New Hampshire
LLC
Website link to register:
https://sos.nh.gov/corporation-division
Naming conventions
PLLC names must reference the professional service (e.g., “Medical PLLC”). Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLCs must include “Professional LLC.”
Licensing Requirements
Submit proof of licensure from the New Hampshire Board of Medicine. Malpractice insurance required. Facility permits from the Department of Health and Human Services may apply.
Required documentation for medical practices
Articles of Organization, Outpatient Surgery Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $100
Annual/Biennial Fee: $100
Additional Notes: Annual report due April 1.
Medicaid
Program Name: New Hampshire Medicaid
Official Website: http://dhhs.nh.gov/programs-services/medicaid
Legislation: New Hampshire passed HB 508 in 2017, defining DPC agreements as not being insurance and exempting them from state insurance laws.
Private Contracting
Explicitly permitted; DPC agreements are recognized and not subject to state insurance laws.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is required.
Medicaid Program
New Hampshire Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with New Hampshire Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS encourages streamlined enrollment for non-billing providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs focused on innovative care delivery.
State-Specific Notes
Collaboration opportunities exist with New Hampshire Medicaid Managed Care Organizations for primary care expansion.
Dispensing Medication
Board of Pharmacy Official Link: https://www.oplc.nh.gov/board-pharmacy
State Licensing
Physicians must register with the New Hampshire Board of Pharmacy for dispensing medications and controlled substances.
Scope of Practice
Direct dispensing is allowed for non-controlled and controlled substances within a physician’s scope of practice.
Inventory Management
Secure storage and accurate inventory logs are required for all medications.
Record-Keeping
Records must comply with New Hampshire state and federal regulations, including HIPAA.
Dispensing Standards
Labels must include patient name, prescribing physician, and dosage as per state standards.
Controlled Substances
DEA registration and reporting to New Hampshire’s PDMP are mandatory for controlled substances.
Billing and Reimbursement
Billing practices must comply with New Hampshire-specific laws and federal Stark Law.
Federal Compliance
Adherence to FDA, DEA, and OSHA standards is required for dispensing.
State Pharmacy Laws
Physicians must comply with New Hampshire Board of Pharmacy laws for controlled substances dispensing.
Patient Consent
Informed consent is required prior to dispensing medications.
Insurance and Liability
Liability insurance must cover all risks related to dispensing activities.
Training Requirements
Continuing education is required for compliance with New Hampshire’s dispensing laws.
Audits and Inspections
Inspections are conducted by the New Hampshire Board of Pharmacy; non-compliance may result in penalties.