Announcement: NH Medicaid Managed Care Special Open Enrollment

SPECIAL OPEN ENROLLMENT ANNOUNCEMENT

On August 1, 2019 Open Enrollment for NH Medicaid recipients begins.You or someone in your household can change your Medicaid Health Plan during the Special Open Enrollment period. You have three choices to choose from beginning August 1, 2019.

If you wish to remain with your current Health Plan, you do not need to do anything – your coverage will continue and the Health Plan you have will remain in effect. If you want to change to a different Health Plan, please go to NH Easy at  https://nheasy.nh.gov/#/ or call the Medicaid Service Center (NH Only) at 1-888-901-4999 (TDD Access: 1-800-735-2964), Monday through Friday, 8:00 to 4:00 p.m. ET no later than August 30, 2019 at 4:00 pm. Your new plan coverage will start on September 1, 2019.

WHAT YOU NEED TO KNOW FOR NH MEDICAID’S MEDICAID CARE MANAGEMENT PROGRAM SPECIAL OPEN ENROLLMENT For Medicaid Managed Care plan members:

  • Open enrollment is August 1 through August 30, 2019.
  • There are three Health Plans to choose from – AmeriHealth Caritas New Hampshire, NH Healthy Families, and Well Sense Health Plan.
  • Effective September 1, 2019, all of the Health Plans must use the State’s Preferred Drug List (PDL). Impacted current members will receive information from their Health Plans about how this impacts their prescriptions.
  • Effective September 1, 2019, members must use either the Family and Friends Mileage Reimbursement Program or public transportation for Non-Emergency Medical Transportation unless they qualify for a ride. Plans rules are available in the new Member Handbooks (on Plan websites by August 1).
  • Members will be able to change Health Plans one-time between September 1 and November 29 as a result of the State’s new Health Plan contracts.
  • New Member Handbooks (to be effective September 1, 2019) will be available on plan websites by August 1.

AmeriHealth Caritas New Hampshire’s website will be live Monday July 22.

For more information, contact the Medicaid Service Center (NH Only) at 1-888-901-4999 (TDD Access: 1-800-735-2964), Monday through Friday, 8:00 to 4:00 p.m. ET.

 

Here are some documents to assist you with making an informed decision:

Meet the Health Plans – Side by Side

Member Enrollment Guide to the Quality of NH Medicaid Health Plans

NH Medicaid Care Management Frequently Asked Questions (FAQs)

NH Family Voices – A Tool for Making an Informed Decision

 

 

 

 

NEW: Maneuvering Through the Maze in Spanish

NH Family Voices would like to announce a newly updated Maneuvering Through the Maze, A Family Resource Guide for families having children with Special Health Care Needs/Disabilities. Now also available in Spanish:. Maniobras a través del laberinto Guía de recursos de NH Family Servicios para familias de niños con necesidades especiales de atención médica o discapacidades 2019.

This guidebook is formatted to take the reader from birth to adolescents transitioning into adulthood with listings of state health and human services agencies, educational resources, private associations and organizations that serve people with physical, developmental, mental health and chronic health conditions and their families. We have also added organizations and services that can be accessed by all state residents, such as housing, childcare, etc. All links within the document are hot linked for easy access.

If you would like a hard copy of the resource guide please call (603) 271-4525 or Email to nhfamilyvoices@nhfv.org or use the ‘Contact Us’ form on the website. The resource guide is free to families but to offset printing and postage we hope you will consider a donation of $15 to assist us with ongoing printing.

New Podcast – NHFV Lending Library

Take a road trip and see how some Granite State families and professionals are using the library, and what they think of this special resource. List to the podcast here.

NH School Safety Resource Center

 

 

The NH School Safety Resource Center is a direct result of the NH Governor’s School Safety Task Force’s recommendation 49 to “establish and maintain a complete and centralized school safety preparedness online resource center to make it easier for schools and interested parties to access relevant information.

The goal of the New Hampshire School Safety Resource Center is to have a central location of the resources available to assist educators, emergency responders, community organizations, school mental health professionals, families and students in creating safe, positive and successful educational environments for students in all New Hampshire schools.

How to Use the NH School Safety Resource Center

Categories: The first menu identifies categories that were organized in the Governor’s School Safety Preparedness Task Force Report. These categories include Task Force, Legal Review, Legislative, Mental Health, Planning, Training & Exercises, Communication, Facilities Upgrades, and Links. Each resource is assign a category.

Tags: The second menu identifies tags. Tags are useful tools to describe the intended recipients or content information. Resources are likely assigned multiple tags. For example, if you want to see all the resources identified as helpful for teachers then select the teachers tag.

Search: The search option identifies resources that meet the criteria entered into the search field. For example, if you enter “bullying” into the search field all resources related to bullying will be sorted.

NEW Podcast – Q&A about the Corrective Action Plan (CAP)

If you have a family member who receives services through the Developmental Service System of Area Agencies you may have you heard about the Corrective Action Plan (CAP) that NH is under, related to the Home and Community Based Services (HCBS) Waivers through the Centers for Medicare and Medicaid (CMS). The three1915 (c) waivers affected by this CAP are Developmental Services, Acquired Brain Disorder, and Children’s In-Home Services.

The compliance issues addressed in the CAP focus on conflict of interest between case management and direct service delivery; and compliance with Medicaid billing rules, which allow providers to bill directly to the State.The HCBS Waiver is an essential component for the delivery of community-based services to individuals with disabilities and their families.Without it, the state would not be able to provide these critical services. Half of the funds provided through the HCBS Waiver are state dollars, with an equal match in federal funds.

Here is the “Conflict of Interest Frequently Asked Questions” newly released from the Department of Health and Human Services, Division of Long Term Supports and Services, Bureau of Developmental Services.

 

Conflict of Interest Frequently Asked Questions

English

Spanish

 

NHFV interviews Christine Santaniello, Director of the Division of Long Term Supports and Services within NH Department of Health and Human Services.

Podcast Transcript

NEW! Around the Clock Learning Hub

 

 

Are you interested in learning but don’t have a lot of time? Check out our podcast HERE.