of Professional Licensure and Certification. Speech Language Pathology and Hearing Care Providers Governing Board Compact. “The Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC) allows eligible licensed audiologists and speech-language pathologists an alternative method for providing services in other member states.” Checked October 30, 2026.
36. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
37. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 520.03, Record Keeping Requirements (Part He-W 520, General Program Information). Checked October 30, 2026.
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    “He-W 520.03 Record Keeping Requirements. Providers shall maintain clinical records to support claims submitted for reimbursement for a period of at least 6 years from the date of service or until the resolution of any legal action(s) commenced in the 6-year period, whichever is longer.”
38. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.08, Documentation (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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    “(b) The provider shall maintain records to support claims submitted for reimbursement for a period of at least 6 years from the date of service, or until the resolution of any legal action(s) commenced in the 6-year period, whichever is longer.”
39. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid General Billing Provider Manual, Volume I (August 2026), 4.5 Record Keeping. Checked October 30, 2026.
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    “Providers are required to maintain electronic and paper billing records in support of claims for at least six years from the date of service or until the resolution of any personal action(s) commenced during the six-year period, whichever is longer.”
40. New Hampshire General Court. RSA 332-I:1, Medical Records; Definitions (Chapter 332-I, Medical Records and Patient Information). Checked October 30, 2026.
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    “I. All medical information contained in the medical records in the possession of any health care provider, or in the possession of any third-party vendor with whom a health care provider contracts to store, handle, and issue copies of such medical records, shall be deemed to be the property of the patient. The patient or the patient’s requestor shall be entitled to a copy of such records upon request, as regulated by the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA"). ... (d) All records being provided pursuant to requests by a requestor shall be provided to the requestor within 30 days of the receipt of the request, and any records not provided within 30 days shall be provided at no cost, absent an independent intervening force majeure which renders the requested records inaccessible, irretrievable, or undeliverable within this 30-day timeframe.”
41. New Hampshire Secretary of State. Corporations. ““The Secretary of State’s Corporation Division maintains New Hampshire’s state business registry. Our mission is to provide accessible, efficient, and transparent services that support the creation, growth, and compliance of New Hampshire businesses."” Checked October 30, 2026.
42. New Hampshire Secretary of State. New Hampshire Quickstart. “Starting a business? File your business name, or form your new Limited Liability Company (LLC) or Corporation here ...” Checked October 30, 2026.
43. New Hampshire Secretary of State. Business FAQs. “Do I have to register my business? A person conducting business under any name other than his/her own legal name must register.” Checked October 30, 2026.
44. New Hampshire Department of Health and Human Services. Birth To 3: Family Centered Early Supports & Services. Checked October 30, 2026.
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    “Parents or other caregivers who have concerns about an infant’s or toddler’s development can get coaching and support through the New Hampshire Birth to 3 early intervention program. Program Highlights Coaching at home, or other familiar setting Services offered through 10 Area Agencies across the state No out-of-pocket cost to families No primary care provider referral required ...”
45. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-M 510.06, Referral and Eligibility Determination (Part He-M 510, Family-Centered Early Supports and Services). Checked October 30, 2026.
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    “(b) Any person may make a referral to FCESS. (c) When a referral is made by someone other than the parent, the FCESS program shall notify the parent immediately both verbally and in writing. (d) Participation in FCESS shall be voluntary. (e) The point of contact for referral to FCESS shall be the area agency.”
46. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-M 510.01, Purpose (Part He-M 510, Family-Centered Early Supports and Services). Checked October 30, 2026.
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    “He-M 510.01 Purpose. In its role as designated lead agency for the implementation of federally mandated Part C of Public Law 108-446 Individuals with Disabilities Education Improvement Act (IDEIA) of 2004, 20 U.S.C. 1400 et seq., the department establishes these minimum standards for family-centered early supports and services (FCESS).”
47. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-M 510.02, Definitions (Part He-M 510, Family-Centered Early Supports and Services). Checked October 30, 2026.
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    “(g) “Child” means an infant or toddler with a disability who is under 3 years of age and: (1) Is at risk for or has a developmental delay; (2) Exhibits atypical behavior; or (3) Has an established condition ...”
48. New Hampshire Department of Health and Human Services. Dispute Resolution (Family Centered Early Supports and Services). “If a parent/guardian or individual/organization feel that the state, program, or provider has violated the child’s rights according to Part C of IDEA, they can request an investigation by filing a State Administrative Complaint.” Checked October 30, 2026.
49. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023). Checked October 30, 2026.
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    “Also, note that children under the age of 3 may be eligible to receive client centered physical therapy, occupational therapy, and speech therapy as part of the early intervention services covered under “Family-Centered Early Supports and Services (ESS).””
50. New Hampshire General Court. RSA 328-F:3, Governing Boards Established (Chapter 328-F, Allied Health Professionals). Checked October 30, 2026.
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    “There shall be established governing boards of athletic trainers, occupational therapists, physical therapists, speech-language pathologists and hearing care providers, and genetic counselors. In order to eliminate a redundant regulatory framework and promote efficiency and economy, and as set forth in RSA 310, the responsibility for administration of the governing boards shall be with the office of professional licensure and certification, and the authority of the board of directors of allied health professionals is repealed.”
51. New Hampshire General Court. RSA 328-F:4, Governing Boards; Memberships; Appointments (Chapter 328-F, Allied Health Professionals). “VI. The physical therapy governing board shall consist of 2 licensed physical therapists and one physical therapist assistant, who have actively engaged in the practice of physical therapy in this state for at least 3 years, and 2 public members.” Checked October 30, 2026.
