New Hampshire Medicaid is making changes to the Medicaid program. This initiative – called Care Management – will transition NH Medicaid to a managed care model of administration. Care Management is designed to offer NH Medicaid clients options and support in managing their health care.
The Department of Health and Human Services has contracted with two health plans. These health plans will cover all current Medicaid benefits and will offer additional wellness and prevention services. The two health plans are:
New Hampshire Healthy Families
Well Sense Health Plan
Most Medicaid recipients will be required to select a plan or else be assigned to one. In the first year, a minority of Medicaid clients will have the option of enrolling in the Care Management programs or opting out. To ensure that your clients have continuity of care, you are encouraged to enroll with both health plans. DHHS will use the Health Plan provider networks to assist those Medicaid recipients who request help in making their selection of a plan. Your clients may also call you to see if you have enrolled in the health plan they are considering.
For your clients with more complex medical needs, the health plans will offer care management services. A care manager will work closely with the client to secure a variety of services based on their needs in collaboration with you and your colleagues.
On this web page you will find information that is important for your clients and your practice on: