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NH DHHS Announces Enrollment of Remaining Populations in Medicaid Care Management
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Office of Medicaid Business and Policy
Publish Date:
October 8, 2015

Concord, NH - The New Hampshire Department of Health and Human Services (DHHS) announced today that beginning November 1, 2015, Medicaid recipients who could initially opt out of Medicaid Care Management (MCM) will be required to enroll in the program and will receive their medical care through a Managed Care Organization (MCO) health plan, with coverage beginning February 1, 2016.

The Medicaid Care Management program is being implemented in incremental steps. Step 1 of the program began on December 1, 2013 and included the enrollment of 90 percent of the Medicaid population into the care management program for their medical care, while others were allowed to remain in the fee-for-service program. Now, most of the remaining Medicaid population in the fee-for-service program will be required to enroll, benefitting from health plan services that afford improved care coordination and wellness programs.

"The Department recognizes and acknowledges the complex needs of people now enrolling in an MCO health plan for their medical care,” said DHHS Commissioner Nick Toumpas. "We are committed to ensuring that appropriate planning has occurred for this transition and will proactively support these people during the enrollment process."

Individuals required to enroll in MCM will receive letters from DHHS informing them about the enrollment process and selecting the health plan that is best for the client and their family. The remaining enrollment population includes: 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.

In preparation for the transition of individuals with complex needs into MCM, DHHS has conducted frequent and widespread stakeholder engagement meetings across the State with current MCM enrollees, clients who will be required to enroll in MCM, and providers who serve these clients. DHHS held meetings from July-November 2014 to obtain input on best practices for integration of Step 2 populations and services into the MCM program. DHHS and the MCOs conducted provider and client informational sessions across the State from July-August 2015. Focus group meetings with individuals with complex needs currently in MCM were conducted in June and August 2015, and information sessions to solicit input from providers on the kinds of support needed to assist individuals with enrollment in MCM were held in August and September.

Future phases of Step 2 will include the integration of Long Term Supports and Services (LTSS) such as Choices for Independence (CFI) Services; Nursing Facility Services; and Developmental Disability (DD), Acquired Brain Disorder (ABD), and In-Home Support (IHS) services into the Medicaid Care Management program.

 
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