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New Hampshire Medicaid Providers:
Substance Use Disorder (SUD) Benefit for Standard Medicaid Recipients

 

Medicaid recipients in the state’s fee-for-service plan or enrolled with either New Hampshire Healthy Families, or the Well Sense Health Plan, or AmeriHealth Caritas New Hampshire, are eligible for a comprehensive SUD benefit Adobe Acrobat Reader Symbol, including assessment, outpatient services, residential treatment, opioid treatment programs, recovery support services and recovery monitoring. There are seven SUD provider types Adobe Acrobat Reader Symbol and four existing Medicaid provider types that are able to provide SUD services. The SUD Services Fee Schedule is for NH Medicaid’s Fee-for-Service program. Please visit the Managed Care Organizations’ websites for their fee schedules:

Please refer to He-W 513, Substance Use Disorder (SUD) Treatment and Recovery Support Services Administrative Rule effective July 1, 2016, for a complete description of the SUD benefit.

Checking Eligibility for Medicaid Recipients
It is important that providers check and confirm eligibility and health plan enrollment via the Medicaid Management Information System (MMIS) portal prior to providing services to Medicaid recipients. MMIS is the software system that maintains eligibility information for all NH Medicaid recipients. If providers have questions after checking the MMIS portal, please contact the state’s Medicaid Provider Service Center at 1-866-291-1674.

Providers Enrolling in NH Medicaid
To provide services to NH Medicaid beneficiaries, a provider must be enrolled as a NH Medicaid provider with the state and one, two, or all of the managed care plans:

Visit the MMIS portal to begin the state’s online application.

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New Hampshire Department of Health and Human Services
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