New Hampshire Medicaid Prior Authorization 2018

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New Hampshire Medicaid Prior Authorization 2018

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new hampshire fee-for-service medicaid pharmacy … – NH DHHS

Dec 15, 2017 SUBJECT: NH Fee-for-Service (FFS) Medicaid Preferred Drug List (PDL)/Clinical
Prior Authorization (PA). Updates/ Web Portal Information/E-mail Notifications.
This provides notice of changes being made to the New Hampshire Medicaid
FFS Pharmacy program effective. January 15, 2018. PREFERRED …

2018 Open Enrollment FAQ – NHID Consumer Services –

Nov 28, 2017 plan year 2018. However, the company will continue to offer its ElevateHealth
Network. Consumers with the Harvard Pilgrim New Hampshire Network are
encouraged to review their provider needs and select a …. enrollee by the longer
of: a) when the carrier would typically respond to a prior authorization.

2018 Plan Year QHP Issuer Bulletin –

Mar 27, 2017 Marketplace (Marketplace) for calendar year 2018 as well as the standards that
apply to QHPs offered on …. benefit design (NH RSA chapter 415, NH RSA
chapter 420-G), exercises prior approval authority over … Petition to the Centers
for Medicare & Medicaid Services (CMS) is required for changes to …

rfi-2018-bds-10-moder – NH DHHS –

Nov 20, 2017 MMIS. Medicaid Management Information System. New. HEIGHTS. Eligibility &
enrollment system for New Hampshire. OHCDS. Organized Health Care Delivery
System. PA. Prior Authorization. PERS. Personal Emergency Response System.
RFI. Request for Information. RFP. Request for Proposal. RSA.

January 6, 2017 Jeffrey A. Meyers Commissioner New Hampshire

Jan 6, 2017 apply to the demonstration project effective from March 31, 2015 through
December 31, 2018. In addition, these … Prior Authorization. Section 1902(a)(54)
insofar as it incorporates Section 1927(d)(5). To permit New Hampshire to
require that requests for prior authorization for drugs be addressed within 72 …

New Hampshire Health Protection Protection … –

Mar 4, 2015 This Demonstration will sunset after. December 31, 2016 consistent with the
current legislative approval for the New Hampshire. Health Protection Program
pursuant to N.H. RSA 126-A:5, XXIII-XXV; it could continue for up to two
additional years, through December 31, 2018, but only if the New Hampshire …

Summary of Benefits for New Hampshire, MEDICAID – HRSA

Yes. On primary and permanent molars every 5 yrs until age. 20 + 11 months.
Space maintainers. Yes. To replace permanently lost molars or bicuspids-
requires prior authorization. 1 of 5. Print date: January 6,
2018. Data as of: 12/20/2017. Summary of Benefits for New Hampshire,

FactSheet New Hampshire Medicaid Expansion Waiver – macpac

Jul 1, 2015 The New Hampshire Health Protection Program, a mandatory premium
assistance program for individuals in the new adult group using exchange plans,
was approved on March 4, 2015 and will begin on January 1, 2016.1 While the
waiver application was pending and prior to the demonstration's effective …

Medicaid Expansion, The Private Option and Personal – Urban Institute

New Hampshire, Indiana, Iowa, Michigan, and Pennsylvania. ….. very strict
Medicaid eligibility criteria prior to 2014 and nearly ….. Note: Iowa received
approval for two separate Section 1115 demonstrations: the Iowa Marketplace
Choice Plan applies to individuals above 100–138 percent of FPL; the Iowa
Wellness Plan …

Long Term Care Redesign Plan – Nebraska Department of Health …

Mar 7, 2017 Ensuring Consistent and Fair Determinations for Medicaid LTC Programs ………….
18 ….. coordination. Under new federal regulations, DHHS … Implement prior
authorization procedures so the most appropriate and cost-effective HCBS are
provided. The current technology infrastructure in. DHHS limits its …

Green Mountain Care Board Prior Authorization Pilot – Vermont …

Green Mountain Care Board Prior. Authorization Pilot. Senate Committee on
Health & Welfare. February 8, 2017. Page 2. Pharmacy Pilot. ▫ Meetings with Dr.
Ramsey started in 2013 o Pilot: check the impact of waiving prior authorizations. ▫
Two drug classes: Statins … o VT Medicaid – all members o BCBSVT – all
exchange …

2017 Supplemental – 2018-2019 Biennial Budget Briefing –

Jan 6, 2017 new tax rate. That is why my budget begins by delaying the Question 2 tax hike
for one year. In 2018,. Maine will simplify its tax code by reducing the number of
rates from … Massachusetts and North Carolina, in adopting a flat 2.75 percent
tax rate on income. … My administration has realigned the Medicaid.

DUR – Mississippi Division of Medicaid – MS.GOV

Aug 6, 2015 Term Expires: June 30, 2018. 2015 DUR …. claims must be submitted to the
primary insurer every time prior to submitting to Medicaid, including fee … New
Business: Clinical Guidelines for Hysingla. Ms. Hardwick reviewed background
about the recent FDA approval of Hysingla and MS-DUR proposed.


Mar 15, 2017 MEDICAID. PROGRAM. INTEGRITY. CMS Should Build on. Current Oversight.
Efforts by Further. Enhancing. Collaboration with. States. Report to the Chairman,
…. to these audits and adopted a new audit model in which its contractors …..
collaboratively with states—reflect their prior experiences with the.

State of Illinois Opioid Action Plan – IDPH

Sep 6, 2017 The Medicaid 1115 Demonstration Waiver proposes enhancements to Illinois'
current system of care that … medication-assisted treatment (MAT) program for
individuals prior to their release from the Illinois …… Connecticut, Massachusetts,
New Jersey, and New Hampshire) have implemented programs that.

Smart Supervision: Reducing Prison … – Bureau of Justice Assistance

Jan 3, 2017 Approval Expires 12/31/2018. U.S. Department of Justice. Office of … Applicants
must register with prior to submitting an application. All applications
are ….. accounted for 57% of New Hampshire's prison admissions in 2009); CSG
Justice Center, Justice Reinvestment in · North Carolina: Analysis …

The National Diabetes Prevention Program – Centers for Disease …

May 3, 2017 CDC released the new PreventT2 curriculum in March 2016 (in both English &
Spanish). ….. CMS has proposed coverage for eligible Medicare beneficiaries,
effective January 2018. … Maryland and Oregon will develop and implement a
delivery model for the National DPP through either Medicaid.

care and treatment of people with mental illness – Colorado General …

Sep 21, 2017 These limits apply to the whole state, not just the Medicaid agencies. … Oregon's
law directs the Oregon Medical Board, Oregon State Board of Nursing, Oregon
Board of. Naturopathic Medicine and Oregon Board of Dentistry … A fourth refill
request will require providers to obtain prior authorization from the.