Medicaid Managed Care

Medicaid Managed Care New!

Medicaid recipients who were able to opt out of Medicaid Care Management will be required to pick a health plan, for coverage to begin in the Fall, 2015.

In July 2015, the NH Department of Health and Human Services (DHHS), New Hampshire Healthy Families, and the Well Sense Health Plan will hold three public informational sessions for Providers and Clients regarding mandatory enrollment in Medicaid Care Management. Find out more

DHHS moves forward with managed care for long term supports and services

Currently DHHS anticipates a July 1, 2015 signup date with the program to begin September 1, 2015. DHHS is still accepting comments on its final draft of the design for Step 2 and has said it will be reaching out to current recipients of these services for input. If you would like to submit comments to DHHS, they should be sent to: beasMCMStep2@dhhs.state.nh.us

Specific contract recommendations for Step 2 have been submitted to the Department on behalf of twelve organizations. If you or your organization would like to support these recommendations, let DHHS know using the email address above.

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June 18, 2014 News from Governor Hassan: letter outlines implementation plans for Step 2 of the NH transition to managed care.

What is Medicaid Managed Care?

In a Medicaid managed care system, Medicaid recipients are provided health care coverage from a company under contract with the state.  Managed care companies, or MCOs agree to provide Medicaid benefits to recipients in exchange for a monthly payment from the state.  The State of New Hampshire origiinally contracted with three MCOs  to provide health care coverage for most New Hampshire Medicaid recipients; one (Meridian) has withdrawn as a provider. The remaining companies are: NH Healthy Families and Well Sense Health Plan.

Problems with Managed care? Read this:

KNOW YOUR RIGHTS New Hampshire Medicaid Managed Care Health Plans: Your Right To Appeal Or File A Grievance, or call Disability Rights Center - NH at 1-800-834-1721 for more information about the grievance and appeal processes or for advice and/or representation in a Medicaid fair hearing.

You have the right to voice any concerns to New Hampshire Medicaid at any time. You may contact New Hampshire Medicaid Client Services by phone at 800-852-3345, ext 4344 or 603-271-4344.

You may also contact these individuals:

Link to the NH DHHS website for the NH Medicaid Managed Care program

The managed care health plans are:

Resources:

The Law:

Policy information:

News & Opinion Columns: