For plan information and enrollment: New Hampshire Medicaid Service Center 1-888-901-4999 (TTY: 1-800-735-2964) For all other calls: NH DHHS Customer Service Center 1-844-ASK-DHHS (1-844-275-3447) Calls are toll-free. NH Medicaid is a federal and state funded health care program that serves a wide range of needy individuals and families who meet certain eligibility requirements. Please help us continue to provide relevant, high quality training that meets your needs. Community Mental Health Centers Services provided by CMHCs include: 24-hour emergency services, assessment and evaluation, individual, family, and group therapy, case management, community based rehabilitation services, psychiatric services, and community disaster mental health … Your input is important to us. © Copyright 2021 Centene Corporation. The CMHP, or its subcontractors, shall be authorized to provide the NH Medicaid funded CMH services. New Hampshire produces measures for reporting by adding context, appropriate comparators, and other information for each measures. Download the free version of Adobe Reader. Authorize NH Healthy Families in CAQH. You can browse our offerings and register by going to our GoToTraining Catalog. Federally Qualified Health Center Specific Rates - CY2020 CY2019 CY2018 ... New Codes - CY2021 CY2020 CY2019 CY2018 ... the medical director and the director of development and community relations at West Central Behavioral Health. NH Healthy Families Earns a 4.5 out of 5 Rating for Quality, Takes Top Spot Among NH Medicaid Health Plans Changes to Therapy Evaluation Authorization Requirements NH Healthy Families Addresses Food Insecurity With New Initiative: Green to Go Covered services can include: The program also covers services for developmentally disabled individuals and persons with acquired brain disorders, as well as services at community mental health centers. State Medicaid Fee-for-Service Plan Client Services, 1-844-275-3447 ; AmeriHealth … Medicaid provides payment for health care services ranging from routine preventive medical care for children to institutional care for the elderly and disabled. ET. For trading partners to obtain a username and password, they must be a current Trading Partner with a trading partner ID. If you do not have a telephone, mail your request for assistance to: NH DHHS CHAP Unit Contact your local Community Action Agency to apply today. Thank you for your support! We offer live, interactive webinars on a wide variety of topics. Individuals with a behavioral health disorder also utilize significant health care services—nearly 12 million visits made to U.S. hospital emergency departments in 2007 involved individuals … Concord, NH 03301. Learn more about New Hampshire Medicaid today. Bureau of Behavioral Health, Information for Providers. Application Applied Behavioral Analysis (ABA) providers. Medicaid is the single largest payer for mental health services in the United States and is increasingly playing a larger role in the reimbursement of substance use disorder services. Jointly funded by the state and federal government, it provides health coverage for various groups of New Hampshire residents, including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled individuals, and seniors. The New Hampshire Medicaid Quality Program supports the Department of Health and Human Services in improving the health and well-being of Medicaid beneficiaries through data driven oversight and development of policy and programs, while leading quality assurance and improvement activities. For providers to obtain a user name and password to use the Health Enterprise portal, they must be a current provider for Medicaid. Adobe Acrobat Reader format. Build mental health and substance use disorder treatment capacity. New Hampshire’s community mental health system is defined in NH laws and rules and valued by all New Hampshire citizens. Community Mental Health Programs To participate in NH Medicaid as a Community Mental Health Program (CMHP), all CMHP’s must be approved pursuant to He-M 403 and enrolled in NH Medicaid. You will get most of your New Hampshire Medicaid health care and prescription drug coverage through our plan, Well Sense Health Plan, a New Hampshire Medicaid managed care plan. Please refer to Sections 4.1 (About the Benefits Chart (what is covered)) and 4.2 (Benefits Chart) for the list of services the plan covers. Behavioral Health for Whole Person Care Flyer (PDF). • Other Behavioral Health Specialists licensed by the NH Board of Medicine The originating site fee is not reimbursable in accordance with New Hampshire DHHS. The inpatient cost to charge ratio serves as the basis for any cost outlier payment for Medicaid inpatient services being provided by the hospital. New Hampshire Department of Health and Human Services 129 Pleasant Street | Concord, NH | 03301-3852 We are New Hampshire’s only Medicaid health plan with dental coverage for adults. The program works to ensure that eligible adults and children have access to needed health care services by enrolling and paying providers to deliver covered services to eligible recipients. New Hampshire’s Medicaid State Plan, like all State Plans, is constantly changing and improving to ensure that its citizens are served. 129 Pleasant Street, Thayer Building Please find recipient notices about benefit changes below. Please take a moment to complete our provider training survey, it should only take 1-2 minutes to complete. NH Healthy Families Earns a 4.5 out of 5 Rating for Quality, Takes Top Spot Among NH Medicaid Health Plans Changes to Therapy Evaluation Authorization Requirements NH Healthy Families Addresses Food Insecurity With New Initiative: Green to Go A subsidiary of Centene Corporation, Cenpatico® has provided comprehensive managed behavioral healthcare services for vulnerable and undeserved populations since 1994. 129 Pleasant Street | Concord, NH | 03301-3852, If you receive SNAP, Medicaid, or cash assistance benefits, you may be eligible to receive utility assistance through the, Fuel Assistance and Weatherization Assistance Programs, DHHS releases provider guidance for the Medicaid COVID-19 Testing Eligibility Group, Provider Relief Funding- Expanded Eligibility & Updated Reporting Requirements, NH Medicaid implements optional eligibility group to cover COVID-19 testing for uninsured New Hampshire residents, The Centers for Medicare and Medicaid Services (CMS) approves NH’s March 20, 2020 request to allow the state to utilize retainer payments, if needed, during the COVID-19 Public Health Emergency, The Centers for Medicare and Medicaid Services (CMS) approves NH’s March 26, 2020 request to temporarily allow payment for personal care services rendered by family caregivers or legally responsible individuals due to COVID-19, The Centers for Medicare and Medicaid Services (CMS) approves NH’s May 11, 2020 request to create an optional Medicaid eligibility group of uninsured to cover COVID-19 testing-related services only, The Centers for Medicare and Medicaid Services (CMS) approves NH’s March 18, 2020 request to waive federal Medicaid requirements due to COVID-19, The Centers for Medicare and Medicaid Services (CMS) approves NH's request to waive federal Medicaid requirements due to COVID, COVID-19 Emergency Declaration Health Care Providers Fact Sheet, Medicaid to Schools: Medical Assistance Services Provided by Education Agencies, HB 4 - Medicaid Adult Dental Benefit Planning Working Group, NH Nursing Facility Medicaid Rates and Payments, New Hampshire Medicaid Services (Form 77L), Important Notice About Medicaid Service Limits, Copayments in Standard Medicaid Remaining at $1 and $2 in 2016, Health Insurance Premium Payment (HIPP) Program, Medicaid for Employed Adults with Disabilities (MEAD), Prescription Drug Coverage Pharmacy Benefits Management, Find a dentist or a doctor in NH: (800) 852-3345, ext 4344 or (603) 271-4344, Transportation services in NH: (800) 852-3345, ext 3770 or (603) 271-3770, Translator/Interpreter services in NH: (800) 852-3345, ext 8361 or (603) 271-8361, Children with special needs in NH: (800) 852-3345, ext 4525 or (603) 271-4525, Questions about medical bills in NH: (800) 852-3345, ext 4344 or (603) 271-4344, Questions about benefits in NH: (800) 852-3345, ext 4344 or (603) 271-4344, EPSDT (early periodic screening and diagnostic testing), home and community based care for the elderly. December 13, 2020 - New Hampshire Department of Health and Human Services (DHHS) is pleased to announce the expected arrival of the first allotment of COVID-19 vaccine on Monday, December 14, 2020 after the Pfizer/BioNTech vaccine was approved and given Emergency Use Authorization (EUA) by the Food and Drug Administration (FDA). New Hampshire lawmakers held a hearing this week on a bill that would roll back provisions safeguarding telehealth coverage in the state. (800) 852-3345, ext 4344 or (603) 271-4344, New Hampshire Department of Health and Human Services If you receive SNAP, Medicaid, or cash assistance benefits, you may be eligible to receive utility assistance through the Electric Assistance Program and the Fuel Assistance and Weatherization Assistance Programs . On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, allowing NH to access new federal funding to help transform our behavioral health delivery system. The NH Department of Health and Human Services (DHHS), Bureau of Drug and Alcohol Services (BDAS) convened a panel of practitioners from health care, behavioral health, substance use disorder specialty treatment services, and the NH Medical Society to review existing practices in NH and other states and identified key components and best practice recommendations from … I provide comprehensive outpatient behavioral health services to children, adolescents and adults … All others include information on prior authorization for Standard Medicaid and the New Hampshire Health Protection Program. NH Medicaid is a federal and state funded health care program that serves a wide range of needy individuals and families who meet certain eligibility requirements. New Hampshire Healthy Families is underwritten by Granite State Health Plan, Inc. Prior Authorization Forms for Specialty Drugs, New Century Health – Oncology Pathway Solutions, NH Community Mental Health Targeted Case Management, Announcing our Annual Provider Satisfaction Survey, Updated Home Health Payment and Clinical Policies, Ambetter FQHC Encounter Code Clarification, NH Healthy Families Sponsors New Initiative for Youth in Foster Care Transition, NH Healthy Families and NH Fisher Cats Team Up with Base Hits for Kids, Supporting Boys & Girls Clubs of NH, New Payment and Clinical Policies Effective October 15, 2018, New Applied Nehavioral Analysis Clinical Policy, NH Healthy Families Summer 2018 Member Newsletter, NH Healthy Families October 2018 Provider Newsletter, NCQA's HEDIS 2019 Volume 2: Technical Specifications for Health Plans, Prohibition of Balance Billing for Ambetter from NH Healthy Families, Change for Therapy Services Beginning March 1, 2019, NH Healthy Families Physical Medicine Prior Authorization Provider Education Webinars, Applied Behavioral Analysis (ABA) Billing Codes - Medicaid, Jaffrey-Rindge Middle School and NH Healthy Families Celebrate National No One Eats Alone Day, New Required Modifier for Habilitative and Rehabilitative Services, NH Healthy Families Pharmacy Policy Update, Physical Medicine Guidelines Effective August 1, 2019, Upcoming Managed Care Organization Contract Changes, NH Healthy Families Partners with North Country Providers to Fund Program Focused on Social Determinants of Health, NH Healthy Families Supports Boys & Girls Clubs of NH with Donation to the Fisher Cats Program Base Hits for Kids, Revised Access Standards Effective September 1, 2019, Transitional Care Management Program Effective September 1, 2019, Upcoming Managed Care Organization Contract Changes Effective September 1, 2019, Medicaid Managed Care Provider Resource Communication, Provider Analytics Tool Scheduled Maintenance, Consultation Services Payment Policy Effective October 1, 2019, Clinical Policies Effective October 1, 2019, Pharmacy Policy Update Effective October 1, 2019, Provider Demographic Data - LexisNexis & American Medical Association Business Solutions, Appointment Availability Standards Survey, NH Healthy Families Earns a 4.5 out of 5 Rating for Quality, Takes Top Spot Among NH Medicaid Health Plans, Changes to Therapy Evaluation Authorization Requirements, NH Healthy Families Addresses Food Insecurity With New Initiative: Green to Go, Pharmacy Policy Update Effective January 1, 2020, Important Notice Regarding Ambetter Provider Payments, Psychiatric Boarding Support Effective March 1, 2020, New Medicare Covered OUD Services Effective January 1, 2020, Creating Connections: A Granite State Integrated Care Symposium, ADDITIONAL STEPS TO PROTECT MEMBERS’ HEALTH AMID COVID-19 OUTBREAK, NH HEALTHY FAMILIES LIVES ITS PURPOSE WITH DIRECT STATEWIDE COVID-19 RELIEF, Alternative Care Sites COVID-19 Preparedness, Creating Connections: A Granite State Integrated Care Symposium *NEW DATE, Pharmacy Policy Update Effective July 1, 2020, MAT (Medication Assisted Treatment) Billing Tip Sheet, SBIRT (Screening, Brief Intervention, and Referral to Treatment) Billing Tip Sheet, NH Department of Health and Human Services (DHHS) Electronic Visit Verification (EVV) Feedback Sessions, Physical Medicine Summary of Changes Effective September 1, 2020, Medicaid Payment for Non-licensed Mental Health and Substance Use Disorder (SUD) Treatment Services, Clinical Practice Guidelines – Children with Special Needs Survey, Coding for Vaccines and Immunizations Reminder, Provider Portal Claim Submittals with EOB Billing Tip Sheet, EXPANDED TELEHEALTH COVERAGE EXTENDED IN RESPONSE TO CONTINUED NATIONAL COVID-19 PUBLIC HEALTH EMERGENCY, Medical Transportation Management [MTM] Effective September 1, 2020, New Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint, Pharmacy Policy Update Effective October 1, 2020, Payment & Clinical Policies Effective October 1, 2020, Medical Transportation Management Dedicated Provider Line, Strong Youth, Strong Communities: You Are Not Alone, Payment and Clinical Policies Effective December 1, 2020, Expanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health Emergency, Fluvention: When It Comes to the Flu, You call the Shots, Incontinence Supplies and Durable Medical Equipment (DME) Providers, Medicare Advantage Training Webinars for Providers, Updated CAQH & Provider Specialty Profile Enrollment Forms, Important Notice Regarding Provider Payments, Important Notice Regarding Provider Payments-20201217, Written Consent and Care Coordination Best Practices, Pharmacy Policy Update: Effective April 1, 2021, Preventing and Resolving Claim Denials Important Reminders, Alcohol Use Disorders Identification Test (AUDIT) (PDF), Drug Use Questionnsire (DAST-20) Adult and Adolescent versions (PDF), Columbia - Suicide Severity Rating Scale (C-SSRS) (PDF), Patient Health Questionnaire (PHQ-9) (PDF), Screening, Brief Intervention, Referral