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Enhanced Primary Care Rates

The Affordable Care Act (ACA) authorized Medicaid reimbursement for eligible primary care services at parity with Medicare for calendar years 2013 and 2014. NH Medicaid primary care providers (PCPs) who meet requirements for this enhanced reimbursement for certain primary care services must complete an attestation form.

DHHS will make quarterly supplemental payments to eligible providers beginning July, 2013. Visit the OMBP Publications page to find the CPT codes that this applies to (E&M and vaccine administration) with the reimbursement rates in effect for 2013 and 2014.

Please visit the OMBP Publications page for Attestation forms and instructions for submission and Attestation deadlines.

Attestation forms may be submitted via fax, e-mail or US mail by July 1, 2013 in order to receive payment for the first quarter of 2013 (information below) in July. Incomplete forms will be returned to the provider for completion.

Please note, in anticipation of the implementation of New Hampshire Medicaid Care Management, a place for providers to include their MCO # (if available) has been provided.

Questions about the enhanced primary care rates can be directed to this email address: pcprateincrease@dhhs.state.nh.us.

  • Fax Attestation forms to: (603) 271-8431, attention: Robin
  • E-mail Attestation forms to: pcprateincrease@dhhs.state.nh.us
  • Send Attestation forms by US mail to:

    NH DHHS – Office of Medicaid Business & Policy
    ATTN: Robin Calley
    129 Pleasant Street
    Concord, NH 03301

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Children in Out of Home Placements in NH

Children's Health Insurance Programs in NH

Chronic Respiratory Disease

Comparison of Primary Care Received by NH Medicaid Members at Different Practice Settings

Dental Services

Depression Among Medicaid Members

Durable Medical Equipment, Supplies, and Services Summary

Emergency Department Use

NH Health Plan Performance Summary

NH Medicaid Annual Reports

NH Medicaid Program Enrollment Forecast SFY 2011-2013 Update Adobe Acrobat Reader Symbol

NH Medicaid Provider Reimbursement Rate Benchmarks for Key Services

Preventive Services Provided to the NH Medicaid Adult Population

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New Hampshire Department of Health and Human Services
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