NH DHHS - Launches MCM Program

Concord, NH – The New Hampshire Department of Health and Human Services

(DHHS) is confirming the new Medicaid Care Management (MCM) Program

launched Sunday, December 1, 2013, as planned. There were no reported

incidents of concern, however, a team of State officials overseeing the

transition was prepared to assist with resolving any issues if they arose.

The team will be in place for the next several weeks to manage issues that

may arise as providers begin seeing MCM patients for scheduled


“I am pleased our first two full days of operation have gone smoothly,”

said DHHS Commissioner Nicholas Toumpas. “However, it is too soon to say

what might happen in the coming days, so I’ve asked our MCM implementation

team to remain in place, just in case. Our goal throughout this transition

is to do everything we can to ensure clients and providers a seamless

transition to the greatest extent possible. We will continue to work

toward a smooth transition for the 104,000 or so folks who have

transitioned to MCM.”

Tremendous planning and preparation led up to Sunday’s program launch

including comprehensive readiness review of each of the three Managed Care

Organizations (MCOs), Meridian Health Plan, New Hampshire Healthy Families

Health Plan, and Well Sense Health Plan. State officials and health plan

staff worked through the long Thanksgiving holiday weekend to start the

program Sunday.

Medicaid recipients with scheduled appointments should keep their

appointments and will receive the care they need from their providers.

Beginning Sunday, providers were able to confirm the health plan selection

of their patients through the customary Xerox Enterprise MMIS portal where

they have traditionally confirmed Medicaid eligibility. The function is

enhanced to include both eligibility and health plan selection.

Medicaid recipients with questions about MCM can call Medicaid Client

Services at 1-800-852-3345 ext. 4344. Anyone else with questions can call

1-888-901-4999. Providers with questions can email their questions to:

mcmprovidercontact@dhhs.state.nh.us. It will be checked hourly with

questions being referred to appropriate staff for resolution.

Information about MCM and the Health Plans is available on the DHHS

website: www.dhhs.nh.gov .