skip navigation Smaller text size Reset text size Larger text size
Families & Children Women Teens Adults Seniors People with Disabilities
Granite Advantage Health Care Program
Provider Forums and Webinars

Please check here for schedule of provider forums and webinars.

Completed Presentations

Granite Advantage logoThe New Hampshire Health Protection Program (NHHPP) and its Premium Assistance Program (PAP) was replaced by the Granite Advantage Health Care Program on January 1, 2019. Granite Advantage will continue to provide health care coverage for low income New Hampshire residents ages 19 through 64.

Members enrolled in one of the three commercial Qualified Health Plans (QHP) listed below had their QHP coverage terminated on December 31, 2018 and were transitioned to a NH Medicaid Managed Care Organization--New Hampshire Healthy Families or the Well Sense Health Plan--effective January 1, 2019.

2018 Qualified Health Plans (QHPs) Coverage Ended December 31, 2018

Providers who have unresolved claims should continue to work with the QHP’s Provider Services Unit:

  • Ambetter, from New Hampshire Healthy Families
    844-265-1278
  • Anthem Blue Cross Blue Shield
    855-854-1438
  • Harvard Pilgrim Health Care of New England
    800-708-4414

Medically Frail
The medically frail category will continue under Granite Advantage. Members who have special health care needs can still self-attest to being medically frail on their application, or when their medical condition changes. However, to be exempt from the Community Engagement Requirement, individuals who are medically frail must have a licensed Medical Professional complete a Certification of Medical Frailty form, which must be renewed yearly, if applicable. Individuals who are medically frail receive the same benefits as other Granite Advantage members. For more information, see the NHEasy Granite Advantage page.

Enrollment Changes After January 1, 2019

All Granite Advantage members and most standard Medicaid recipients receive their benefits from one of the two Managed Care Organizations (MCO). MCO plan enrollment begins the day the member’s Medicaid eligibility is approved. If a member does not preselect an MCO during the application process, s/he will be auto assigned to an MCO. The newly enrolled member will be able to change their MCO one time during the first 90 days of coverage and again during annual open enrollment.

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

 
Translate this page

Disclaimer

New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852


copyright 2016. State of New Hampshire