52. New Hampshire General Court. RSA 310:8, License Renewals and Reinstatements; Expiration and Lapse (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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    “I. The executive director of the office of professional licensure and certification shall issue licenses, as set forth in RSA 310:4, to applicants meeting the eligibility requirements as defined in statute, and rules adopted by each individual board.”
53. New Hampshire Office of Professional Licensure and Certification. Physical Therapy Governing Board. Checked October 30, 2026.
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    “The Physical Therapy Board is charged with administering and regulating the licensing process for the practice of Physical Therapy under the provisions of the laws and rules of the Allied Health Professionals Governing Board. The Board is responsible for protecting the health, safety and welfare of individuals who receive physical therapy services in New Hampshire.”
54. New Hampshire General Court. RSA 328-A:10, Use of Titles; Restrictions; Classification of Offenses (Chapter 328-A, Physical Therapy Practice Act). Checked October 30, 2026.
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    “II. A person or business entity, its employees, agents or representatives shall not use in connection with that person’s name or the name or activity of the business, the words "physical therapy," "physical therapist," "physiotherapy," "physiotherapist" or "registered physical therapist," the letters "PT," "LPT," "RPT," "CPT," "MPT," "DPT," or any other words, abbreviations or insignia indicating or implying directly or indirectly that physical therapy is provided or supplied, including the billing of services labeled as physical therapy, unless such services are provided by or under the direction of a physical therapist licensed pursuant to this chapter.”
55. New Hampshire General Court. RSA 328-A:2, Definitions (Chapter 328-A, Physical Therapy Practice Act). “VIII. "Physical therapist assistant" means a person who meets the requirements of this chapter for licensure and who assists the physical therapist in selected components of physical therapy intervention.” Checked October 30, 2026.
56. New Hampshire General Court. RSA 310:8, License Renewals and Reinstatements; Expiration and Lapse (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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    “II. Licenses issued by the office shall be valid for 2 years from the date of issuance except for those apprentices licensed for one year in accordance with rules adopted pursuant to RSA 541-A. The validity of issued licenses shall be in accordance with RSA 541-A:30 and subject to restrictions imposed through disciplinary and non-disciplinary remedial proceedings. The licensing terms established in this section shall supersede any conflicting terms established in a statute administered by a board listed in RSA 310:2.”
57. New Hampshire General Court. RSA 310:8, License Renewals and Reinstatements; Expiration and Lapse (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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    “III. Applicants shall submit completed applications for renewal, the renewal fee, and any supporting documents required for renewal on or before the expiration of the license. Licenses shall expire when completed renewal applications, renewal fee, and supporting documents have not been filed by the expiration of the license and the holders of an expired license are not authorized to practice until the licenses have been reinstated. Expired licenses shall lapse one year from expiration.”
58. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Phy 402.01, License Renewal Procedure (Chapter Phy 400, Continued Status). Checked October 30, 2026.
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    “Phy 402.01 License Renewal Procedure. (a) A licensee wishing to renew their current license shall: (1) Submit the completed “Universal Application for License Renewal” described in Plc 308.06; ... (3) Complete 24 contact hours of continuing competence requirements as described in Phy 406.01; and (4) Take and pass the New Hampshire jurisprudence assessment module as described in Phy 402.03 in the year ending in “0” or “5”.”
59. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Phy 406.01, Maintenance of Continuing Competence and Documentation Requirements (Chapter Phy 400, Continued Status). Checked October 30, 2026.
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    “(a) Individuals licensed as physical therapists or physical therapist assistants wishing to renew their licenses either fully or conditionally shall maintain continuing competence by completing 24 contact hours of continuing professional education in each 2-year renewal cycle. ... (e) At least one half of the contact hours required by (a) and (b) above shall relate directly and primarily to the clinical application of physical therapy.”
60. New Hampshire Office of Professional Licensure and Certification. Physical Therapy Continuing Education. Checked October 30, 2026.
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    “License Type: Physical Therapists and Physical Therapist Assistant CE Hours Total=24 hours At least 12 hours shall relate directly and primarily to the clinical application of physical therapy The remaining hours shall relate to general physical therapy practice CE Cycle 2 years (corresponds with license timeframe)”
61. New Hampshire Office of Professional Licensure and Certification. Physical Therapy FAQs. “The NH JAM is required to be taken in years ending in “0” and “5” (Phy 402.03)” Checked October 30, 2026.
62. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Plc 308.04, Continuing Competence; Documentation and Audits (Chapter Plc 300, Licensing Rules of the Office of Professional Licensure and Certification). “(d) Unless otherwise required by statute, 10% of licensees renewing in a given year shall be audited to determine continuing education compliance for each board.” Checked October 30, 2026.
63. New Hampshire General Court. RSA 328-A:11, Obligations of Licensees (Chapter 328-A, Physical Therapy Practice Act). Checked October 30, 2026.
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    “IV. A physical therapist assistant shall work under a physical therapist’s general supervision. A physical therapist assistant shall document care provided and shall report to a supervising physical therapist any status in a patient requiring a change in the plan of care. The supervising physical therapist shall review and co-sign all notes during each reevaluation. V. A physical therapist may use physical therapy aides for designated routine tasks. A physical therapy aide shall work under the direct personal supervision of a physical therapist or a physical therapist assistant.”
64. New Hampshire General Court. RSA 328-A:2, Definitions (Chapter 328-A, Physical Therapy Practice Act). “V. "General supervision" means that the physical therapist is not required to be on-site for direction and supervision, but must be available at least by telecommunications.” Checked October 30, 2026.
65. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Phy 409.04, Supervision of Physical Therapist Assistants and Other Support Personnel (Chapter Phy 400, Continued Status). Checked October 30, 2026.
