Important Information Regarding Pharmacy Co-Pays
Effective July 6, 2014 through October 31, 2014, pharmacies will not charge a co-pay to any Medicaid enrollee, including those enrolled with the Medicaid Care Management Organizations: Well Sense Health Plan, New Hampshire Healthy Families and Meridian Health Plan. read more...
- Meridian Departure FAQs, 06/27/2014
- Meridian Client Communication, 06/06/2014
- Meridian Health Plan Announces Departure (Press Release, 06/03/2014)
Most NH Medicaid Program recipients receive health care services through the Medicaid Care Management (MCM) program. New Hampshire Medicaid's Care Management program uses two Health Plans to manage your health care. These two Health Plans cover the same services that NH Medicaid does. The Health Plans also offer additional optional services, programs, and other extras to promote healthy behavior. Medicaid recipients enrolled in the MCM program work with the Health Plan they either selected or were assigned.
If you have questions about the following, call your Health Plan’s Member Services Number:
- health benefits and services
- referrals or prior authorizations
NH Healthy Families Health Plan: 1-866-769-3085
Well Sense Health Plan: 1-877-957-1300
If you have questions about which Health Plan you are enrolled with, or if you’d like to make a change to your Health Plan, call the Medicaid Service Center at 1-888-901-4999.
About the Medicaid Care Management (MCM) Program
You have NH Medicaid and get the same services as someone on regular Medicaid. You will pick a Health Plan and a primary care provider (PCP) from the health plan's list of providers. MCM also includes wellness and prevention programs. These programs will:
- Tell you how to stay healthy
- Offer special services to support your health goals
- Help you make your own choices about your health care
If you have chronic health needs, the Health Plan will help coordinate your care to improve your health.
It is likely that it is mandatory for you to pick a health plan. That means you have to pick a Health Plan as a part of your medical assistance benefit. However, for some you may be informed that you are:
- Voluntary means you can choose not to select a Health Plan
- Exempt/excluded means you cannot pick a Health Plan.
For Medicaid recipients (voluntary or exempt) who do not choose a plan, they will continue to get their Medicaid services as they normally do.
What you will find here:
- Answers to your questions
- Get tips on how to pick a Health Plan
- Find out which Health Plan your provider participates in
- Important Information for your MCM Enrollment and Sample Letters
- All About...