What is New Hampshire Medicaid?
The Medicaid program is a federal and state
funded program that serves needy individuals and families who meet financial
and other eligibility requirements and certain other individuals who lack
adequate resources to pay for medical care. The Division of Family
Assistance determines financial eligibility and categorical eligibility and
Medicaid Administration determines medical eligibility when it is required.
The Division for Children, Youth and Families and the Division of Community
Based Care Services are responsible for the day-to-day operation of some
Medicaid funded services and programs.
The program provides payment for medical services ranging from routine
preventive medical care for children to institutional care for the elderly
and disabled. The Medicaid program also ensures access to care through
enrollment of medical providers and access to transportation services to
medical care providers through reimbursement to recipients and volunteer
drivers.
What Services Are Covered
Under New Hampshire Medicaid?
Clinic and physician services for preventive care, including routine
physicals
Immunizations
Ambulance
Emergency room services when used for emergency care
Inpatient and outpatient hospital care
Lab, X-ray
Family planning
Pregnancy related services
Nurse midwife
Medical equipment and supplies
Hearing aids
Physical, occupational, speech, respiratory and rehabilitative therapy
Transportation services
Mental health services
Alcohol and drug treatment
Prosthetics
Nursing facilities
Home health services
Hospice care
Private-duty nursing
Personal care services
Group homes for people who are mentally retarded
Other health insurance premiums that are considered cost-effective
Prescription drugs, including birth control
In addition to determining medical eligibility, Medicaid Administration is
responsible for ensuring that other sources of third party payment are used
to cover health care costs and that health insurance premiums are paid for
individuals who have access to other health insurance and when it is cost
effective to do so. The unit is responsible for making decisions regarding
the type and scope of medical care to be covered by the Medicaid program,
keeping in mind access, quality, choice and cost effectiveness.
This unit also manages a prior authorization process for durable medical
equipment, pharmaceuticals, service limit override requests and non-covered
services that may be coverable under the medical necessity provisions of the
EPSDT Program.
Source:
http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/default.htm |