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    “Phy 409.04 Supervision of Physical Therapist Assistants and Other Support Personnel. (a) A client’s treatment by a physical therapist assistant shall be supervised, at least at the level of general supervision, by a physical therapist authorized to practice in New Hampshire. (b) A physical therapist shall supervise concurrently no greater number of physical therapist assistants and other support personnel than the physical therapist is able to supervise competently while performing the physical therapist’s: (1) Responsibilities as set forth in Phy 409.01; (2) Duties assigned by the physical therapist’s employer; and (3) Ethical obligations as set forth in Phy 500.”
66. New Hampshire General Court. RSA 328-F:4, Governing Boards; Memberships; Appointments (Chapter 328-F, Allied Health Professionals). “V. The occupational therapy governing board shall consist of 3 licensed occupational therapists and one occupational therapy assistant, who have actively engaged in the practice of occupational therapy in this state for at least 3 years, and one public member.” Checked October 30, 2026.
67. New Hampshire Office of Professional Licensure and Certification. Occupational Therapists Governing Board. “Occupational Therapy Governing Board was established to create a pathway to license those individuals performing Occupational Therapy in the State of New Hampshire under the regulation of the Allied Health Professionals Governing Board.” Checked October 30, 2026.
68. New Hampshire General Court. RSA 326-C:3, Prohibition on Unauthorized Practice; Professional Identification (Chapter 326-C, Occupational Therapists). Checked October 30, 2026.
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    “I. No person shall practice or hold oneself out as being able to practice occupational therapy or assist in the practice of occupational therapy or provide occupational therapy services in this state unless the person is licensed under this chapter and RSA 328-F.”
69. New Hampshire General Court. RSA 310:8, License Renewals and Reinstatements; Expiration and Lapse (Chapter 310, Office of Professional Licensure and Certification). “II. Licenses issued by the office shall be valid for 2 years from the date of issuance except for those apprentices licensed for one year in accordance with rules adopted pursuant to RSA 541-A.” Checked October 30, 2026.
70. New Hampshire General Court. RSA 326-C:6, Renewal of License (Chapter 326-C, Occupational Therapists). Checked October 30, 2026.
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    “I. Persons licensed as occupational therapists or occupational therapy assistants are eligible for renewal of their licenses if they: (a) Have not violated this chapter or RSA 328-F or demonstrated poor moral character. (b) Meet any continuing competency requirements and any requirements for continuing education, clinical experience, or training established by the board in rules adopted pursuant to RSA 541-A.”
71. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Occ 406.02, Maintenance of Continuing Competence (Chapter Occ 400, Continued Status). Checked October 30, 2026.
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    “Occ 406.02 Maintenance of Continuing Competence. (a) Licensees intending to renew their licensure shall maintain continuing competence by: (1) Completing 24 contact hours of continuing professional education per biennium in accordance with (d) below if they are renewing: a. An initial license issued in an even-numbered year; or b. A license already renewed at least once; ... (b) At least one half of the contact hours required by (a) above shall relate directly to the clinical application of occupational therapy and these hours shall be considered clinical hours.”
72. New Hampshire Office of Professional Licensure and Certification. Occupational Therapists Continuing Education. Checked October 30, 2026.
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    “License Type: Occupational Therapist CE Hours Total=24 hours At least 12 hours shall relate directly to the clinical application of occupational therapy Remaining hours shall relate to occupational therapy theory and practice CE Cycle 2 years (corresponds with license timeframe) ... Applicable exemption(s): Maintenance of NBCOT certification satisfies all CE requirements ...”
73. New Hampshire General Court. RSA 326-C:6, Renewal of License (Chapter 326-C, Occupational Therapists). “II. The board shall approve continuing education programs approved through the American Occupational Therapy Association’s approved provider program.” Checked October 30, 2026.
74. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Occ 405.06, Supervision of Occupational Therapy Assistants (Chapter Occ 400, Continued Status). Checked October 30, 2026.
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    “(b) Occupational therapy assistants with less than one year of paid experience in occupational therapy shall be directly supervised at least 5% of their work time and indirectly supervised an additional 10% of their work time. (c) Occupational therapy assistants with one to 5 years of paid experience in occupational therapy shall be directly supervised during at least 5% of their work time and indirectly supervised an additional 5% of their work time. (d) Occupational therapy assistants with greater than 5 years of paid experience in occupational therapy shall receive both direct and indirect supervision during 5% of their work time.”
75. New Hampshire General Court. RSA 326-C:1, Definitions (Chapter 326-C, Occupational Therapists). “III. "Occupational therapy assistant" means a person currently licensed to assist in the practice of occupational therapy, under the supervision of an occupational therapist, in the state of New Hampshire.” Checked October 30, 2026.
76. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Occ 405.08, Limitation on Number of Occupational Therapy Assistants Under Supervision (Chapter Occ 400, Continued Status). Checked October 30, 2026.
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    “Occ 405.08 Limitation on Number of Occupational Therapy Assistants Under Supervision. An occupational therapist shall not supervise at any one time more occupational therapy assistants than those whose combined work hours total the work hours of 2 full-time occupational therapy assistants.”
77. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Occ 405.09, Occupational Therapy Assistants’ Obligation to Present Supervision Rules to Supervisors and to Report Supervision to the OPLC (Chapter Occ 400, Continued Status). Checked October 30, 2026.
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    “(a) Before beginning work in occupational therapy, an occupational therapy assistant shall: (1) Give to the person intending to provide supervision to the assistant a copy of Occ 400 and the supervision form described in Occ 407.10; (2) Discuss the supervision requirements with the person intending to provide supervision; and (3) Submit to the OPLC the completed supervision form.”
78. New Hampshire General Court. RSA 328-F:4, Governing Boards; Memberships; Appointments (Chapter 328-F, Allied Health Professionals). Checked October 30, 2026.
