Telehealth and telesupervision for ABA in New Hampshire
Last researched October 21, 2026
Can a BCBA in New Hampshire deliver or supervise ABA by video, and what licensure applies? Answers below say exactly how sure we are.
BCBA licensure
- State license required for BCBAs
We could not verify this yet - check with the state licensing board.
- License title
We could not verify this yet - check with the state licensing board.
- Board
We could not verify this yet - check with the state licensing board.
- Board website
We could not verify this yet - check with the state licensing board.
- Statute or rule
We could not verify this yet - check with the state licensing board.
- Fees and timeline
Unverified as of 2026-10-21: whether New Hampshire requires a state license for BCBAs. BACB's U.S. licensure page (fetched Oct 2026) describes its table as listing 'the states that currently require licensure,' and New Hampshire does not appear in that table. That omission is an observation about the BACB list, not an explicit statement that no NH license is required. A cited NH DHHS guidance document (SFY 2020-05, said to date from Jan 2020) could not be accessed, so its statements about state law and the NH Office of Professional Licensure and Certification could not be confirmed. License title, board, board URL, and statute/rule are unverified, not confirmed nonexistent. No conflicting enacted NH law was verified, but no newer NH statute was checked.
Telehealth and telesupervision
- ABA delivered by telehealth
Yes, per the sources below.
- Detail
Conditional coverage is expressly supported. RSA 167:4-d, III(b)-(g) provides Medicaid telehealth coverage and reimbursement on the same basis as in-person services, permits all modes including audiovisual and audio-only, and explicitly includes BACB-certified professionals and people working under their supervision. Clinical appropriateness, medical necessity, enrollment, other coverage conditions, and applicable law remain relevant; this is not an ABA code-by-code payment guarantee. NH Healthy Families policy NH.PP.14, effective September 18, 2020 and last reviewed June 26, 2024, applies to Medicaid and Ambetter and includes the same provider categories. It lists POS 02/10 and modifiers GT/95 but does not provide an ABA-specific code matrix.
- Telehealth parity law
RSA 415-J:3 prohibits denial solely because an otherwise covered service uses telemedicine and requires coverage and reimbursement on the same basis as in-person care. It permits all telehealth modes, imposes no originating/distant-site restriction, and expressly includes BACB-certified professionals and supervised persons under subsection XII(k). Medical necessity and policy conditions still apply. The statute's latest listed amendment is effective June 17, 2025. Medicaid has separate parity provisions in RSA 167:4-d.
- In-person requirements
RSA 167:4-d allows the patient's home and other originating sites. Its prior in-person establishment-of-care provision specifically addresses primary care and remote patient monitoring, subject to exceptions; it does not state an ABA-specific minimum. No payer-specific minimum number of in-person ABA visits was verified. BACB prefers on-site RBT observation but permits qualifying live video supervision.
- Supervision by telehealth
For RBT certification maintenance, the BACB handbook updated June 2026 permits real-time video supervision. It requires supervision of at least 5% of monthly service hours, at least two real-time face-to-face contacts monthly, observation of service delivery during at least one contact, and at least one individual contact. Telephone or email alone does not satisfy these contacts. These are certification requirements; NH payer authorization and reimbursement for remote supervision remain separate and were not established code by code.
Sources (4)
- NH RSA 167:4-d — Medicaid Coverage of Telehealth Services; latest listed amendment effective June 17, 2025
- NH RSA 415-J:3 — Coverage for Telemedicine Services; latest listed amendment effective June 17, 2025
- NH Healthy Families — Telemedicine Services Payment Policy NH.PP.14, Medicaid and Ambetter; reviewed June 26, 2024
- BACB — RBT Handbook, updated June 2026, ongoing supervision requirements
National baseline: BACB telesupervision
Handbook: in-person on-site observation is preferred, but observation 'may be conducted via web cameras, video-conferencing, or similar means'; internet-based supervision must comply with all applicable laws; video monitoring alone without real-time interaction/feedback may not count. Phone or email contacts do not count as the face-to-face contacts. Payer/state rules can be stricter (CMS toolkit says telehealth should be a limited adjunct and 'generally avoided' for routine technician supervision; that is CMS guidance to states, not a BACB rule).
This is the BACB's certification rule for RBT supervision. State, Medicaid or payer rules can be stricter. High confidence for the BACB text as of 2026-10-21.
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