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Thursday
Aug152013

NH DHHS - Medicaid Care Management Program Start Date Set

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.

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