With a new MCO added to the mix (AmeriHealth Caritas NH), the month of August is your opportunity to change Medicaid Managed Care coverage options. If you are happy with your current health care organization, you do not need to do anything and your coverage will continue as usual. You or someone in your household can change your Medicaid Health Plan during the Special Open Enrollment period. You have three options to choose from beginning August 1, 2019.

All three Health Plans cover the same services that NH Medicaid covers. Each health plan offers value added, or extra services and programs, at no cost to you. These services vary by Health Plan and may include qualifying criteria. Provider networks and prior authorization requirements can vary with each Health Plan. Please review the links below for more information and if you have questions about any of the Health Plan services, please contact the plans or visit the web sites.

If you wish to remain with your current Health Plan, you do not need to do anything - your coverage will continue and the Health Plan you have will remain in effect.

If you want to change to a different Health Plan, please go to NH Easy at  https://nheasy.nh.gov/#/ or call the Medicaid Service Center (NH Only) at 1-888-901-4999 (TDD Access: 1-800-735-2964), Monday through Friday, 8:00 to 4:00 p.m. ET no later than Aug. 30, 2019 at 4:00 p.m. Your new plan coverage will start on Sep. 1, 2019.

Details:

For Medicaid Managed Care plan members:
Open enrollment is August 1 through August 30, 2019.

There are three Health Plans to choose from:
        AmeriHealth Caritas NH (click to go to website)
        NH Healthy Families (click to go to website)
        Well Sense Health Plan (click to go to website)

Effective September 1, 2019, all of the Health Plans must use the State’s Preferred Drug List (PDL). Impacted current members will receive information from their Health Plans about how this impacts their prescriptions.

Effective September 1, 2019, members must use either the Family and Friends Mileage Reimbursement Program or public transportation for Non-Emergency Medical Transportation unless they qualify for a ride. Plans rules are available in the new Member Handbooks (on Plan websites by August 1).

Members will be able to change Health Plans one-time between September 1 and November 29 as a result of the State’s new Health Plan contracts.

New Member Handbooks (to be effective September 1, 2019) will be available on plan websites by August 1.

For more information, contact the Medicaid Service Center (NH Only) at 1-888-901-4999 (TDD Access: 1-800-735-2964), Monday through Friday, 8:00 to 4:00 p.m. ET.

The attached information links can assist in making an informed decision:
   Health Plan options – Side by Side
   Member Enrollment Guide to the Quality of NH Medicaid Health Plans
   NH Medicaid Care Management Frequently Asked Questions (FAQs)
   NH Family Voices & Medicaid Care Management – A Tool for Making an Informed Decision