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NH Healthy Families in the Community
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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
Pharmacy Policy Update Effective July 1, 2024
The Nervous System Stabilization Group (NSG) Provider Training
Clinical Polices Effective August 1, 2024
Suicide Prevention Choose Tomorrow Program
Juneteenth Holiday Closure
Clinical Practice Guidelines – Children with Special Needs Survey
Internal Diagnosis-Related Group (DRG) Audit
New England College Receives Combined $550,000 Grant from NH Healthy Families and Centene Foundation
Important Notice Regarding Provider Payments
Harm Reduction 101 - Live Webinar
Pharmacy Policy Update Effective October 1, 2024
Access Standards: Effective 9/1/2024
Pediatric Tuberculosis (TB): Clinical Review Provider Webinar
Appropriate Use of GLP-1 Agonists
New Prior Authorization Fax Number Effective October 1, 2024
Durable Medical Equipment (DME) Manual Pricing Payment Policy Effective January 1, 2025
Pharmacy Policy Update Effective January 1, 2025
Changes to the Reimbursement Methodology for the Medicaid Care Management (MCM 3.0) Program
Transitions to Availity Essentials
Important Notice Regarding Provider Payments
Important Notice Regarding Provider Payments
Privacy Policy
Terms & Conditions
Notice of Privacy Practices
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NEWSROOM
Provider Claims Tools
Date:
03/05/21
New claims online resource now available.
To see the full release, click here (PDF)