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NH Medicaid Care Management ProgramMedicaid Care Management (MCM) Program

 

MCM Enrollment

There are three Health Plans to choose from: AmeriHealth Caritas New Hampshire, NH Healthy Families, and 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. More information can be found by calling the Health Plan or visiting their websites. Please go to NHEASY.nh.gov if you are eligible to enroll or call the Medicaid Service Center (NH Only) at 1-888-901-4999 (TDD Access: 1-800-735-2964), Monday through Friday, 8:00 to 4:00 p.m. ET.

MCM Enrollment Materials:

An individual is able to pick a Health Plan upon Medicaid eligibility determination. If an individual does not pick a Health Plan, the individual is assigned one. All newly eligible Medicaid individuals have 90 days to switch to another Health Plan. If you switch plans during this period, your new Health Plan coverage will begin the first of the following month. After the 90 days, you may change plans during Open Enrollment each year.

You may also be eligible to change plans throughout the year with or without cause as explained in your Member Handbook. For more information, contact the Medicaid Service Center at 1-888-901-4999 (TTY: 1-800-735-2964, ext. 711), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET.

Which Health Plan is Best for Me?

Health Plan Website Telephone Number
AmeriHealth Caritas
New Hampshire

www.amerihealthcaritasnh.com

Member Information

Member Services:
1-833-704-1177
(TTY: 1-855-534-6730)
New Hampshire Healthy Families www.nhhealthyfamilies.com

Member Resources
Member Services:
1-866-769-3085
(TTY/TDD: 1-855-742-0123)
Well Sense Health Plan

www.wellsense.org

Important Documents and Forms

Member Services:
1-877-957-1300
(TTY/TDD: 711)

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New Hampshire Department of Health and Human Services
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