Care Management helps NH Medicaid recipients to coordinate their health care. It will also help those Medicaid recipients with chronic diseases like diabetes, asthma, obesity, and mental illness. Through this program, Medicaid recipients have wellness and prevention programs as a part of their Medicaid benefit.
Most Medicaid recipients will pick a Health Plan and a primary care provider (PCP) from the Health Plan's list of providers. The Health Plan will pay doctors, nurses, hospitals, and other providers.
What You Will Find Here and How You Can Use It
- Step 2, Phase 1 Client and Provider Information Sessions
- January 7, 2016
Time: 2:30 - 4:30 pm
Location: DHHS Brown Auditorium, 129 Pleasant St, Concord NH 03301
To register for this event, please follow this link: https://www.events.unh.edu/RegistrationForm.pm?event_id=19141
Join from PC, Mac, iOS or Android: Go to https://unh.zoom.us/j/230844208
Or join by phone: +1 646 568 7788 (US Toll) or +1 415 762 9988 (US Toll)
Meeting ID: 230 844 208
International numbers available: https://unh.zoom.us/zoomconference?m=CY7id-qkSnr3lT7_yFu2Hh6gzd_9L9W7
If you are joining from both computer AND phone, please follow these instructions to avoid audio feedback, echoes, and/or participant disconnection from audio: http://zoom.unh.edu/hybrid-audio
- December 16, 2015
- December 17, 2015
- January 7, 2016
- MCM Enrollment Packet
- DHHS announces timeline for enrollment of Voluntary population into Medicaid Care Management (MCM)
- NH DHHS Announces Enrollment of Remaining Populations in Medicaid Care Management
- Transition of Preferred Drug List (PDL) to NH Medicaid's MCOs
Effective October 1, 2015, New Hampshire Medicaid's two managed care organizations (MCOs) will use their own Preferred Drug List (PDL). The NH Department of Health and Human Services has approved each MCO's PDL, policies and prior authorization requirements.
There are no changes in prescription co-pays.
For new prescriptions, beginning on 10/1/15, prescribers should use each respective MCOs Preferred Drug List for their health plan members. For ongoing prescriptions, starting on 10/1/15, the MCOs will provide continuity of coverage for up to 6 months, or until a medical necessity review is completed or the prior authorization expires.
If a health plan member is currently taking a prescription drug which may be switched to a covered formulary alternative that is clinically appropriate for the condition being treated, the member and prescriber will be notified in writing of the pending drug change.
For assistance with the MCOs' drug benefits, please contact:
- New Hampshire Healthy Families Health Plan: 1-866-769-3085
- Well Sense Health Plan: 1-877-957-1300
- More about Medicaid Care Management …
- Learn more about MCM Step 2 …
- MCM Commission Meetings
- Meeting Minutes and Materials can be found on the Governor's Commission on Medicaid Care Management website
Adobe Acrobat Reader format. You can download a free reader from Adobe.