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
The New Hampshire Department of Health and Human Services (DHHS) is making planned changes to the Medicaid program. Coming soon all "voluntary" groups will become" mandatory" at that time, everyone except those that are "exempt" will be in MCM. If your status is "voluntary", now is a great time to give managed care a try, get to know the health plans, and see which one best fits your needs.
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.
Links to Important Recipient Information
- What You Need To Know
- Appeals Flyer
- Frequently Asked 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
- Selection Letter
- Meet Your Health Plan
- Picking a Medicaid Health Plan
- All About …
If you are not eligible for NHHPP or Medicaid, you can find more information about affordable health coverage by visiting Covering New Hampshire.
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