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Welcome to the New Hampshire Medicaid Portal
Welcome to the New Hampshire Medicaid Web site administered by Magellan Rx.
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You can find the latest news items below. Scroll cards for more items.
Provider Portal Migration
Current users of Web Claims Submission (WCS) and WebRA (now known as MRxPay) will need to complete a short migration process to verify their access credentials and move all existing application permissions to the new Okta platform. Please review the migration step-by-step job aid.
Once your account has migrated successfully, send an email to email@example.com with the following information:
- Your Full Name
- Your Okta User ID (the email address you registered with)
- Include this statement: "I am an existing New Hampshire portal user transitioning to Okta and require secure Provider Portal access"
Once the email is received, the Magellan UAC Support team will enable your account so that secure Provider Portal access is available.
If you are a Delegated Administrator and need to make permission
changes to your access, log into the UAC Console and update your organizations and roles. If you are
not a Delegated Administrator, you will need to contact your
organization's Delegated Administrator to request changes to your
Provider Portal MRx Pay Job Aid
Please access the job aid to learn about the MRxPay navigation and functionality.
Preferred Drug List
New Hampshire Fee-for-Service Medicaid recently updated the preferred drug list. It is effective 09/01/2022. View the PDL.
Emergency Drug Coverage Reminder
This is a reminder to pharmacies regarding the federal statute that required Medicaid programs to provide payment for dispensing of at least a 72-hour supply for any drugs requiring prior authorizations if prior authorization cannot be obtained outside of Medicaid business hours. View the provider notice for more information.
Diabetic Supply Program
New Hampshire Fee-for-Service Medicaid recently updated the preferred diabetic supply list. It is effective 10/01/2022. View the preferred diabetic supply list .
Morphine Equivalent Dose Calculator
The Morphine Equivalent Dose Calculator calculates the dosage of common opioids as equivalent to 1mg of Morphine.
The calculator is courtesy of the Washington State Agency Medical Directors' Group.
Payment Error Rate Measurement (PERM)
The PERM Audit is designed to measure improper payments in the Medicaid and CHIP programs, as required by the Improper Payments Information Act (IPIA) of 2002 (amended in 2010 by the Improper Payments Elimination and Recovery Improvement Act or IPERA, and the Improper Payments Elimination and Recovery Improvement Act of 2012 IPERIA). The improper payment rates are based on reviews of the Fee-for-Service (FFS), managed care, and eligibility components of Medicaid and CHIP in the year under review.
Beginning in April 2022, the Center for Medicare and Medicaid Services (CMS) will be starting the New Hampshire PERM review of NH Medicaid claims and provider enrollment.
Providers will be receiving medical document request from the CMS PERM contractor, NCI Information System, Inc. starting in April 2022. Providers must submit the requested information by the due date noted on the request. Please note that it will be the responsibility of the billing provider identified on the claim to ensure that all supporting medical records, from the provider who rendered a Medicaid covered service for which the claim payment under review was requested, is submitted in a timely manner.
Pharmacy Program Changes
Effective 05/11/2023, health care coverage under the Medicaid COVID-19 Testing & Treatment Group is ending. For details see the provider notice.
Drug Utilization Review Board
New Hampshire Fee-for-Service Medicaid will be having a Drug Utilization Review Board meeting on June 19, 2023 with the public session beginning at 1pm via Zoom Webinar or in the Brown Building Conference Room 468. Please view the agenda. Register for the Zoom Webinar.
You can download the latest clinical criteria, PA forms, notifications, and plan guidance