Transition of Care

We know change can be scary. NH Healthy Families wants to make this change easy. Whether you are new to New Hampshire Medicaid Managed Care or are changing health plans, we will make sure you continue to get the services you need. 

It is important to let us know right away if you are getting services that you will need to continue so that we can provide you with the information you need to continue receiving the health care you need on our Medicaid Managed Care plans or so that we can assist you with transitioning to a new provider.

Sometimes new members are getting care from a doctor that is not in NH Healthy Families' provider network. In some cases, you may be allowed to continue care with your doctor for up to 30 days. In order to have your previous doctor’s services continue, they must be prior authorized by NH Healthy Families. If you have questions, call Member Services at 1-866-769-3085 (TDD/TTY 1-855-742-0123). New members in the second or third trimester of pregnancy can keep the same doctor until you have had your baby and completed your first post-partum visit. If you are a member who is terminally ill, you may continue to see your doctor for your care. In order to have your previous doctor’s services continue, they must be prior authorized by NH Healthy Families. If you have questions, call Member Services at 1-866-769-3085 (TDD/TTY 1-855-742-0123). If you are a member leaving our plan to another plan and have ongoing medical care, we will assist you in transitioning your services to the new plan. NH Healthy Families' staff will reach out to the new plan and help facilitate the transition of your care. For members in active care leaving NH Healthy Families, we will communicate active services and coordinate with the new plan to ensure a smooth transition without interruption of care. NH Healthy Families will share your care plan including authorization of active services to the new plan upon request.

We will honor authorized services for 30 days. After that time we may require authorization for the service. We will let you stay with an out-of-network doctor for up to 30 days. In some cases you may be able to keep your out-of-network doctor for a longer period of time. We will help you find a doctor in our network that can provide the services you need. Our case managers can help get your medical records transferred to your new doctor. Call our Member Services department toll-free at 1-866-769-3085 (TDD/TTY 1-855-742-0123) if you have questions about transitioning your care.