New Hampshire is switching from a fee-for-service Medicaid system to managed care, which emphasizes preventive care and is expected to save the state money.
Managed care will be introduced in two stages:
- The first will cover most Medicaid enrollees and
- The second, a year later, will cover long-term care services.
Three companies received contracts worth $2.2 billion over three years to run the managed care system.
- Well Sense Health Plan
- NH Healthy Families
- Meridian Health Plan
The first stage was delayed in part because providers balked at signing up, citing concerns including reimbursement rates.
- Under the state budget, a hospital can only receive uncompensated care payments (to defray the cost of providing charity care to uninsured and low-income residents) from the state if it participates in the Medicaid managed care system.
- As of 7/2/13 all of the state’s hospitals had either signed up for the program or agreed to do so.
The state budget assumes managed care will save the state $47.5 million over the next two years, with $24.4 million coming in the second year of the biennium from the second stage of managed care, which will cover long-term care services.
Enrollment Call Center: 1-800-901-4999
Key Questions to Consider in Implementing Medicaid Managed Care in New Hampshire (NH Fiscal Policy Institute)
Know Your Rights: NH Disabilities Rights Center