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NH Medicaid Care Management ProgramMedicaid Care Management (MCM) Program

 

March 21, 2019

Public Notice

The Executive Council has scheduled a special meeting related to the Managed Care Contracts presented at the February 20, 2019 regularly scheduled Governor and Council meeting. This meeting will take place on:

Tuesday, March 26, 2019
at 1:00 p.m.
Executive Council Chambers
State House
Concord, NH

Pursuant to RSA 91-A:2 this meeting is open to the public.
Public comment is not permitted at this time.

What's New

Medicaid Care Management Program Presentation to Executive Council (03/11/2019) Adobe Acrobat Reader Symbol

NH Healthy Families Presentation to Executive Council (03/11/2019) Adobe Acrobat Reader Symbol

Well Sense Presentation to Executive Council (03/11/2019) Adobe Acrobat Reader Symbol

Most NH Medicaid Program recipients receive health care services through the Medicaid Care Management (MCM) program. Effective January 1, 2019, those enrolled in NHHPP Premium Assistance Program (PAP) will receive their services through New Hampshire Medicaid's Care Management program, which uses two Health Plans to manage health care for members. These Health Plans cover the same services that NH Medicaid does. The Health Plans also offer additional optional services, programs, and other extras to promote healthy behavior.

You can pick from these two Health Plans. If you have questions about plan benefits, services, or rules, contact:

Health Plan Website Telephone Number
New Hampshire Healthy Families www.Nhhealthyfamilies.com 1-866-769-3085
Well Sense Health Plan www.WellSense.org 1-877-957-1300

Side-by-side Comparison of Health Plans Adobe Acrobat Reader Symbol

MCM Enrollment

Initial enrollment in a Medicaid Health Plan may occur throughout the year for individuals first eligible for the MCM program. Health Plan members may switch plans during Annual Open Enrollment which occurs during November and December each year. This year’s Annual Open Enrollment is November 1 through December 28 with a new plan effective date of January 1, 2019 for members choosing to switch Health Plans.

 

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.


 
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