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OCTOBER 8, 2015: The New Hampshire Department of Health and Human Services (DHHS) has announced that beginning November 1, 2015, Medicaid recipients who could initially opt out of Medicaid Care Management (MCM) will be required to enroll in the program and will receive their medical care through a Managed Care Organization (MCO) health plan, with coverage beginning February 1, 2016.

Questions? Call 1-888-901-4999.

The Medicaid Care Management program is being implemented in incremental steps. Step 1 of the program began on December 1, 2013 and included the enrollment of 90 percent of the Medicaid population into the care management program for their medical care, while others were allowed to remain in the fee-for-service program. Now, most of the remaining Medicaid population in the fee-for-service program will be required to enroll, benefitting from health plan services that afford improved care coordination and wellness programs.

“The Department recognizes and acknowledges the complex needs of people now enrolling in an MCO health plan for their medical care,” said DHHS Commissioner Nick Toumpas. “We are committed to ensuring that appropriate planning has occurred for this transition and will proactively support these people during the enrollment process.”

Individuals required to enroll in MCM will receive letters from DHHS informing them about the enrollment process and selecting the health plan that is best for the client and their family. The remaining enrollment population includes: Children in Foster Care, Medicare Dual Eligibles (people who have both Medicare and Medicaid), Home Care for Children with Severe Disabilities (aka Katie Beckett Medicaid), Children with special health care needs enrolled in Special Medical Services/Partners in Health and Children with Supplemental Security Income. 

As of mid-October, DDHS says that coverage will begin February 1, 2016. Enrollment packets are being mailed in late October to those not yet signed up. You will have until December 31, 2015 to select one of the two health plans (NH Healthy Families or Well Sense). If you don't choose by then, you will be auto-enrolled.

Questions? Speak with your MDS Service Coordinator or call 1-888-901-4999.

Click here to access NH Family Voices website, with a helpful tool and explanation of Managed Care.

Click here to access the August 2015 DHHS presentation: What Case Managers and Their Clients Need to Know About Enrollment

Enrollment packets will go out in the mail sometime soon for those not yet signed up. The easiest way to sign up is through the NH Easy portal (nheasy.org).

If you have any questions, contact NH DHHS or speak with your MDS Service Coordinator right away. More details are also available on the DHHS website.

Read update on Managed Care:  NH Expands Medicaid Managed Care Contracts to Enroll Individuals with Developmental Disabilities from Open Mind Market Intelligence website.