New Hampshire Medicaid Providers:
Substance Use Disorder (SUD) Benefit for Standard Medicaid Recipients
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 a comprehensive SUD benefit , including assessment, outpatient services, residential treatment, opioid treatment programs, recovery support services and recovery monitoring. There are six SUD provider types and four existing Medicaid provider types that are able to provide SUD services. The rates for these services are the same as those offered under the New Hampshire Health Protection Program’s Alternative Benefit Plan (ABP).
Please refer to He-W 513, Substance Use Disorder (SUD) Treatment and Recovery Support Services Administrative Rule effective July 1, 2016, for a complete description of the SUD benefit.
Checking Eligibility for Medicaid Recipients
It is important that providers check and confirm eligibility and health plan enrollment via the Medicaid Management Information System (MMIS) portal prior to providing services to Medicaid recipients. MMIS is the software system that maintains eligibility information for all NH Medicaid recipients. If providers have questions after checking the MMIS portal, please contact the state’s Medicaid Provider Service Center at 1-866-291-1674.
Providers Enrolling in NH Medicaid
All providers of NH Medicaid’s covered services must be enrolled as a NH Medicaid provider with the state and one or both of Medicaid’s managed care plans: NH Healthy Families and the Well Sense Health Plan. Visit the MMIS portal to begin the state’s online application.