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    “VIII. The speech-language pathology and hearing care provider governing board shall consist of: (a) Three licensed speech-language pathologist members and one licensed speech-language pathologist alternate, who have actively practiced speech-language pathology in this state for at least 3 years. At least one speech-language pathologist member shall be employed in an educational setting and at least one speech-language pathologist member shall be employed in a clinical setting. (b) One licensed audiologist member, and one licensed audiologist alternate, who have actively practiced audiology in this state for at least 3 years. (c) One registered hearing aid dealer member, and one registered hearing aid dealer alternate, who have actively practiced in this state for at least 3 years. (d) One public member and one public alternate.”
79. New Hampshire Office of Professional Licensure and Certification. Speech Language Pathology and Hearing Care Providers Governing Board. Checked October 30, 2026.
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    “The Speech Language Pathology and Hearing Care Providers Governing Board is charged with administering and regulating the licensing process for the practice of Speech Language Pathology under the provisions of the laws and rules of the Allied Health Professionals Governing Board. The Board is responsible for protecting the health, safety and welfare of individuals who receive Speech-Language Pathology services in New Hampshire. The Board also regulates and licenses Audiologists and Hearing Aid dealers in the State to safeguard the public’s health, safety, and welfare.”
80. New Hampshire General Court. RSA 326-F:8, Professional Identification (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “II. No person shall represent himself or herself or the services offered by using the letters "SLP" or the words "speech-language pathologist", "speech-language pathology", "speech pathologist", "speech pathology", "speech therapist", "speech therapy", "speech correctionist", "speech correction", "speech clinician", "language pathologist", "language pathology", "aphasiologist", "voice pathologist", "voice pathology", "language therapist", "language therapy", "communication disorders", or any similar words if the intent of such use is to imply that the person is licensed, unless licensed under this chapter. III. Any person who states or implies by word or act that he or she is currently licensed to practice speech-language pathology at a time when she or he does not hold a currently valid license shall be guilty of a misdemeanor.”
81. New Hampshire General Court. RSA 326-F:3, Eligibility for Initial Licensure (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “IV. (a) As of July 1, 2022, to be eligible to practice speech-language pathology in a public school system, state-approved nonpublic school for children with disabilities, chartered educational institution of the state, or the state department of education, applicants shall be licensed as speech-language pathologists in accordance with this chapter.”
82. New Hampshire General Court. RSA 310:8, License Renewals and Reinstatements; Expiration and Lapse (Chapter 310, Office of Professional Licensure and Certification). “II. Licenses issued by the office shall be valid for 2 years from the date of issuance except for those apprentices licensed for one year in accordance with rules adopted pursuant to RSA 541-A.” Checked October 30, 2026.
83. New Hampshire General Court. RSA 326-F:6, Eligibility for Renewal of Licenses (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “Licensees are eligible for renewal of their licenses if they: I. For speech-language pathologists, have completed 30 hours of continuing education which meet the requirements established by the board through rulemaking pursuant to RSA 541-A and at least 50 percent of which are directly related to the practice of speech-language pathology.”
84. New Hampshire General Court. RSA 326-F:6-a, Renewal of Certification (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). “Certification shall be renewed every 2 years in accordance with RSA 310:8 and the rules adopted pursuant to RSA 541-A.” Checked October 30, 2026.
85. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Spe 405.01, Maintenance of Continuing Competence (Chapter Spe 400, Continued Status). Checked October 30, 2026.
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    “Spe 405.01 Maintenance of Continuing Competence. (a) Licensees intending to renew their licensure shall maintain continuing competence by completing per biennium 30 hours of continuing professional education or professional activity further described in Spe 405.02. (b) At least 15 of the hours required by (a) above shall relate directly to the clinical application of speech-language pathology.”
86. New Hampshire Office of Professional Licensure and Certification. Speech Language and Hearing Care Continuing Education. Checked October 30, 2026.
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    “License Type: Speech Language Pathologist CE Hours Total=30 hours At least 15 hours shall relate directly to the clinical application of speech language pathology Remaining hours shall relate to general speech language pathology theory and practice CE Cycle 2 years (corresponds with license timeframe)”
87. New Hampshire Office of Professional Licensure and Certification. Speech Language and Hearing Care Continuing Education. “License Type: Speech Language Assistant CE Hours Total=12 hours related to the clinical application of Speech Language Pathology CE Cycle 2 years (corresponds with license timeframe)” Checked October 30, 2026.
88. New Hampshire Office of Professional Licensure and Certification. Speech Language and Hearing Care Continuing Education. “As of November 1, 2024, Speech Language and Hearing licensees are required to use our new continuing educations tracking system, CE Broker.” Checked October 30, 2026.
89. New Hampshire General Court. RSA 326-F:1, Definitions (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “XI. "Speech-language assistant" means any person certified by the office of professional licensure and certification who meets minimum qualifications established by the board which are less than those established by this chapter as necessary for licensing as a speech-language pathologist, and who does not act independently but works under the direction and supervision of a speech-language pathologist licensed under this chapter.”
90. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Spe 607.01, Direction and Supervision of Speech-Language Assistants (Chapter Spe 600, Speech-Language Assistants). Checked October 30, 2026.
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    “(b) For the first 90 work days after the speech-language assistant begins to practice, after they have been initially certified, the amount of direction and supervision required by (a) above shall be: (1) Direct supervision in accordance with the ethical standards found in Spe 500 for 20% of the clinical time during each work week; and (2) Indirect supervision in accordance with the ethical standards found in Spe 500 for 10% of the clinical time during each work week. (c) Following such first 90 work days for speech-language assistants with less than 5 years of experience, the amount of direction and supervision required by (a) above shall be: (1) Direct supervision in accordance with the ethical standards found in Spe 500 for 10% of the clinical time during each work week; and (2) Indirect supervision in accordance with the ethical standards found in Spe 500 for 10% of the clinical time during each work week. (d) For speech-language assistants with 5 years of experience or more, the amount of supervision shall be at the discretion of the supervising speech-language pathologist, with no less than 1 hour of direct supervision and 1 hour of indirect supervision per week.”
91. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Spe 607.02, Limitation on the Number of Speech-Language Assistants Under Supervision (Chapter Spe 600, Speech-Language Assistants). “(a) A licensee shall not supervise at any one time any more speech-language assistants than those whose combined work hours total the work hours of 2 full-time speech-language assistants.” Checked October 30, 2026.
92. New Hampshire General Court. RSA 326-F:2, Exemptions (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “(c) Individuals 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 under this chapter or a speech language specialist certified by the department of education.”
93. New Hampshire General Court. RSA 326-C:2, Evaluation and Treatment Authorization (Chapter 326-C, Occupational Therapists). “Occupational therapy services can be provided without a referral, subject to regulatory and payer requirements.” Checked October 30, 2026.
94. New Hampshire General Court, Office of Legislative Services (Administrative Rules). Occ 405.02, Referral Not Required (Chapter Occ 400, Continued Status). Checked October 30, 2026.
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    “405.02 Referral Not Required. Occupational therapy services can be provided without a referral, subject to regulatory and payer requirements pursuant to RSA 326-C:2. A referral shall not be required for a licensed occupational therapist to provide: (a) Consultation; (b) Screening, evaluation, and re-evaluation of clients; (c) Wellness services; (d) Prevention services; and (e) Special education related occupational therapy services.”
95. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.05, Covered Services (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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    “He-W 568.05 Covered Services. (a) Physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders shall be covered when prescribed, in writing, by a physician or other licensed practitioner, for each recipient treated.”
96. New Hampshire General Court. RSA 326-F:1, Definitions (Chapter 326-F, Speech-Language Pathology and Hearing Care Providers Practice). Checked October 30, 2026.
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    “VIII. "Practice of speech-language pathology" means, but shall not be limited to: (a) Screening, identifying, assessing, interpreting, diagnosing, rehabilitating, and preventing disorders of speech and language. (b) Screening, identifying, assessing, interpreting, diagnosing, and rehabilitating disorders of oral-pharyngeal function and related disorders. (c) Screening, identifying, assessing, interpreting, diagnosing, and rehabilitating cognitive communication disorders. (d) Assessing, selecting, and developing augmentative and alternative communication systems and providing training in their use.”
97. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.05, Covered Services (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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    “He-W 568.05 Covered Services. (a) Physical therapy, occupational therapy and services for individuals with speech, hearing and language disorders shall be covered when prescribed, in writing, by a physician or other licensed practitioner, for each recipient treated.”
98. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Medicaid to Schools Provider Manual, Volume II (March 2024). Checked October 30, 2026.
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    “*Speech therapists and physical therapists have the authority under their license to “order” their own services. If this is the case and the therapist ordered their own services, then the rendering provider would be the ordering provider on the claim.”
99. New Hampshire Department of Health and Human Services. Medicaid Provider Relations. Checked October 30, 2026.
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    “To enroll as a NH Medicaid provider, visit the New Hampshire MMIS Health Enterprise Portal and click on Provider in the upper left of the page. Click on Enrollment to open the online enrollment application. Providers who intend to only provide services to NH Medicaid Fee for Service recipients need to only enroll with the state. Providers who want to provide services to members enrolled in Medicaid Care Management must first enroll with the state, then contract and credential with the health plan(s).”
100. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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     “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
101. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.06, Prior Authorization (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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     “He-W 568.06 Prior Authorization. (a) The provider shall request prior authorization, as specified in He-W 530, for therapy services prescribed in excess of the limits described in He-W 568.04.”
102. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023). “Service authorizations are not required for PT/OT/ST services unless the service limit is to be exceeded.” Checked October 30, 2026.
103. New Hampshire Department of Health and Human Services. Medicaid Care Management. “The three Health Plans cover the same New Hampshire Medicaid services but may have different provider networks and plan rules, such as prior authorization for services.” Checked October 30, 2026.
104. New Hampshire Department of Health and Human Services. Medicaid Care Management. Checked October 30, 2026.
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     “Medicaid Care Management (MCM), or managed care, delivers New Hampshire Medicaid health benefits and additional services through contracts between the Department of Health and Human Services (DHHS) and managed care organizations (MCOs) or Medicaid Health Plans. In New Hampshire, most Medicaid recipients are enrolled in managed care.”
105. New Hampshire Department of Health and Human Services. Medicaid Care Management. “In New Hampshire, there are three Medicaid Health Plans to choose from: AmeriHealth Caritas New Hampshire NH Healthy Families WellSense Health Plan ...” Checked October 30, 2026.
106. New Hampshire Department of Health and Human Services. Medicaid Fee for Service. “Medicaid Fee for Service is a Medicaid benefits pathway for individuals who are not mandatory enrollees of Medicaid Care Management (MCM). Access to services is through providers who are enrolled in NH Medicaid.” Checked October 30, 2026.
107. New Hampshire Department of Health and Human Services. Medicaid Provider Relations. Checked October 30, 2026.
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     “Providers who intend to only provide services to NH Medicaid Fee for Service recipients need to only enroll with the state. Providers who want to provide services to members enrolled in Medicaid Care Management must first enroll with the state, then contract and credential with the health plan(s).”
108. New Hampshire MMIS Health Enterprise Portal (NH Medicaid). Documents and Forms (Fee Schedules). “Fee Schedules Publication Date Current Fee Schedules 2026 2026 Fee Schedule - Covered Procedures Report with SA Requirements as of 10-01-2026 ...” Checked October 30, 2026.
109. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.10, Payment for Services (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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     “(b) The provider shall bill with a therapy procedure code as defined by the American Medicaid Association’s “Current Procedural Terminology (CPT) 2022 Professional Edition” available as noted in Appendix A, and submit claims for payment to the department’s fiscal agent. ... (d) Providers shall submit claims for payment for services in accordance with the following: (1) Only direct treatment by a therapist or a physical therapy assistant, occupational therapy assistant, or speech-language assistant shall be billed, meaning the time the therapist or physical therapy assistant, occupational therapy assistant, or speech-language assistant spends providing direct treatment to one recipient ...”
110. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023), 11.3 Claim Completions Requirements for Therapies. “Therapy (PT/OT/ST) providers are required to submit claims to NH Medicaid using the CMS1500 ...” Checked October 30, 2026.
111. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.03, Provider Participation (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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     “(b) Occupational therapy assistants, physical therapy assistants, and speech-language assistants shall not be eligible to enroll as a Title XIX provider but may provide services to Title XIX recipients in accordance with He-W 568.05 below.”
112. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.10, Payment for Services (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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     “(f) Services provided by a physical therapy assistant, occupational therapy assistant, or speech-language assistant, in accordance with He-W 568.05(b) and (c) above, shall be billed by the enrolled therapist providing oversight of the physical therapy assistant, occupational therapy assistant, or speech-language assistant.”
113. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid Therapies, Physical, Occupational, Speech Provider Manual, Volume II (March 2023). Checked October 30, 2026.
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     “Children under the ages of 3 who are receiving Medicaid covered therapies under ESS (He-M 510) are not eligible to receive therapies under the State Plan FFS (He-W 568) as they are considered duplicative.”
114. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 568.08, Documentation (Part He-W 568, Physical Therapy, Occupational Therapy and Services for Individuals with Speech, Hearing and Language Disorders). Checked October 30, 2026.
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     “(b) The provider shall maintain records to support claims submitted for reimbursement for a period of at least 6 years from the date of service, or until the resolution of any legal action(s) commenced in the 6-year period, whichever is longer.”
115. New Hampshire Department of Health and Human Services. Medicaid to Schools. Checked October 30, 2026.
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     “Medicaid to Schools is a benefit of the NH Medicaid state plan that offers local education agencies and school administrative units the opportunity to receive federal Medicaid dollars to offset costs for Medicaid covered services performed by qualified medical or behavioral health treatment providers in a school setting to a NH Medicaid eligible student.”
116. New Hampshire Department of Health and Human Services. Medicaid to Schools. “Services covered under NH Medicaid via the MTS benefit include, but are not limited to, physical therapy, occupational therapy, speech pathology services, psychological counseling, nursing, and eligible transportation services.” Checked October 30, 2026.
117. New Hampshire General Court, Office of Legislative Services (Administrative Rules). He-W 589.03, Student Eligibility (Part He-W 589, Medical Assistance Services Provided by Education Agencies). Checked October 30, 2026.
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     “He-W 589.03 Student Eligibility. To be eligible for medicaid reimbursement for covered services, a student shall: (a) Have a care plan; (b) Be between the ages of 3 and 22, provided that the students aged 21 through 22 are not eligible for medicaid reimbursement for services covered only under the EPSDT benefit; (c) Be a medicaid recipient; and (d) Be served by an LEA or SAU that is an enrolled school provider.”
118. New Hampshire General Court. RSA 167:4-d, Medicaid Coverage of Telehealth Services (Chapter 167, Public Assistance to Blind, Aged, or Disabled Persons, and to Dependent Children). Checked October 30, 2026.
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     “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 ...”
119. New Hampshire Department of Health and Human Services (NH Medicaid). NH Medicaid General Billing Provider Manual, Volume I (August 2026). “Medicaid covers services delivered via telehealth, as well as remote patient monitoring and store and forward services.” Checked October 30, 2026.
120. New Hampshire General Court. RSA 310:7, Telemedicine and Telehealth Services (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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     “II. Individuals licensed, certified, or registered pursuant to RSA 137-F; RSA 151-A; RSA 315; RSA 316-A; RSA 317-A; RSA 326-B; RSA 326-D; RSA 326-H; RSA 327; RSA 328-D; RSA 328-E; RSA 328-F; RSA 328-G; RSA 329-B; RSA 330-A; RSA 330-C; RSA 327-A; RSA 329; RSA 326-B; RSA 318; RSA 328-I; RSA 328-J; or RSA 332-B may provide services through telemedicine or telehealth, provided the services rendered are authorized by scope of practice. Nothing in this provision shall be construed to expand the scope of practice for individuals regulated under this chapter.”
121. New Hampshire General Court. RSA 310:7, Telemedicine and Telehealth Services (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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     “III. Unless otherwise prescribed by statute, or the patient is currently in the custody of the New Hampshire department of corrections, an out-of-state healthcare professional providing services by means of telemedicine or telehealth shall be required to be licensed, certified, or registered by the appropriate New Hampshire licensing body, or pursuant to a licensing compact or endorsement, if the patient is physically located in New Hampshire at the time of service.”
122. New Hampshire General Court. RSA 310:7, Telemedicine and Telehealth Services (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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     “IV. An individual providing services by means of telemedicine or telehealth directly to a patient shall: (a) Use the same standard of care as used in an in-person encounter; (b) Maintain a medical record; (c) Subject to the patient’s consent, forward the medical record to the patient’s primary care or treating provider, if appropriate ...”
