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EFT/ERAClinical & Payment PoliciesFinding an In Network Provider Provider Behavioral Health ResourcesProvider Toolkit QI ProgramHEDISPractice GuidelinesProviding Quality CareProvider NewsCoronavirus Information for Providers Get Insured About UsCareersSearch JobsNH Healthy Families in the Community Contact UsPhone Directory NewsroomJuly 2018 Provider NewsletterNH Community Mental Health Targeted Case ManagementAnnouncing our Annual Provider Satisfaction SurveyUpdated Home Health Payment and Clinical PoliciesPaySpan Operational UpdateAmbetter FQHC Encounter Code ClarificationAugust 2018 Provider NewsletterNH Healthy Families Sponsors New Initiative for Youth in Foster Care TransitionNew Ambetter Opioid Prescribing LimitsNH Healthy Families and NH Fisher Cats Team Up with Base Hits for Kids, Supporting Boys & Girls Clubs of NHNew Payment and Clinical Policies Effective October 15, 2018New Applied Nehavioral Analysis Clinical PolicyNH Healthy Families Summer 2018 Member NewsletterSeptember 2018 Provider NewsletterPayment Schedule DelayAppointment Availability SurveyPT/OT/ST Prior Authorization UpdateNH Healthy Families October 2018 Provider NewsletterNCQA's HEDIS 2019 Volume 2: Technical Specifications for Health PlansRegional Member MeetingSSFB Baby ShowerProvider Demographic DataProhibition of Balance Billing for Ambetter from NH Healthy FamiliesDecember 2018 Provider NewsletterChange for Therapy Services Beginning March 1, 2019January 2019 Provider NewsletterNH Healthy Families Physical Medicine Prior Authorization Provider Education WebinarsApplied Behavioral Analysis (ABA) Billing Codes - MedicaidJaffrey-Rindge Middle School and NH Healthy Families Celebrate National No One Eats Alone DayFebruary 2019 Provider NewsletterAmbetter Partners with TeladocNew Required Modifier for Habilitative and Rehabilitative ServicesNew Required Fields on CMS 1500 ClaimsOpiEnd Provider TrainingChange to Explanation of BenefitsSpring 2019 Member NewsletterMarch 2019 Provider NewsletterNH Healthy Families Pharmacy Policy UpdateApril 2019 Provider NewsletterDrugs of Abuse Clinical PolicyPharmacy Network ChangePhysical Medicine Guidelines Effective August 1, 2019LexisNexis - VerifyHCP AnnouncementJune 2019 Provider NewsletterUpcoming Managed Care Organization Contract ChangesNH Healthy Families Partners with North Country Providers to Fund Program Focused on Social Determinants of HealthNH Healthy Families Supports Boys & Girls Clubs of NH with Donation to the Fisher Cats Program Base Hits for KidsRevised Access Standards Effective September 1, 2019Transitional Care Management Program Effective September 1, 2019Upcoming Managed Care Organization Contract Changes Effective September 1, 2019Medicaid Managed Care Provider Resource CommunicationProvider Analytics Tool Scheduled MaintenanceConsultation Services Payment Policy Effective October 1, 2019Clinical Policies Effective October 1, 2019Pharmacy Policy Update Effective October 1, 2019Provider Demographic Data - LexisNexis & American Medical Association Business SolutionsMedicaid and Ambetter Provider PaymentsAppointment Availability Standards SurveyNH Healthy Families Earns a 4.5 out of 5 Rating for Quality, Takes Top Spot Among NH Medicaid Health PlansChanges to Therapy Evaluation Authorization RequirementsNH Healthy Families Addresses Food Insecurity With New Initiative: Green to Go Pharmacy Policy Update Effective January 1, 2020November 2019 Provider NewsletterUpcoming MCO Contract ChangesImportant Notice Regarding Ambetter Provider PaymentsAmbetter Fee Schedule Name ChangePharmacy Policy UpdateFebruary 2020 Provider NewsletterPsychiatric Boarding Support Effective March 1, 2020Provider Website MaintenanceNew Medicare Covered OUD Services Effective January 1, 2020Provider Secure Portal MaintenanceNOEA DayCreating Connections: A Granite State Integrated Care SymposiumApril 2020 Provider NewsletterADDITIONAL STEPS TO PROTECT MEMBERS’ HEALTH AMID COVID-19 OUTBREAKNH Healthy Families Plan of Self CareNH HEALTHY FAMILIES LIVES ITS PURPOSE WITH DIRECT STATEWIDE COVID-19 RELIEFAlternative Care Sites COVID-19 PreparednessAlternative Care Sites RETRACTIONCreating Connections: A Granite State Integrated Care Symposium *NEW DATECOVID-19 and Suicide Prevention WebinarsPharmacy Policy Update Effective July 1, 2020MAT (Medication Assisted Treatment) Billing Tip SheetPayer ID Tip SheetSBIRT (Screening, Brief Intervention, and Referral to Treatment) Billing Tip SheetExtension of Auditing NotificationNH Department of Health and Human Services (DHHS) Electronic Visit Verification (EVV) Feedback SessionsNIA Ransomware IncidentPhysical Medicine Summary of Changes Effective September 1, 2020Medicaid Payment for Non-licensed Mental Health and Substance Use Disorder (SUD) Treatment ServicesExtension of Telemedicine ServicesClinical Practice Guidelines – Children with Special Needs SurveyCoding for Vaccines and Immunizations ReminderProvider Portal Claim Submittals with EOB Billing Tip SheetEXPANDED TELEHEALTH COVERAGE EXTENDED IN RESPONSE TO CONTINUED NATIONAL COVID-19 PUBLIC HEALTH EMERGENCYMedical Transportation