328-D:17 Coverage of Services. –
I. Health insurers and, to the extent permitted under federal law, Medicaid and Medicare shall reimburse a participating provider who is a physician associate for any medical and surgical service delivered by the physician associate if the same service would be covered if delivered by a physician. Physician associates are authorized to bill for and receive direct payment for the medically necessary services they deliver.
II. To provide accountability and transparency for patients, payers, and health care systems, the physician associate, when appropriate, shall be identified as the treating provider in the billing and claims processes when the physician associate delivered the medical services to the patient.
III. A health insurer shall not impose any practice, education, or collaboration requirement for a physician associate that is inconsistent with or more restrictive than the provisions of this chapter.
IV. Nothing in this chapter shall be construed to preclude a health carrier from exercising its rights and responsibilities set forth in RSA 420-J:4.
Source. 2022, 148:10, eff. Aug. 6, 2022. 2025, 105:1, 2, eff. June 17, 2025.