DHHS Thanks Medicaid Providers

DATE: December 9, 2013

TO: NH Medicaid Providers

FROM: Kathleen Dunn, RN, MPH – Associate Commissioner, Medicaid Director

RE: MCM PROGRAM UPDATE: DHHS Thanks NH Medicaid Providers

The Department of Health and Human Services is reaching out to NH Medicaid providers to thank them for their support and patience during the first week of the Medicaid Care Management (MCM) Program that started December 1, 2013.


NH Medicaid Providers Contributed to Successful Launch of MCM

The Medicaid Care Management (MCM) Program represents the biggest initiative in the Department’s history –over 104,000 Medicaid recipients were enrolled into MCM – a fundamental change in how clients receive their Medicaid benefits and in how providers are reimbursed for the services they deliver.

NH Medicaid providers have been outstanding partners this past week. DHHS appreciates the phone calls and E-mail contacts alerting the Implementation Team to issues and concerns. Your assistance has allowed the team to take immediate action to work with providers and the three Health Plans to resolve problems. This has demonstrated how the partnership between the Department, providers and Health Plans was designed to work.

The Department has identified soft spots that are and will continue to be monitored closely on a daily basis (e.g., exchange of data with plans). The guiding principal for the transition was to shield clients – to the greatest extent possible – from the risk points. This has largely been accomplished with the assistance of NH Medicaid providers and DHHS thanks you for your continued support. _________________________________________________________________________________________

Client Reminder Letter

Approximately 60% of NH Medicaid recipients self-selected a Health Plan (or chose to opt out) – a number that no other state achieved in initial roll-out. However, this meant that a significant number of recipients were auto assigned. DHHS is aware that providers are seeing clients who do not know which Health Plan they are enrolled in (all members should have received their Health Plan ID cards by now).

In an effort to reduce the confusion and help providers, the Department is sending out a client letter alerting them that MCM has begun, reminding them to bring their cards to appointments and recommending that they call their Health Plan, if they are enrolled in MCM, to get answers to their questions. You will be able to access this letter on the MCM webpage.



Calls related to Care Management Care Management should go to:

603-271- 9461

Providers can submit questions/concerns via E-mail to:


Client questions can be directed to Medicaid Client Services at: 1-800-852-3345 ext 4344 or to the Enrollment Call Center 1-888-901-4999 if they wish to choose or change their Health Plan or opt-out of MCM. Client questions may also be referred to their respective Health Plans.