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Granite Advantage Health Care Program
Provider Forums and Webinars

The Department of Health and Human Services will hold two in-person provider forums in December and two webinar-only sessions. Dates and times for the sessions are below. Registration is required for all sessions. For more information on the sessions and registration instructions, please read the Forums and Webinars notice Adobe Acrobat Reader Symbol.

Provider Forums:

  • Tuesday, December 11: 9:00-10:30am Auditorium, Brown Building,
    129 Pleasant St., Concord, NH
  • Friday, December 14: 9:00-10:30am Auditorium, Brown Building,
    129 Pleasant St., Concord, NH

Provider Webinars:

  • Wednesday, December 12th: 3:00-4:30pm
  • Tuesday, December 18th: 3:00-4:30pm

 

Granite Advantage logoOn January 1, 2019, the New Hampshire Health Protection Program (NHHPP)/Premium Assistance Program (PAP) becomes the Granite Advantage Health Care Program.

The New Hampshire Health Protection Program (NHHPP)/Premium Assistance Program (PAP) is being replaced by the Granite Advantage Program beginning 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 will have their QHP coverage terminated on December 31, 2018 and transition to one the NH Medicaid Managed Care Organizations, New Hampshire Healthy Families or the Well Sense Health Plan, beginning on January 1, 2019.

Providers who have unresolved claims from services provided on or before December 31, 2018, should continue to work with the QHPs. Please contact their Provider Services Unit at the below phone numbers.

2018 Qualified Health Plans (QHPs)

  • 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 may indicate on their application, or when their medical condition changes, that they are medically frail. Beginning January 1, 2019, Granite Advantage members will not have to choose between the ABP or Standard Medicaid plan because the services available under both plans will be the same. Medically Frail members will need to participate in the Granite Advantage Community Engagement activities unless they are determined to be exempt. For more information, see the NHEasy Granite Advantage page.

Enrollment Changes After January 1, 2019

  • Beginning January 1, 2019, all Medicaid members will receive benefits under one of the two MCM plans.
  • MCM plan enrollment will begin the day Medicaid eligibility is approved.
  • Members will be able to preselect an MCM plan when applying for Medicaid through NH Easy, by phone or during their interview, if required.
  • Members can select a different MCM plan during the initial 90-day change window and during the annual open enrollment period.
  • Members shall not lose coverage due solely to the transition from PAP to MCM plan coverage.

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

Granite Advantage Benefits Covered by MCM Plans
Granite Advantage members, beginning January 1, 2019, will have all their standard Medicaid plan services covered by their MCO, including the below services:

  1. Non-emergency medical transportation
  2. EPSDT services for 19 & 20 year olds
  3. Family Planning services
  4. Vision benefit, including eyeglasses

The limited adult dental benefit, for Granite Advantage members over the age of 21, will be covered by the state’s Fee-for-Service program.

Important Links

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


copyright 2016. State of New Hampshire