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DHHS Announces Care Management Open Enrollment For Medicaid Clients

Posted: September 11, 2013

Concord, NH – The NH Department of Health and Human Services (DHHS) is pleased to announce that the Medicaid Care Management (MCM) program is opening enrollment for its clients. Medicaid recipients will have 60 days to select one of the three health plans that will coordinate their care starting December 1, 2013. The health plans include Meridian Health Plan, New Hampshire Healthy Families, and Well Sense Health Plan.

“Open enrollment in New Hampshire’s Medicaid Managed Care program is an important step forward in our efforts to improve the management of health care costs in the Medicaid program and to strengthen the quality of health care services for our citizens,” Governor Maggie Hassan said. “The goal of New Hampshire’s care management program is to improve outcomes for patients and to reduce costs for taxpayers. With these new plans, Medicaid participants now have more choices for finding quality health coverage that meets their needs. I want to thank DHHS Commissioner Toumpas, the Department’s staff, and our Managed Care partners, as well as our hospitals, physicians, and other health care providers, for reaching this important milestone.”

The three health plans are required to provide statewide access to a network of health care providers, including acute care hospitals, community health centers and community mental health centers. There are no changes to the Medicaid benefit package and all 26 of New Hampshire’s hospitals are included in at least one of the three plans’ provider networks.

“The start of open enrollment for Medicaid Care Management is another important and significant milestone in the evolution of this project,” said DHHS Commissioner Nicholas Toumpas. “We remain committed to the vision of better quality and coordinated care through this exciting new program.”

Online open enrollment officially begins today, September 11, 2013. Clients that are signed up to receive electronic communications from the Department through NH EASY (www.NHEASY.com) may choose and enroll in a health plan today. Mailing of enrollment information to all other beneficiaries will begin on September 16, 2013. Health plan selection can be done by telephone, on the web, or by returning a selection form in the self-addressed stamped envelope provided by DHHS in every enrollment packet. The toll free phone number to call for assistance with enrollment is: 1-888-901-4999.

Enrollment Packets will contain all the information clients need to select a health plan, including:

Medicaid recipients who do not select a plan will have one chosen for them in late November. After enrolling with a health plan, beneficiaries have 90 days to change health plans if they desire.

Specific information about the providers participating in each of the three health plans is available at the plans’ websites: www.mhplan.com, www.wellsense.org, and www.nhhealthyfamilies.com. DHHS also has a provider directory that can be accessed at www.NHEASY.nh.gov, or by calling the enrollment call center for personalized assistance. Many providers have expressed interest in assisting their patients in plan selection.

Trainings for providers are taking place this week. Other outreach and education activities for both recipients and providers will continue throughout the enrollment and implementation of the program.

For more information, visit www.dhhs.nh.gov and follow the MCM logo.

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New Hampshire has signed on with three Managed Care Organizations to manage all of NH Medicaid.

September 10, 2013

Everyone on Medicaid will need to select a Care Management Health Plan for Step 1 acute medical services such as doctor visits, inpatient and outpatient hospital visits, etc. Families and consumers remain deeply concerned about what this may mean for individuals, families, and the thirty year strong area agency system when it comes to Step 2 design and implementation for long term services and supports.

The state of New Hampshire maintains Medicaid Managed Care information on the DHHS web site at www.dhhs.nh.gov.

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