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New Hampshire Medicaid and Health Insurance | NH Healthy Families
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NH Healthy Families exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Learn more about New Hampshire Medicaid today.
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Word count: 2,311 words, Reading time: 9.2 minutes"<iframe src="https://www.googletagmanager.com/ns.html?id=GTM-T64XTKJ" height="0" width="0" title="GTM" style="display:none;visibility:hidden"></iframe> Skip to Main Content Home Find a Provider Login Careers Contact Find Community Resources language English Spanish Français 中文 नेपाली Tiếng Việt Português Eλληνικά العربية Српски Bahasa Indonesia 한국어 Русский язык Kreyòl Bantu Polski Kiswahili (Swahili) Enter Keyword Search For Members Health Insurance Marketplace Plan Medicaid Plan Medicare Advantage Plan For Providers Create Your Account Become a Provider Pre-Auth Check Provider Contact Information Submission Pharmacy Provider Resources QI Program Provider News Coronavirus Information for Providers Our Provider Engagement Administrators Get Insured Login Find a Doctor For Members Health Insurance Marketplace Plan Medicaid Plan Secure Portal Login Find a Provider How to Enroll Benefits and Services Member Resources Caregiver Resources Coronavirus Information Medicaid News Medicare Advantage Plan For Providers Create Your Account Become a Provider Pre-Auth Check Ambetter Pre-Auth Medicaid Pre-Auth Provider Contact Information Submission Pharmacy Provider Resources Provider Claims Tools Manuals, Forms and Resources Provider Training Finding an In Network Provider Provider Behavioral Health Resources Eligibility Verification Grievance Process Incentives Statement Integrated Care Prior Authorization National Imaging Associates (NIA) Disposable Medical Supplies and DME Electronic Transactions Clinical & Payment Policies Report Fraud, Waste and Abuse Newsletters QI Program HEDIS Practice Guidelines Providing Quality Care Provider News Coronavirus Information for Providers Our Provider Engagement Administrators Get Insured About Us Careers Search Jobs NH Healthy Families in the Community Contact Us Phone Directory Newsroom July 2018 Provider Newsletter NH Community Mental Health Targeted Case Management Announcing our Annual Provider Satisfaction Survey Updated Home Health Payment and Clinical Policies PaySpan Operational Update Ambetter FQHC Encounter Code Clarification August 2018 Provider Newsletter NH Healthy Families Sponsors New Initiative for Youth in Foster Care Transition New Ambetter Opioid Prescribing Limits 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 Behavioral Analysis Clinical Policy NH Healthy Families Summer 2018 Member Newsletter September 2018 Provider Newsletter Payment Schedule Delay Appointment Availability Survey PT/OT/ST Prior Authorization Update NH Healthy Families October 2018 Provider Newsletter NCQA's HEDIS 2019 Volume 2: Technical Specifications for Health Plans Regional Member Meeting SSFB Baby Shower Provider Demographic Data Prohibition of Balance Billing for Ambetter from NH Healthy Families December 2018 Provider Newsletter Change for Therapy Services Beginning March 1, 2019 January 2019 Provider Newsletter 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 February 2019 Provider Newsletter Ambetter Partners with Teladoc New Required Modifier for Habilitative and Rehabilitative Services New Required Fields on CMS 1500 Claims OpiEnd Provider Training Change to Explanation of Benefits Spring 2019 Member Newsletter March 2019 Provider Newsletter NH Healthy Families Pharmacy Policy Update April 2019 Provider Newsletter Drugs of Abuse Clinical Policy Pharmacy Network Change Physical Medicine Guidelines Effective August 1, 2019 LexisNexis - VerifyHCP Announcement June 2019 Provider Newsletter 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 Medicaid and Ambetter Provider Payments 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 November 2019 Provider Newsletter Upcoming MCO Contract Changes Important Notice Regarding Ambetter Provider Payments Ambetter Fee Schedule Name Change Pharmacy Policy Update February 2020 Provider Newsletter Psychiatric Boarding Support Effective March 1, 2020 Provider Website Maintenance New Medicare Covered OUD Services Effective January 1, 2020 Provider Secure Portal Maintenance NOEA Day Creating Connections: A Granite State Integrated Care Symposium April 2020 Provider Newsletter ADDITIONAL STEPS TO PROTECT MEMBERS’ HEALTH AMID COVID-19 OUTBREAK NH Healthy Families Plan of Self Care NH HEALTHY FAMILIES LIVES ITS PURPOSE WITH DIRECT STATEWIDE COVID-19 RELIEF Alternative Care Sites COVID-19 Preparedness Alternative Care Sites RETRACTION Creating Connections: A Granite State Integrated Care Symposium *NEW DATE COVID-19 and Suicide Prevention Webinars Pharmacy Policy Update Effective July 1, 2020 MAT (Medication Assisted Treatment) Billing Tip Sheet Payer ID Tip Sheet SBIRT (Screening, Brief Intervention, and Referral to Treatment) Billing Tip Sheet Extension of Auditing Notification NH Department of Health and Human Services (DHHS) Electronic Visit Verification (EVV) Feedback Sessions NIA Ransomware Incident Physical Medicine Summary of Changes Effective September 1, 2020 Medicaid Payment for Non-licensed Mental Health and Substance Use Disorder (SUD) Treatment Services Extension of Telemedicine 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 MCO Virtual Symposium TurningPoint Webinars MCO Symposium Registration Flyer 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 Expanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health Emergency Written Consent and Care Coordination Best Practices Pharmacy Policy Update: Effective April 1, 2021 CLIA Billing Tip Sheet Preventing and Resolving Claim Denials Important Reminders Provider Claims Tool Online Resource Ambetter from NH Healthy Families Has New Hampshire Residents Covered During Special Open Enrollment NH Healthy Families Centene Vaping Prevention Contest InterQual Connect Expanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health Emergency Providing Care for Medically Complex Children & Youth: Tips & Tricks Health Care Transition: From Idea to Implementation NOEA Day 2021 Interoperability for Providers Pharmacy Policy Update Effective October 1, 2021 2021 Base Hits for Kids Green to Go Berlin Connors Climb Webinar EntryKeyID Single Password Login Experience Substance Use Disorder Trainings Medical Record Request Schedule NH Healthy Families Earns a 4.5 out of 5 Rating for Quality Medicaid Annual Eligibility Renewal Reminder SUD Trainings October Payment & Clinical Policy Updates COVID-19 Suicide Prevention Webinar Important Notice Regarding Provider Payments Harm Reduction 101 and Overdose Response Pharmacy Prior Authorization Enhancement Guidance from DHHS and CMS on Vaccines for Children Suicide Safer Care Training - Addressing Provider and Staff Suicide Risk Telehealth New Place of Service Code 10 Pharmacy Policy Update Effective March 1, 2022 Prior Authorization Update: Effective April 1, 2022 Medicare PPO Billing Awareness Payment & Clinical Polices Effective May 1, 2022 NH Healthy Families Tackles Food Insecurity One Community at a Time Payment & Clinical Policies Effective June 1, 2022 NH Healthy Families Invests in Cyberbullying Prevention With Youth Impact Award Prior Authorization Update: Effective June 1, 2022 Jaffrey-Rindge Middle School and NH Healthy Families Celebrate ‘No One Eats Alone Day’ Notification of Pregnancy (NOP) Provider Incentive Program Termination Pharmacy Policy Update Effective July 1, 2022 Practical Application of the ASAM Criteria Training NIA Interventional Pain Management (IPM) & Cardiac-Related Procedures Expansion Effective July 1, 2022 Important Notice Regarding Provider Payments NH Healthy Families and Ambetter from NH Healthy Families (Ambetter) Interventional Pain Management Program Provider Educational Webinars NH Healthy Families and Ambetter from NH Healthy Families (Ambetter) Medical Specialty Solutions Program Provider Education Webinars Prior Authorization Update: Effective August 1, 2022 Payment & Clinical Polices Effective August 1, 2022 Pharmacy Policy Update Effective October 1, 2022 Controlling Blood Pressure Tips for Your NH Healthy Families Patients and Billing Codes NH Healthy Families and New Hampshire Fisher Cats Base Hits for Kids Important Notice Regarding Provider Payments SUD Rendering Provider Enrollment Billing Requirements Change October 5, 2022 NH Healthy Families Earns a 4.0 out of 5 Stars for Quality, Rated Top NH Medicaid Health Plan by NCQA Pharmacy Policy Update Effective January 1, 2023 Clinical Documentation Improvement (CDI) Provider Training Webinars Secure Provider Portal Enhancement Virtual Suicide Prevention Training December 8, 2022 Prior Authorization Update: Rendering Provider requirement for SUD Outpatient Treatment Request (OTR) Provider Portal Claims Redesign Sympathetic Nerve Block with Interventional Pain Management Effective March 1, 2023 Payment & Clinical Polices Effective April 1, 2023 Pharmacy Policy Update Effective April 1, 2023 Upcoming Provider Substance Use Disorder (SUD) Trainings Termination of Medline Effective February 20, 2023 Kicks for Kids! Portal Claims Redesign Payment & Clinical Polices Effective June 1, 2023 Pharmacy Policy Update Effective July 1, 2023 Provider Substance Use Disorder (SUD) Trainings Opioid Rapid Response and Pain Management ECHO Program for Clinicians Important Notice Regarding Provider Payments Prior Authorization Update with New Century Health: Effective September 1, 2023 Clinical Practice Guidelines – Children with Special Needs Survey Attached Annual Provider Satisfaction Survey Coming Soon Harm Reduction 101 and Naloxone Administration Training New Date Harm Reduction 101 and Naloxone Administration Access Standards Billing Manual Update: Bilateral Services for Ambulatory Surgery Centers Enhancing Care Coordination for Patients with Medical and Behavioral Needs New Date! Harm Reduction and Naloxone Administration Webinar Lunch n' Learn Session for Nurses! Important Pharmacy Claims Processing Change Effective January 1, 2024 Pharmacy Policy Update Effective January 1, 2024 Attention Medicaid Members: New ID Cards Coming for 2024 – Affects Pharmacy Benefits Expanded Partnership with National Imaging Associates Removal of Prior Authorization for Neuropsychological Testing Effective January 15, 2024 Nutramigen Infant Formula Recall Musculoskeletal Management Program Provider Education Webinars Centene Subsidiary NH Healthy Families Awarded Statewide Medicaid Contract Pharmacy Policy Update Effective April 1, 2024 Maternal and Infant FDA Approved Solutions for RSV Durable Medical Equipment Options SUD Facility Billing Guidelines Effective May 1, 2024 Substance Use Disorder (SUD) ECHO: Core and Emerging Topics in Ambulatory Care Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to NH Healthy Families, Ambetter from NH Healthy Families and Wellcare Resolving Payment Discrepancies on Claims Transition of ABA Services to BH Platform Payment & Clinical Polices Effective June 1, 2024 Removal of Prior Authorization for first day of admission for Medically Monitored Inpatient/Residential Withdrawal Management- ASAM 3.7 Effective May 15, 2024 Privacy Policy Terms & Conditions Notice of Privacy Practices SEARCH MENU Go! Home Find a Provider Login Careers Contact Find Community Resources language English Spanish Français 中文 नेपाली Tiếng Việt Português Eλληνικά العربية Српски Bahasa Indonesia 한국어 Русский язык Kreyòl Bantu Polski Kiswahili (Swahili) For Members Health Insurance Marketplace Plan Medicaid Plan Medicare Advantage Plan For Providers Create Your Account Become a Provider Pre-Auth Check Provider Contact Information Submission Pharmacy Provider Resources QI Program Provider News Coronavirus Information for Providers Our Provider Engagement Administrators Get Insured Transforming the health of the communities we serve, one person at a time. NH Healthy Families Health Insurance Marketplace Plan Medicaid Plan Medicare Advantage Plan Coronavirus (COVID-19) What you need to know about the coronavirus for NH Healthy Families MEMBERS and PROVIDERS.For more information and updates visit the CDC's coronavirus (COVID-19) webpage here. Complete Your Health Risk Assessment (HRA) Today Got 10 Minutes to Make 20 Bucks*?Taking charge of your health benefits is not only smart, it pays you back! It's simple:Complete your HRA here.(Please complete a separate HRA for each eligible member in the household.)Participate in the HRA Challenge! Complete your yearly HRA and be entered to win a $100 Amazon gift card*! The challenge consists of four quarterly drawings throughout the year.If you have already completed your HRA you are automatically entered for the next quarterly drawing. Winners will be notified by email.*Some restrictions and limitations apply. Each member can earn up to $250 cash and non-cash goods and services through June 30 each year.Please note: to access the secure Member Portal or to use the Find a Provider tool it is recommended you use Microsoft Edge, Google Chrome, Firefox or Safari web browsers and not Internet Explorer.The Interoperability and Patient Access RuleYou are now able to view your health information from a third party app on a mobile device or PC! Check out the Interoperability Page to learn more. Find a Provider Finding a provider is quick and easy. Search for Primary Care Providers, hospitals, pharmacies and more. Rewards Program In this section, you can learn about the value added services NH Healthy Families offers. Join Our Mailing List Home Newsroom About Us Contact Us Careers Privacy Policy Notice of Privacy Practices Terms & Conditions Language Assistance Statement of Non-Discrimination Site Map You will need Adobe Reader to open PDFs on this site.Download the free version of Adobe Reader. You will need Adobe Reader to open PDFs on this site.Download the free version of Adobe Reader. Member and Provider Services: 1-866-769-3085 TDD/TTY: 1-855-742-0123 You will need Adobe Reader to open PDFs on this site.Download the free version of Adobe Reader. You will need Adobe Reader to open PDFs on this site.Download the free version of Adobe Reader. © Copyright 2024 Centene Corporation. New Hampshire Healthy Families is underwritten by Granite State Health Plan, Inc."
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