Three Managed Care Organizations Provide Coverage to Members
Beginning September 1, 2019, Granite Advantage members will receive their benefits from one of the three NH Medicaid Managed Care Organizations: AmeriHealth Caritas New Hampshire, New Hampshire Healthy Families, or the Well Sense Health Plan. The three Health Plans cover the same NH Medicaid services but may have different provider networks and prior authorization requirements. Each health plan offers value added, or extra services and programs, which are listed on the health plan’s website.

Member Eligibility
It is important that providers confirm eligibility and MCO plan enrollment in the NH Medicaid Management Information Systems’ (MMIS) online portal prior to providing services. MMIS is the software system that maintains eligibility and MCO plan information for all NH Medicaid and Granite Advantage members. Coverage for a Granite Advantage member can begin on any day of the month and eligibility can end on any day of the month.

Granite Advantage Co-Pays
Granite Advantage has the same copayment schedule as standard Medicaid. The only copays under Granite Advantage are $1.00 for preferred drugs and $2.00 for non-preferred drugs.

Important Links

• State Medicaid MMIS Online Portal
  
• NH Easy
  
• AmeriHealth Caritas New Hampshire
• New Hampshire Healthy Families
  
• Well Sense Health Plan
• NH EASY Granite Advantage

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