NH DHHS - Changes Coming to MCM Program

Meridian Health Plan Announces Departure

Concord, NH –Meridian Health Plan, one of three Managed Care Organizations

(MCOs) providing benefits under the Medicaid Care Management (MCM) Program,

has chosen to withdraw from the State of New Hampshire effective June 30,

2014. Meridian, based in Detroit, Michigan, requested withdrawal from the

program in order to focus on the growth of its core businesses in the

Midwest. With the addition of the New Hampshire Health Protection Program

coming later this year, Meridian and DHHS agreed that a summer withdrawal

would provide the best opportunity to minimize any disruption to the

Program and its members.

“We will work quickly with the company to develop a transition plan that

protects Meridian members,” said Health and Human Services Commissioner

Nicholas Toumpas. “Meridian’s members and providers can be assured that we

will work very closely with Meridian on how best to transition their

members to our other two MCOs. I want to acknowledge the professionalism

Meridian has shown in all its efforts assisting the Department implement

the first phase of MCM, and in building positive relationships with the

State’s providers.”

Both organizations have affirmed that the top priority in the transition is

the protection of Meridian’s members and the providers who serve them.

Meridian and DHHS are currently collaborating on the details of a

transition plan. Meridian will continue to provide services until July 31,

2014. During the transition period, Meridian members will continue to

receive the same benefits, and Meridian will reimburse its providers for

all services provided to its members through July 31. Further details will

be communicated to all members and providers as they become available.

Meridian was one of New Hampshire’s three MCOs involved in the successful

launch of New Hampshire’s Medicaid Care Management Program back on December

1, 2013. Meridian’s members will be transitioned to one of the remaining

MCOs, New Hampshire Healthy Families or Well Sense Health Plan.

“This has not been an easy decision,” said Dr. David Cotton, Meridian’s

CEO, “but our recent growth in the Midwest demands that we refocus our

resources to continue to provide top-quality managed care products in our

core markets.” Meridian additionally operates Medicaid managed care plans

in Michigan, Illinois, and Iowa. “It has been a privilege to be a part of

the MCM program’s development and to serve the people of New Hampshire.”

New Hampshire Medicaid Care Management members with questions can call the

Department at 603-271-9461. Meridian members may also contact Meridian’s

own Member Services at 855-291-5221, while providers should call Meridian’s

Provider Services at 877-480-8250. Providers may also contact their Network

Development Representative.