The Governor’s Commission on Medicaid Care Management met on June 5, 2014 in Portsmouth, in the wake of the announcement by Meridian Health that they will withdraw from the New Hampshire market in July. Commissioner Toumpas made remarks focusing on the six-month status update for Medicaid care management, Meridian’s withdrawal and transition plan, and the NH Health Protection program (Medicaid Expansion).   Click here to read the CSNI update on this meeting.   Click here if you would like to watch a recording of the meeting (4 hours plus).

Several items of note around the Meridian withdrawal were discussed by Commissioner Toumpas:

°          Short-term, for clients with Meridian, nothing changes — clients still attend appointments and providers still bill and are paid as they are right now

°          Families will be getting a letter directly from Meridian confirming the withdrawal.

°          DHHS will mail letters on June 6 to clients enrolled with Meridian.

°          Current Meridian clients will have until July 10 to choose another health plan — either NH Healthy Families or WellSense.

°          If clients do not select a health plan by July 10, they will be auto-enrolled with either NH Healthy Families or WellSense.

°          Clients have an opportunity to switch plans within 90 days of enrollment. Thus clients who are auto-enrolled and not satisfied with the health plan chosen for them can move to the remaining health plan.

°          If a client is voluntary (dual), and currently enrolled with Meridian, or any other health plan, the client may opt out at any time.

°          Meridian will pay for services to providers up until the end of July 2014 and providers have until July 2015 to submit invoices for processing.