123. New Hampshire General Court. RSA 310:7, Telemedicine and Telehealth Services (Chapter 310, Office of Professional Licensure and Certification). Checked October 30, 2026.
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     “(d) "Telehealth" means the use of audio, video, or other electronic media and technologies by a health care professional in one location to a patient at a different location for the purpose of diagnosis, consultation, or treatment, including the use of synchronous or asynchronous interactions.”
124. New Hampshire General Court. RSA 415-J:3, Coverage for Telemedicine Services (Chapter 415-J, New Hampshire Telemedicine Act). Checked October 30, 2026.
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     “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. An insurer offering a health plan in this state shall provide coverage and reimbursement for health care services provided through telemedicine on the same basis as the insurer provides coverage and reimbursement for health care services provided in person.”
125. New Hampshire General Court. RSA 415-J:3, Coverage for Telemedicine Services (Chapter 415-J, New Hampshire Telemedicine Act). Checked October 30, 2026.
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     “VIII. An insurer shall not impose on coverage for health care services provided through telemedicine any additional benefit plan limitations to include annual or lifetime dollar maximums on coverage, deductibles, copayments, coinsurance, benefit limitation or maximum benefits that are not equally imposed upon similar services provided in-person.”
126. New Hampshire General Court. RSA 415-J:3, Coverage for Telemedicine Services (Chapter 415-J, New Hampshire Telemedicine Act). Checked October 30, 2026.
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     “XII. The following medical providers shall be allowed to perform health care services through the use of all modes of telehealth, including video and audio, audio-only, or other electronic media. Medical providers include, but are not limited to: ... (e) Allied health professionals, under RSA 328-F ...”
127. New Hampshire Department of Revenue Administration. Frequently Asked Questions: General Information. “How do I register my new business? Although you don’t have to register your new business with this Department, you must obtain the appropriate state tax forms to file.” Checked October 30, 2026.
128. New Hampshire Department of Revenue Administration. Frequently Asked Questions: General Information. “Does New Hampshire have a sales tax? No, there is no general sales tax on goods purchased in New Hampshire.” Checked October 30, 2026.
129. New Hampshire Department of Labor. Workers’ Compensation: Employer Information. “New Hampshire law requires employers to provide workers’ compensation insurance. The primary responsibility for obtaining workers’ compensation insurance rests upon employers who must apply for and obtain coverage prior to the hiring of any employee.” Checked October 30, 2026.
130. New Hampshire General Court. RSA 281-A:2, Definitions (Chapter 281-A, Workers’ Compensation). Checked October 30, 2026.
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     “VIII. "Employer," with respect to private employment, means: (a) A person, partnership, association, corporation, or legal representative of a person, partnership, association or corporation who employs one or more persons whether in one or more trades, businesses, professions or occupations and whether in one or more locations.”
131. New Hampshire General Court. RSA 281-A:5, Securing Payment of Compensation (Chapter 281-A, Workers’ Compensation). Checked October 30, 2026.
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     “An employer, or group or association of homogeneous employers, subject to this chapter shall secure compensation to employees in one of the following ways: I. By insuring and keeping insured the payment of such compensation with a company licensed to write workers’ compensation insurance in this state and filing with the commissioner, in a form prescribed by the commissioner, evidence of such coverage as the commissioner deems appropriate. ... III. By furnishing to the commissioner satisfactory proof of financial ability to pay compensation directly to an employee when due in the amounts and manner as provided in this chapter.”
132. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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     “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
133. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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     “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
134. New Hampshire General Court. RSA 328-F:28, Privileged Communications (Chapter 328-F, Allied Health Professionals). Checked October 30, 2026.
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     “The confidential communications between licensed or certified allied health practitioners and their clients or patients are placed on the same legal basis as those between physician and patient, and, except as otherwise provided by law, no allied health practitioner shall be required to disclose such privileged communications. Confidential communications between a patient or client and any person working under the supervision of such practitioner that are customary and necessary for diagnosis and treatment are privileged to the same extent as though those communications were with the supervising licensed or certified allied health practitioner.”
135. New Hampshire General Court. RSA 332-I:2, Patient Information (Chapter 332-I, Medical Records and Patient Information). “(e) The health care provider shall not reveal confidential communications or information without the consent of the patient, unless provided for by law or by the need to protect the welfare of the individual or the public interest.” Checked October 30, 2026.
136. New Hampshire General Court. RSA 328-A:15, Rights of Consumers; Confidentiality (Chapter 328-A, Physical Therapy Practice Act). Checked October 30, 2026.
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     “VI. Confidential communications between physical therapists and physical therapist assistants and their patients are placed on the same legal basis as those between physician and patient, and, except as otherwise provided by law, no licensee shall be required to disclose such privileged communications.”
137. New Hampshire General Court. RSA 359-C:20, Notification of Security Breach Required (Chapter 359-C, Right to Privacy). Checked October 30, 2026.
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     “I. (a) Any person doing business in this state who owns or licenses computerized data that includes personal information shall, when it becomes aware of a security breach, promptly determine the likelihood that the information has been or will be misused. If the determination is that misuse of the information has occurred or is reasonably likely to occur, or if a determination cannot be made, the person shall notify the affected individuals as soon as possible as required under this subdivision.”
138. New Hampshire General Court. RSA 359-C:20, Notification of Security Breach Required (Chapter 359-C, Right to Privacy). Checked October 30, 2026.
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     “(b) Any person engaged in trade or commerce that is subject to RSA 358-A:3, I shall also notify the regulator which has primary regulatory authority over such trade or commerce. All other persons shall notify the New Hampshire attorney general’s office. The notice shall include the anticipated date of the notice to the individuals and the approximate number of individuals in this state who will be notified.”
