Most NH Medicaid recipients receive their health care services through the Medicaid Care Management which provide health care services to most of Medicaid's population. These two Health Plans are required to offer the same benefits as the State's Fee for Service program. For providers to continue to provide services to the NH Medicaid population they must enroll with one or both of the contracted health plans. To ensure that your clients have continuity of care, you are encouraged to enroll with both health plans.
The two health plans are:
|Health Plan||Website||Telephone Number|
|New Hampshire Healthy Families||http://www.nhhealthyfamilies.com/||1-866-769-3085|
|Well Sense Health Plan||http://www.wellsense.org/||1-877-957-1300|
Most Medicaid recipients will be required to select a plan or else be assigned to one. 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.
Links to Important Provider Information
- Read the Department's Communication Releases for Providers
- Access Training and Education Modules
- Assisting People with Mandatory Enrollment-Collaborative Sessions with Case Management and Service Coordination Providers
This informational presentation was developed as a result of collaboration between the Department of Health and Human Services and many New Hampshire agencies that provide case management and service coordination. The collaborative session was an opportunity for DHHS and Agencies that provide case management or service coordination to discuss next steps in assisting Medicaid Recipients to prepare for mandatory enrollment in Medicaid Care Management. DHHS gathered input and recommendations from Agencies to define a simple and effective process to assist people in understanding the requirements around enrollment, prioritizing and self-selecting a Health Plan.
Following the collaborative session, DHHS hosted two (2) informational sessions at which the outcome of the collaborative session was presented. The goal was to have a clear process that case managers and service coordinators may follow, as well as a tool that may be utilized while supporting people through mandatory enrollment process. Please see listed below, the slide deck from the informational session held on August 27, 2015, as well as the resources that were discussed.
- Find Provider Resource Documents
- Links to sample notices and information being sent to your clients
Adobe Acrobat Reader format. You can download a free reader from Adobe.