Management [MTM] Effective September 1, 2020New Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPointPharmacy Policy Update Effective October 1, 2020Payment & Clinical Policies Effective October 1, 2020MCO Virtual SymposiumTurningPoint WebinarsMCO Symposium Registration FlyerMedical Transportation Management Dedicated Provider LineStrong Youth, Strong Communities: You Are Not AlonePayment and Clinical Policies Effective December 1, 2020Expanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health EmergencyFluvention: When It Comes to the Flu, You call the ShotsIncontinence Supplies and Durable Medical Equipment (DME) ProvidersMedicare Advantage Training Webinars for ProvidersUpdated CAQH & Provider Specialty Profile Enrollment FormsImportant Notice Regarding Provider PaymentsImportant Notice Regarding Provider Payments-20201217Expanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health EmergencyWritten Consent and Care Coordination Best PracticesPharmacy Policy Update: Effective April 1, 2021CLIA Billing Tip SheetPreventing and Resolving Claim Denials Important RemindersProvider Claims Tool Online ResourceAmbetter from NH Healthy Families Has New Hampshire Residents Covered During Special Open EnrollmentNH Healthy Families Centene Vaping Prevention ContestInterQual ConnectExpanded Telehealth Coverage Extended in Response to Continued National COVID-19 Public Health EmergencyProviding Care for Medically Complex Children & Youth: Tips & TricksHealth Care Transition: From Idea to ImplementationNOEA Day 2021Interoperability for ProvidersPharmacy Policy Update Effective October 1, 20212021 Base Hits for KidsGreen to Go BerlinConnors Climb WebinarEntryKeyID Single Password Login ExperienceSubstance Use Disorder TrainingsMedical Record Request ScheduleNH Healthy Families Earns a 4.5 out of 5 Rating for QualityMedicaid Annual Eligibility RenewalReminder SUD Trainings OctoberPayment & Clinical Policy UpdatesCOVID-19 Suicide Prevention WebinarImportant Notice Regarding Provider PaymentsHarm Reduction 101 and Overdose ResponsePharmacy Prior Authorization EnhancementGuidance from DHHS and CMS on Vaccines for ChildrenSuicide Safer Care Training - Addressing Provider and Staff Suicide RiskTelehealth New Place of Service Code 10Pharmacy Policy Update Effective March 1, 2022Prior Authorization Update: Effective April 1, 2022Medicare PPO Billing AwarenessPayment & Clinical Polices Effective May 1, 2022NH Healthy Families Tackles Food Insecurity One Community at a TimePayment & Clinical Policies Effective June 1, 2022NH Healthy Families Invests in Cyberbullying Prevention With Youth Impact AwardPrior Authorization Update: Effective June 1, 2022Jaffrey-Rindge Middle School and NH Healthy Families Celebrate ‘No One Eats Alone Day’Notification of Pregnancy (NOP) Provider Incentive Program TerminationPharmacy Policy Update Effective July 1, 2022Practical Application of the ASAM Criteria TrainingNIA Interventional Pain Management (IPM) & Cardiac-Related Procedures Expansion Effective July 1, 2022Important Notice Regarding Provider PaymentsNH Healthy Families and Ambetter from NH Healthy Families (Ambetter) Interventional Pain Management Program Provider Educational WebinarsNH Healthy Families and Ambetter from NH Healthy Families (Ambetter) Medical Specialty Solutions Program Provider Education WebinarsPrior Authorization Update: Effective August 1, 2022Payment & Clinical Polices Effective August 1, 2022 Privacy Policy Terms & Conditions Notice of Privacy Practices Login Find a Doctor For Members Health Insurance Marketplace Plan Medicaid Plan Medicare Advantage Plan For Providers Create Your Account Become a Provider Pre-Auth Check Provider Contact Information Submission Pharmacy Provider Resources QI Program Provider News Coronavirus Information for Providers Get Insured About Us Careers Search Jobs NH Healthy Families in the Community Contact Us Phone Directory 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 Nehavioral 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 Privacy Policy Terms & Conditions Notice of Privacy Practices Transforming the health of the community, one person at a time. NH Healthy Families Health Insurance Marketplace PlanMedicaid PlanMedicare Advantage Plan Coronavirus (COVID-19) What you need to know about the coronavirus for NH Healthy Families MEMBERS and PROVIDERS.For more information and updates visit the CDC's coronavirus (COVID-19) webpage here. Learn More About NH Healthy Families Please note: to access the secure Member Portal or to use the Find a Provider tool it is recommended you use Microsoft Edge, Google Chrome, Firefox or Safari web browsers and not Internet Explorer.The Interoperability and Patient Access RuleYou are now able to view your health information from a third party app on a mobile device or PC! Check out the Interoperability Page to learn more. Find a Doctor Finding a doctor is quick and easy. Search for Primary Care Providers, hospitals, pharmacies and more. Rewards Program In this section, you can learn about the value added services NH Healthy Families offers. 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