NH Medicaid Care Management Program | New Hampshire Department of Health and Human Services

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NH Medicaid Care Management (MCM) Program

Important Notice

Medicaid Care Management Procurement
The New Hampshire Department of Health and Human Services (DHHS) is seeking public input on its plan to solicit proposals from qualified organizations to deliver health care services to eligible and enrolled Medicaid participants through New Hampshire’s Medicaid managed care program, known as Medicaid Care Management (MCM).

In order to obtain public input prior to initiating the bidding process for the MCM contract, DHHS will release the Request for Proposals (RFP), inclusive of the Model Contract, in draft so that all stakeholders can review and comment on the State’s plans for the Medicaid Care Management program. The draft RFP will be released July 9, 2018 on the Medicaid Care Management Procurement page.

Most NH Medicaid Program recipients receive health care services through the Medicaid Care Management (MCM) program. New Hampshire Medicaid's Care Management program uses two Health Plans to manage health care for recipients. 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. Medicaid recipients enrolled in the MCM program work with the Health Plan they either selected or were assigned.

If you have questions about plan benefits, services, or rules, contact:

NH Healthy Families Health Plan:
1-866-769-3085
www.Nhhealthyfamilies.com
Well Sense Health Plan:
1-877-957-1300
www.WellSense.org

What You Will Find Here and How You Can Use It

This webpage will have information about MCM for Medicaid members, providers, and the public.

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 29 with a new plan effective date of January 1, 2019 for members choosing to switch Health Plans.

You can pick from these two Health Plans: