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Families & Children Women Teens Adults Seniors People with Disabilities

The New Hampshire Department of Health and Human Services (DHHS) is in the process of transitioning the state's Medicaid delivery system from the current fee-for-service model to the Medicaid Care Management Program.

Step 2, as a first phase of the transition, included Mandatory Enrollment for medical care with one of the state's Managed Care Organizations (Well Sense Health Plan or NH Healthy Families) for the following Medicaid recipients: Children in Foster Care, Medicare Dual Eligibles (people who have both Medicare and Medicaid), Home Care for Children with Severe Disabilities (aka Katie Beckett Medicaid), Children with special health care needs enrolled in Special Medical Services/Partners in Health, and Children with Supplemental Security Income. Medicaid recipients who were able to opt out of Medicaid Care Management were required to choose a health plan by December 2015 for coverage to begin February 1, 2016.

With the passage of HB 1816 "Relative to Medicaid managed care", in 2018 the Legislature exempted from Medicaid managed care Nursing Facility Services and services provided under the Choices for Independence Waiver, the Developmental Disabilities Waiver, the In-Home Supports Waiver, and the Acquired Brain Disorder Waiver. These services will continue under the Medicaid fee-for-service program.

 

 

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


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