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Office of Medicaid Business & Policy


Frequently Asked Questions (FAQs)
1.  What is the Office of Medicaid Business & Policy?
2.  What is the Office of Medicaid Business & Policy responsible for?
3.  What Medicaid Services does Office of Medicaid Business & Policy provide?
4.  Who makes the financial eligibility determination to see if I am eligible for Medicaid?
5.  Who makes the medical determination if I must have a medical determination before I am eligible to receive Medicaid?
6.  What is the Special Medical Services unit?
7.  What is the Health Planning and Research unit within OMBP?
 
Questions & Answers:
1.  What is the Office of Medicaid Business & Policy?Back to top

The Office of Medicaid Business & Policy (OMBP) brings together two important functions: NH's Medicaid program and health planning and research activities.

 
2.  What is the Office of Medicaid Business & Policy responsible for?Back to top
Overall responsibility for Medicaid policy development and implementation resides with OMBP.  Administration of some Medicaid funded services rests with other parts of DHHS.
 
3.  What Medicaid Services does Office of Medicaid Business & Policy provide?Back to top
Medicaid services within OMBP include third party liability, pharmacy benefit management, dental services, client services, transportation, aid to the permanently and totally disabled and financial management.  Medicaid Administration provides greater detail about each service.
 
4.  Who makes the financial eligibility determination to see if I am eligible for Medicaid?Back to top
General eligibility determination for services funded under Medicaid rests with the Division of Family Assistance.
 
5.  Who makes the medical determination if I must have a medical determination before I am eligible to receive Medicaid?Back to top
Determination of medical eligibility for certain Medicaid programs or services is completed by Medicaid Administration.
 
6.  What is the Special Medical Services unit?Back to top
The Special Medical Services (SMS) unit for children with special medical needs is housed in the Medicaid Administration unit.  Funded by the federal Maternal and Child Health Block Grant and with NH general funds, the unit provides a wide array of services to children with special health care needs.
 
7.  What is the Health Planning and Research unit within OMBP?Back to top
The Health Planning and Research unit enhances the strategic planning and research capabilities of DHHS. It works at building a framework from which state government, communities, health care providers, and others can work together to prepare "a comprehensive and coordinated system of health and human services as needed to promote and protect the health, safety, and well-being of NH citizens."
 
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