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Thursday
Sep122013

NH DHHS Announces Care Management Open Enrollment For Medicaid Clients

Concord, NH - The NH Department of Health and Human Services (DHHS) is

pleased to announce that the Medicaid Care Management (MCM) program is

opening enrollment for its clients. Medicaid recipients will have 60 days

to select one of the three health plans that will coordinate their care

starting December 1, 2013. The health plans include Meridian Health Plan,

New Hampshire Healthy Families, and Well Sense Health Plan.



“Open enrollment in New Hampshire’s Medicaid Managed Care program is an

important step forward in our efforts to improve the management of health

care costs in the Medicaid program and to strengthen the quality of health

care services for our citizens,” Governor Maggie Hassan said. “The goal of

New Hampshire's care management program is to improve outcomes for patients

and to reduce costs for taxpayers. With these new plans, Medicaid

participants now have more choices for finding quality health coverage that

meets their needs. I want to thank DHHS Commissioner Toumpas, the

Department’s staff, and our Managed Care partners, as well as our

hospitals, physicians, and other health care providers, for reaching this

important milestone.”



The three health plans are required to provide statewide access to a

network of health care providers, including acute care hospitals, community

health centers and community mental health centers. There are no changes to

the Medicaid benefit package and all 26 of New Hampshire’s hospitals are

included in at least one of the three plans’ provider networks.



“The start of open enrollment for Medicaid Care Management is another

important and significant milestone in the evolution of this project,” said

DHHS Commissioner Nicholas Toumpas. “We remain committed to the vision of

better quality and coordinated care through this exciting new program.”



Online open enrollment officially begins today, September 11, 2013.

Clients that are signed up to receive electronic communications from the

Department through NH EASY (www.NHEASY.com ) may choose and enroll in a

health plan today. Mailing of enrollment information to all other

beneficiaries will begin on September 16, 2013. Health plan selection can

be done by telephone, on the web, or by returning a selection form in the

self-addressed stamped envelope provided by DHHS in every enrollment

packet. The toll free phone number to call for assistance with enrollment

is: 1-888-901-4999.



Enrollment Packets will contain all the information clients need to select

a health plan, including:



· A letter telling the recipient if they or a family member is required

to join a Health Plan or has an option of remaining in the

traditional Medicaid program, how to pick a Health Plan, what will

happen next and where to call for help or ask questions;

· The Health Plan Selection Form with instructions on how to fill it

out;

· Answers to questions recipients frequently ask (FAQs); and

· A document called Meet Your Health Plans that tells recipients about

the 3 Health Plans and some of their additional programs, services

and incentives for healthy behaviors.



Medicaid recipients who do not select a plan will have one chosen for them

in late November. After enrolling with a health plan, beneficiaries have 90

days to change health plans if they desire.



Specific information about the providers participating in each of the three

health plans is available at the plans’ websites: www.mhplan.com ,

www.wellsense.org , and www.nhhealthyfamilies.com . DHHS also has a provider

directory that can be accessed at www.NHEASY.com , or by calling the

enrollment call center for personalized assistance. Many providers have

expressed interest in assisting their patients in plan selection.



Trainings for providers are taking place this week. Other outreach and

education activities for both recipients and providers will continue

throughout the enrollment and implementation of the program.



For more information, visit www.dhhs.nh.gov  and follow the MCM logo.

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