• Corrected Claim Automation

    New Hampshire Healthy Families will be changing our policy as it relates to corrected claims submissions. Effective December 1st, 2014, all corrected claims should be free of handwritten verbiage and submitted on a standard red and white UB-04 or HCFA 1500 claim form along with the original EOP. Additionally, the previous claim number should be…

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  • Important Notice – New DME and O&P Prior Authorization List

    Effective 12/1/2014, New Hampshire Healthy Families will be moving to a standardized list of durable Medical Equipment and Orthotic and Prosthetic items requiring Prior Authorization. Please find the definitive list of items requiring Prior Authorization by clicking the following link: DME and O&P Prior Authorization List.

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  • Reminder: Hepatitis C Prior Authorization Criteria Changes

    As a reminder, the New Hampshire Healthy Families is making the following changes to the Hepatitis C Prior Authorization criteria effective on Septemeber 1st: We are requiring the provider demonstrate the  “Absence of an ongoing substance/alcohol abuse issue as determined via validated screening instrument(s)/test(s).” The requirement that a member agrees to participate in an adherence…

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