139. New Hampshire General Court. RSA 359-C:19, Definitions (Chapter 359-C, Right to Privacy). Checked October 30, 2026.
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     “IV. (a) "Personal information" means an individual’s first name or initial and last name in combination with any one or more of the following data elements, when either the name or the data elements are not encrypted: (1) Social security number. (2) Driver’s license number or other government identification number. (3) Account number, credit card number, or debit card number, in combination with any required security code, access code, or password that would permit access to an individual’s financial account.”
140. New Hampshire General Court. RSA 169-C:29, Persons Required to Report (Chapter 169-C, Child Protection Act). Checked October 30, 2026.
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     “Any physician, surgeon, county medical examiner, psychiatrist, resident, intern, dentist, osteopath, optometrist, chiropractor, psychologist, therapist, registered nurse, hospital personnel (engaged in admission, examination, care and treatment of persons), Christian Science practitioner, teacher, school official, school nurse, school counselor, social worker, day care worker, any other child or foster care worker, law enforcement official, priest, minister, or rabbi or any other person having reason to suspect that a child has been abused or neglected shall report the same in accordance with this chapter.”
141. New Hampshire General Court. RSA 169-C:30, Nature and Content of Report (Chapter 169-C, Child Protection Act). “An oral report shall be made immediately by telephone or otherwise, and followed within 48 hours by a report in writing, if so requested, to the department.” Checked October 30, 2026.
142. New Hampshire General Court. RSA 169-C:39, Penalty for Violation (Chapter 169-C, Child Protection Act). “Anyone who knowingly violates any provision of this subdivision shall be guilty of a misdemeanor.” Checked October 30, 2026.
143. New Hampshire General Court. RSA 161-F:46, Reports of Adult Abuse; Investigations (Chapter 161-F, Elderly and Adult Services). Checked October 30, 2026.
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     “Any person, including, but not limited to, physicians, other health care professionals, social workers, clergy, and law enforcement officials, suspecting or believing in good faith that any adult who is or who is suspected to be vulnerable, at the time of the incident, has been subjected to abuse, neglect, self-neglect, or exploitation or is, or was living in hazardous conditions shall report or cause a report to be made as follows: I. An oral report, by telephone or otherwise, shall be made immediately, followed by a written report, if so requested, to the commissioner or his authorized representative.”
144. New Hampshire General Court. RSA 417-E:2, Coverage for Treatment of Pervasive Developmental Disorder or Autism (Chapter 417-E, Coverage for Certain Biologically-Based Mental Illnesses). Checked October 30, 2026.
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     “I. For the purposes of this chapter, treatment of pervasive developmental disorder or autism as required under RSA 417-E:1, III(h) shall include the following: (a) Professional services and treatment programs, including applied behavioral analysis, necessary to produce socially significant improvements in human behavior or to prevent loss of attained skill or function. ... (d) Services provided by a licensed speech therapist, licensed occupational therapist, or licensed physical therapist.”
145. New Hampshire General Court. RSA 417-E:1, Coverage for Certain Biologically-Based Mental Illnesses (Chapter 417-E, Coverage for Certain Biologically-Based Mental Illnesses). Checked October 30, 2026.
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     “II. Notwithstanding any other provision of law, each insurer that issues or renews any policy of accident or health insurance and each nonprofit health service corporation under RSA 420-A and health maintenance organization under RSA 420-B providing benefits for disease or sickness in the state of New Hampshire shall provide benefits for treatment and diagnosis of certain biologically-based mental illnesses under access standards established in RSA 420-J:7, and under terms and conditions which are no less extensive than the coverage provided for any other type of health care for physical illness. III. The following mental illnesses, as defined in the most current edition of the Diagnostic and Statistical Manual (DSM) of Mental Disorders published by the American Psychiatric Association, shall be covered under this section: ... (h) Pervasive developmental disorder or autism.”
146. New Hampshire General Court. RSA 417-E:2, Coverage for Treatment of Pervasive Developmental Disorder or Autism (Chapter 417-E, Coverage for Certain Biologically-Based Mental Illnesses). Checked October 30, 2026.
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     “II. An insurer may require submission of a treatment plan, including the frequency and duration of treatment, signed by the primary care provider, an appropriately credentialed treating specialist, a child psychiatrist, a pediatrician with a specialty in behavioral-developmental pediatrics, a neurologist with a specialty in child neurology, or a licensed psychologist with training in child psychology, that the treatment is medically necessary for the patient and is consistent with nationally recognized treatment standards for the condition such as those set forth by the American Academy of Pediatrics. An insurer may require an updated treatment plan no more frequently than on a semi-annual basis. Coverage shall not be denied on the basis that services are habilitative in nature.”
147. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction K (JK) (page last modified July 8, 2026). “Contract Awardee: National Government Services, Inc., contract number 75FCMC22C0003 ... JK processes FFS Medicare Part A and Part B claims for Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, and Vermont ...” Checked October 30, 2026.
148. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction K (JK) (page last modified July 8, 2026). “Award Announcement: A/B MAC Jurisdiction K award on SAM, December 15, 2021 ...” Checked October 30, 2026.
149. APTA New Hampshire. APTA New Hampshire (the state association's site). Checked October 30, 2026.
150. the New Hampshire Occupational Therapy Association (NHOTA). the New Hampshire Occupational Therapy Association (NHOTA) (the state association's site). Checked October 30, 2026.
151. the New Hampshire Speech Language Hearing Association (NHSLHA). the New Hampshire Speech Language Hearing Association (NHSLHA) (the state association's site). Checked October 30, 2026.
152. DrSensory. Occupational therapy clinics in New Hampshire, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 30, 2026.
153. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in New Hampshire, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.