New Hampshire Anchor Provider Agreement
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How to fill out Anchor Provider Agreement?
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Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
Non-participating providers must submit Prior Authorization for all services. For non-participating providers, Join Our Network. Urine Drug Screens rendered by MAT (Medication Assisted Treatment) providers require notification only. Prior auth is not required.
You can call the NH Medicaid Provider Relations Call Center at 1-866-291-1674 or 603-223- 4774, Mon ? Fri, from AM to PM and they can tell you if a provider is enrolled in NH Medicaid.
As a member, you do not have to pay for medically necessary covered services you get from a New Hampshire Medicaid provider. If you get a bill or statement, call AmeriHealth Caritas New Hampshire Member Services, 24 hours a day, seven days a week, at 1-833-704-1177 (TTY 1-855-534-6730).
NH Healthy Families provides health care coverage for NH Medicaid and Granite Advantage Health Care Program (Granite Advantage). The Department of Health and Human Services (DHHS) decides who is eligible for this program.
NH Medicaid Provider Enrollment To enroll as a NH Medicaid provider, visit the New Hampshire MMIS Health Enterprise Portal and click on Provider in the upper left of the page.
After the Health Plan addresses your grievance and if you are still dissatisfied, you may contact the DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, a.m. to p.m. ET to see if you are eligible to switch "with cause".
For a Change in Ownership, certified health facilities need to complete the CMS 855 A form. Completed forms need to be sent to your fiscal intermediary for processing.
