Medicaid Care Management Program Start Date Set
Public Information Office
August 14, 2013
Concord, NH – Department of Health and Human Services Commissioner Nick Toumpas announces today that the State’s three Medicaid Care Management Organizations have demonstrated that their provider networks are now substantially developed. Simply stated, the Department has confidence that the networks are sufficient to meet the needs of Medicaid beneficiaries with minimal disruption from what they have experienced on the fee-for-service program. As such, Toumpas is setting the program start date for “Step 1” of the State’s Medicaid Care Management (MCM) initiative. “Step 1” of the MCM initiative will commence on December 1, 2013. This is the first day that coverage of current NH Medicaid beneficiaries will be provided by one of the three MCM vendors: Meridian Health Plan, New Hampshire Healthy Families or Well Sense Health Plan.
“Medicaid care management is a critical part of our state’s efforts to strengthen our health care system, helping to reduce costs and improve the quality of care for patients,” Governor Maggie Hassan said. “I thank Commissioner Toumpas and the Department of Health and Human Services for their hard work, as well as New Hampshire’s providers—our hospitals, medical professionals, community health and mental health centers, home health providers, and many more—for coming to the table and working together to move forward with meaningful health care innovations that will benefit thousands of Granite Staters.”
Many activities must occur between now and December 1st. These activities include but are not limited to: outreach to current Medicaid beneficiaries to assist them in selecting a care management plan for their coverage; outreach to current Medicaid providers about how to make the most of their relationship with the care management plans; and the State’s assessment of the plans’ readiness to handle member enrollment, complex care coordination, provider payment, and other essential functions in compliance with the State’s contract.
In 2011, the State Legislature directed DHHS to administer Medicaid in a managed care model. Progress in network development was initially slower than anticipated delaying the program start. However, in recent months contracting activity has increased markedly. Toumpas stated, “We are extremely pleased with the progress of the provider community and the MCM organizations in coming together to meet the needs of New Hampshire’s Medicaid beneficiaries. We are excited about moving the program forward and realizing the many benefits of the MCM program.”
Current Medicaid beneficiaries can expect mailings in the coming weeks. A new DHHS website dedicated to MCM will launch in the coming days as well. DHHS will also have an expanded call center ready to answer questions regarding care management and assist beneficiaries in selecting a care management plan when open enrollment starts in September. Providers can access information via the provider portal of the MCM website, http://www.dhhs.nh.gov/ombp/caremgt/index.htm.