Medicaid Managed Care

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?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with three MCOs  to provide health care coverage for most New Hampshire Medicaid recipients; one (Meridian) has withdrawn as a provider.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

Link to Materials pertaining to Commission on Medicaid Care Management, on the Governor's website

The managed care health plans are:

Resources:

 

The Law:

Policy information:

News & Opinion Columns: