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February 1, 2019
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. Eligibility requirements, included services and program locations of New Hampshire’s Choices For Independence Waiver. Find other programs that can help pay for long term care. New Hampshire Medicaid: Choices For Independence Program Waiver (CFI).
CMS Approves Request to Amend New Hampshire's Building Capacity for Transformation Waiver
The Centers for Medicare & Medicaid Services (CMS) has approved New Hampshire's request to amend to its section l l l 5(a) demonstration titled, 'Building Capacity for Transformation' (BCT) (Project Number l l-W-00301/1). With this approval, the state will replace one existing Designated State Health Program (DSHP) authorized in the Special Terms and Conditions (STC) with three different ones- there are no changes to the DSHP spending limits that were already approved/established- it only replaces the DSHPs for which the state may currently draw federal financial participation (FFP). The BCT demonstration will remain in effect through December 31 , 2020.
- Read the Approval Letter and STCs
- Read Commissioner Meyers' Acceptance Letter (February 5, 2019)
NH DSRIP Waiver Program
By providing funding to support delivery system transformation—rather than to cover the costs of specific services rendered by providers—the waiver will enable health care providers and community partners within a region to form relationships focused on transforming care. This funding will also provide prompt resources for combating the opioid crisis and strengthening the state's strained mental health delivery system.
- Transforming How New Hampshire Responds to the Opioid Crisis
New Hampshire DSRIP Waiver Program Presentations
- NH DSRIP Annual Report 2018 (03/08/2019)
- DSRIP Progress – Year 1 (05/15/2017)
- APMs in New Hampshire Medicaid
- Introduction to Alternative Payment Models
NH DSRIP IDN Semi-Annual Reports and Implementation Plans
Reporting Period July 1, 2018 – December 31, 2018
- IDN 1: Greater Monadnock, Greater Sullivan County, Upper Valley Region Semi-Annual Report (8MB)
- IDN 2: Capital Area Region Semi-Annual Report (1MB)
- IDN 3: Greater Nashua Region Semi-Annual Report (8MB)
- IDN 4: Greater Derry, Greater Manchester Region Semi-Annual Report (13MB)
- IDN 5: Central NH, Winnipesaukee Region Semi-Annual Report (17MB)
- IDN 6: Strafford County, Seacoast Region Semi-Annual Report (6MB)
- IDN 7: North Country, Carroll County Region Semi-Annual Report (4MB)
Reporting Period January 1, 2018 – June 30, 2018
- IDN 1: Greater Monadnock, Greater Sullivan County, Upper Valley Region Semi-Annual Report
- IDN 2: Capital Area Region Semi-Annual Report
- IDN 3: Greater Nashua Region Semi-Annual Report
- IDN 4: Greater Derry, Greater Manchester Region Semi-Annual Report
- IDN 5: Central NH, Winnipesaukee Region Semi-Annual Report
- IDN 6: Strafford County, Seacoast Region Semi-Annual Report
- IDN 7: North Country, Carroll County Region Semi-Annual Report
Reporting Period July 1, 2017 - December 31, 2017
- IDN 1: Greater Monadnock, Greater Sullivan County, Upper Valley Region Semi-Annual Report
- IDN 2: Capital Area Region Semi-Annual Report
- IDN 3: Greater Nashua Region Semi-Annual Report
- IDN 4: Greater Derry, Greater Manchester Region Semi-Annual Report
- IDN 5: Central NH, Winnipesaukee Region Semi-Annual Report
- IDN 6: Strafford County, Seacoast Region Semi-Annual Report
- IDN 7: North Country, Carroll County Region Semi-Annual Report
Reporting Period January 1, 2017 – June 30, 2017
- IDN 1: Greater Monadnock, Greater Sullivan County, Upper Valley Region Semi-Annual Report
- IDN 2: Capital Area Region Semi-Annual Report
- IDN 3: Greater Nashua Region Semi-Annual Report
- IDN 4: Greater Derry, Greater Manchester Region Semi-Annual Report
- IDN 5: Central NH, Winnipesaukee Region Semi-Annual Report
- IDN 6: Strafford County, Seacoast Region Semi-Annual Report
- IDN 7: North Country, Carroll County Region Semi-Annual Report
NH DSRIP IDN Project Plans
- IDN 1 Project Plan: Narrative Supplemental Template
- IDN 2 Project Plan: Narrative Supplemental Template
- IDN 3 Project Plan: Narrative Supplemental Template
- IDN 4 Project Plan: Narrative Supplemental Template
- IDN 5 Project Plan: Narrative Supplemental Template
- IDN 6 Project Plan: Narrative Supplemental Template
- IDN 7 Project Plan: Narrative Supplemental Template
NH DSRIP Evaluation Design
- CMS-Approved Evaluation Design
NH DSRIP Overview Slide Deck
- NH DSRIP Overview Slide Deck
Frequently Asked Questions
- DSRIP Frequently Asked Questions, as of June 17, 2016
(Includes questions from IDN Administrative Leads)
Draft Process Measures Reporting Guide
- Draft IDN Process Measures Semi-Annual Reporting Guide for Year 2 and Year 3
DSRIP Alternative Payment Models Roadmap
- DSRIP Alternative Payment Models Roadmap For Year 2 (CY2017) & Year 3 (CY2018)
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Microsoft Excel format. You can download a free reader from Microsoft.
What's New?- Long Term Care Hospital and Nursing Facility Meetings
Read new information regarding the Semiannual LTSS Eligibility Sessions
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:
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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?
- 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 | |
Links to Helpful Information
- Copayments in Standard Medicaid Remaining at $1 and $2 in 2016
- 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.
- Prescription Drug Coverage Pharmacy Benefits Management - All recipients of the NH Medicaid program have access to prescription drug coverage. Co-pay rates apply.
- Publications
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