• Enhanced Primary Care Rates
• About NH Medicaid
• Covered Medical Services
• Office of Medicaid Business and Policy Administration (OMBP)
• Links to Helpful Information
• Medicaid Provider Services
• NH Medicaid - Health Coverage for Children Under Age 19

Enhanced Primary Care Rates

The Affordable Care Act (ACA) authorized Medicaid reimbursement for eligible primary care services at parity with Medicare for calendar years 2013 and 2014. NH Medicaid primary care providers (PCPs) who meet requirements for this enhanced reimbursement for certain primary care services must complete an attestation form.

DHHS will make quarterly supplemental payments to eligible providers beginning July, 2013. Visit the OMBP Publications page to find the CPT codes that this applies to (E&M and vaccine administration) with the reimbursement rates in effect for 2013 and 2014.

Please visit the OMBP Publications page for Attestation forms and instructions for submission and Attestation deadlines.

Attestation forms may be submitted via fax, e-mail or US mail by July 1, 2013 in order to receive payment for the first quarter of 2013 (information below) in July. Incomplete forms will be returned to the provider for completion.

Please note, in anticipation of the implementation of New Hampshire Medicaid Care Management, a place for providers to include their MCO # (if available) has been provided.

Questions about the enhanced primary care rates can be directed to this email address: pcprateincrease@dhhs.state.nh.us.

• Fax Attestation forms to: (603) 271-8431, attention: Robin
• E-mail Attestation forms to: pcprateincrease@dhhs.state.nh.us
• Send Attestation forms by US mail to:

  NH DHHS – Office of Medicaid Business & Policy
  ATTN: Robin Calley
  129 Pleasant Street
  Concord, NH 03301

About NH Medicaid

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. 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.

Covered Medical Services

Medicaid provides payment for health care services ranging from routine preventive medical care for children to institutional care for the elderly and disabled. Covered services can include:

hospital physician nursing facility home health lab x-ray family planning rural health clinics prescription drugs physical-occupational-speech therapy adult medical day care

medical transportation medical supplies durable medical equipment dental psychotherapy podiatry interpreter advanced registered nurse practitioners certified midwife private duty nursing family planning

EPSDT (early periodic screening and diagnostic testing) newborn home visits extended services to pregnant women personal care attendant vision care audiology nursing facility home and community based care for the elderly hospice services

The program also covers services for developmentally disabled individuals and persons with acquired brain disorders, as well as services at community mental health centers.

For more information about dental services, view the Dental Services – NH Smiles Program page.

For service limitations and prior authorization requirements, please see New Hampshire Medicaid Services (Form 77L)

Please find recipient notices about benefit changes below.

• Important Notice About Medicaid Service Limits (02/01/2012)

Am I eligible for Medicaid?

• Eligibility for Adults
• Eligibility for Children
• Apply for Medicaid

• Contact the NH Medicaid Program - Use this link to contact the NH Medicaid Program with questions about assistance or client services.

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
Hearing impaired (for all services):	(800) 735-2964
If you do not have a telephone, mail your request for assistance to: NH DHHS CHAP Unit 129 Pleasant Street, Thayer Building Concord, NH 03301

Office of Medicaid Business and Policy Administration (OMBP)

• Medical Care Advisory Comm
• OMBP Publications
• Contact OMBP - Use this link to contact the OMBP for administrative questions only. Clients requesting assistance with Medicaid services should contact the NH Medicaid Program directly.

Links to Helpful Information

• Health Insurance Premium Payment (HIPP) Program
• Medicaid for Employed Adults with Disabilities (MEAD) - the MEAD program is a Medicaid eligibility coverage group that allows qualified adults with disabilities who work to enroll in the Medicaid program or continue their Medicaid coverage.
• Medical Assistance
• Medicare Part D
• Prescription Drug Coverage Pharmacy Benefits Management - All recipients of the NH Medicaid program have access to prescription drug coverage. Co-pay rates apply.
• Publications
  
• Transportation Services

Medicaid Provider Services

• Medicaid Electronic Health Record Incentive Program
• Provider Information Page
  
• Pharmacy Benefits Management
  
• Clinical Prior Authorization
  
• New Hampshire Provider Services - Hewlett-Packard Provider Enrollment
  
• Magellan Medicaid Administration
• NH Medicaid Health Information Technology Program