MCM Step 2 - Long Term Services and Supports
The New Hampshire Department of Health and Human Services (DHHS) is in the process of transitioning the state's Medicaid delivery system from the current fee-for-service model to the Medicaid Care Management Program.
Step 2, as a first phase of the transition, included Mandatory Enrollment for medical care with one of the state's Managed Care Organizations (Well Sense Health Plan or NH Healthy Families) for the following Medicaid recipients: Children in Foster Care, Medicare Dual Eligibles (people who have both Medicare and Medicaid), Home Care for Children with Severe Disabilities (aka Katie Beckett Medicaid), Children with special health care needs enrolled in Special Medical Services/Partners in Health, and Children with Supplemental Security Income. Medicaid recipients who were able to opt out of Medicaid Care Management were required to choose a health plan by December 2015 for coverage to begin February 1, 2016.
Step 2 also includes the integration of Long Term Supports and Services (LTSS) such as Choices for Independence Waiver Services and Nursing Facility Services, into the Medicaid Care Management Program. On June 6, 2016, the Governor signed into law SB 553 instructing the Department of Health and Human Services to develop an implementation plan for the remaining unimplemented phases of the Medicaid managed care program.See additional information on Implementation Planning for the Incorporation of Nursing and Choices for Independence waiver services into the Medicaid Care Management Program.