Substance Use Disorder (SUD) Benefit for Standard Medicaid Recipients
A Substance Use Disorder benefit will be available to the standard Medicaid population beginning July 1, 2016. Medicaid recipients in the state’s fee-for-service plan or enrolled with either New Hampshire Healthy Families or the Well Sense Health Plan, will be eligible on and after July 1, 2016 for the SUD services listed below.
|SUD Service Type||Description|
|Screening, by Behavioral Health practitioner||Screening for a substance use disorder|
|SBIRT||Screening, Brief Intervention, Referral to Treatment|
|Crisis Intervention||Crisis services provided in an office or community setting|
|Evaluation||Evaluation to determine the level of care and/or other services needed.|
|Medically Managed Withdrawal Management||Withdrawal management in a hospital setting|
|Medically Monitored Withdrawal Management||Withdrawal management provided in an outpatient or residential setting|
|Opioid Treatment Program||Methadone or Buprenorphine treatment in a clinic setting|
|Office based Medication Assisted Treatment||Medication Assisted Treatment in a physician’s office provided in conjunction with other substance use disorder counseling services.|
|Outpatient Counseling||Individual, group, and/or family counseling for substance use disorders|
|Intensive Outpatient||Individual and group treatment and recovery support services provided at least 3 hours per day, 3 days per week.|
|Partial Hospitalization||Individual and group treatment and recovery support services for substance use disorder and co-occurring mental health disorders provided at least 20 hours per week.|
|Rehabilitative Services||Low, Medium, and High Intensity residential treatmentLow, Medium, and High Intensity residential treatment|
|Recovery Support Services||Community based peer and non-peer recovery support services provided in a group or individual setting.|
|Case Management||Continuous Recovery Monitoring|
All standard Medicaid recipients received a letter from the Department of Health and Human Services in early June, 2016 announcing their added SUD benefit.
Standard Medicaid recipients should call the following Client Service Centers for answers to their questions about the available SUD services or for assistance in finding a SUD provider:
State Fee-for-Service Plan
Client Services, 1-844-275-3447
New Hampshire Healthy Families
Member Services, 1-866-769-3085
Well Sense Health Plan
Member Services, 1-877-957-1300
If you are not a Medicaid recipient, and have questions about eligibility requirements, please go to www.dhhs.nh.gov/dfa/medical/. If you think you meet the eligibility requirements, find out more about how to apply for NH Medicaid.
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