to Treatment (SBIRT) (PDF), Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) (PDF), First Episode Psychosis and Early Serious Mental Illness (PDF), Guidance on Best Practices for Medication Assisted Treatment Services (PDF), How Substance Affects Your Baby Brochure (PDF), Medications for Opioid Use Disorder (PDF), Perinatal Depression Screening Brochure (PDF), Chronic Condition Coding: Autistic Disorder (PDF), Chronic Condition Coding:Behavioral and Conduct Disorder (PDF), Chronic Condition Coding: Bipolar Disorder (PDF), Chronic Condition Coding: Depression (PDF). To submit a new behavioral health contract request, please do the following: Attest on CAQH and ensure all required documents are uploaded. Now fully integrated into Centene Advanced Behavioral Health, all services and contracts are through the health plans we serve. Effective with dates of service beginning May 1, 2019, NH Healthy Families will no longer pay a bundled rate (H2019) for Applied Behavioral Analysis (ABA). Public reporting and transparency are cornerstones for the New Hampshire Department of Health and Human Services Medicaid Quality Program. You can download a free reader from Adobe. Well Sense is an experienced, not-for-profit leader in managed care and committed to providing high quality health coverage to our members. Submit a New Behavioral Health Contract Request. New Hampshire Healthy Families Services that require a Prior Authorization. Delaware Behavioral Health Fee Schedule with applicable modifiers. Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. Claims submitted without applicable modifiers will be denied by the health plan. NH Healthy Families exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Please use the chart below as a guide to acceptable Current Procedural Terminology (CPT) code and modifier combinations for the most commonly-provided behavioral health services. New Hampshire Department of Health and Human Services. You will need Adobe Reader to open PDFs on this site. State Picture. Medication Monitoring for Psychotropic Medications Microlearning (On demand through umu.com). New Hampshire Department Health and Human Services (DHHS) oversees the Medicaid Care Management (MCM) program, a full-risk Medicaid managed care program that includes primary and acute physical health, pharmacy, and behavioral health benefits. For service limitations and prior authorization requirements, please see New Hampshire Medicaid Services (Form 77L). Office hours are Monday through Friday, 8 a.m. to 4 p.m. New Hampshire DSRIP Waiver Program, Contact Medicaid Client Services at To begin the registration process, they must have their enrollment form ready. Medical/Behavioral health information must be communicated in real-time with the use of interactive audio and video communications equipment between the provider at the originating Find Medicaid Therapists, Psychologists and Medicaid Counseling in New Hampshire, get help for Medicaid in New Hampshire. NH Healthy Families would like to inform you that management of the Behavioral Health provider portal will transition from Cenpatico (a subsidiary of Envolve PeopleCare) to the NH Healthy … Policy Description Applied Behavioral Analysis (ABA) is the application of behavioral principles to everyday Note that services that have “(HPP)” after the description are noted for prior approval for the New Hampshire Health Protection Program only. The program works to ensure that eligible adults and children have access to needed health care services by enrolling and paying providers to deliver covered services to eligible recipients. Our mission is to help people get care, stay well, and build healthy communities by addressing the acute and broader social factors that drive health outcomes. Urgent Update: Due to a system issue, the Behavioral Health provider portal transition from Cenpatico (a subsidiary of Envolve PeopleCare) to the NH Healthy Families' provider portal, has been delayed until May 12, 2018. New Hampshire. For more information about dental services, view the Dental Services – NH Smiles Program page. applicable New Hampshire Administrative Rule. However, this page is focused strictly on Medicaid eligibility for New Hampshire elders, aged 65 and over, and specifically for l… Well Sense Health Plan has contracted with the New Hampshire Department of Health and Human Services (DHHS) to serve New Hampshire Medicaid members. If you are reviewing the State Plan on this web page and have any questions about program eligibility, please contact Janine Corbett at (603) 271-9421, or via email at janine.corbett@dhhs.nh.gov or Dawn Landry at (603) 271-9315, or via email at … Medicaid Provider Exclusion and Sanction List, HB 4 Medicaid Adult Dental Benefit Planning Working Group, Mental Health (MH) and Substance Use Disorder (SUD) Parity, Notice of Draft Transition Framework for Home and Community Based Services Settings Requirements, Substance Use Disorder (SUD) Benefit for Standard Medicaid Recipients, Building Capacity for Transformation: