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For providers to obtain a user name and password to use the Health Enterprise portal, they must be a current provider for Medicaid. For trading partners to obtain a username and password, they must be a current Trading Partner with a trading partner ID. To begin the registration process, they must have their enrollment form ready.


Messages and Announcements
Below is a list of the current messages and announcements applicable to Providers. The following documents are available. PDF format files can be read using the free Adobe Acrobat Reader from Adobe.

Note: Please be advised that new and/or updated documents are added to this list periodically. If you have downloaded and saved a file, please check periodically for any updates.

                                                  

                                                                                     

Billing & Claims

                                                                                     

Publication Date File File Size File Type 
04/14/2022Medicaid COVID-19 Group Billing Clarification          538kPDF
03/25/2022New Modifiers and Telehealth POS          299kPDF
03/14/2022PDN Code Modifier Changes          762kPDF
07/27/2021Updated - New Billing Claims Requirement - Ordering Providers          214kPDF
01/22/2021MONOCLONAL ANTIBODY COVID-19 INFUSION BILLING          423kPDF
01/07/2021Billing Claims Requirement Change – Ordering Providers          531kPDF
01/07/2021New Billing Claims Requirement - Ordering Providers          430kPDF
12/01/2020Provider Bulletin - Changes to Billing PDN          563kPDF
10/27/2020Durable Medical Equipment/Incontinence Product Providers          551kPDF
08/24/2020Changes to billing for Medicaid’s Family Planning Expansion Program          125PDF
04/21/2020Provider Bulletin - Telehealth Billing Clarification for Annual and Well Child Visits          348kPDF
04/08/2020Provider Bulletin - FQHC/RHC Telehealth Billing          393kPDF
03/30/2020Provider Bulletin - COVID-19 Lab Codes          476kPDF

                                                                                     

COVID-19 Resources

                                                                                     

Publication Date File File Size File Type 
07/06/2022Provider Bulletin - COVID-19 Vaccine Counseling Codes Notice          397kPDF
04/14/2022Medicaid COVID-19 Group Billing Clarification          538kPDF
02/02/2022UPDATE - Guidance for Providers on the Medicaid COVID-19 Group          667kPDF
01/21/2022Coverage of COVID-19 At-Home Antigen Tests           188kPDF
01/05/2022Guidance for Providers on the Medicaid COVID-19 Group          676kPDF
01/22/2021MONOCLONAL ANTIBODY COVID-19 INFUSION BILLING          423kPDF
10/30/2020Guidance for Providers on the COVID-19 Medicaid Testing Eligibility Group          159kPDF
09/18/2020NH Medicaid will now enroll pharmacists as other licensed providers for COVID Testing          124kPDF
09/08/2020COVID-19 Testing Eligibility          123kPDF
07/14/2020COVID-19 Testing Eligibility          322kPDF
04/16/2020Adm. Protocol During Emergency Covid-19          291kPDF
04/01/2020Federal HHS Bulletin: Civil Rights, HIPAA, and COVID-19          923kPDF
03/30/2020Provider Bulletin - COVID-19 Lab Codes          476kPDF
03/18/2020Fact Sheet - Telehealth During COVID-19 State of Emergency          2641kPDF

                                                                                     

Enrollment

                                                                                     

Publication Date File File Size File Type 
03/28/2022Enrollment FAQs          538kPDF
02/04/2021Mandatory Enrollment of Ordering Providers - Reminder          296kPDF
01/07/2021Mandatory Enrollment of Ordering Providers          297kPDF
09/18/2020NH Medicaid will now enroll pharmacists as other licensed providers for COVID Testing          124kPDF
07/29/2020MCO Open Enrollment Begins          209kPDF

                                                                                     

General

                                                                                     

Publication Date File File Size File Type 
07/07/2022Provider Bulletin - NEW Provider Lookup Tool in MMIS          473kPDF
05/16/2022Prior Authorization and Third Party Liability (TPL) for FFS Medicaid          286kPDF
05/06/2022Medicaid FFS NEMT Broker Transition and Updated Transportation Quick Summary Guide          330kPDF
04/18/2022NH Local Pharmacy Network Provider Notice          513kPDF
03/22/2022Provider PERM Training Notice - UPDATE          369kPDF
03/01/2022Payment Error Rate Measurement (PERM) Audit          523kPDF
11/01/2021Provider Notice Service Authorization Requests Form Changes and Submission 11.01.2021          498kPDF
06/17/2021Provider Bulletin - PCS Option Process          654kPDF
05/26/2021MMIS Browser Compatibility and reCAPTCHA Security Notice          566kPDF
01/19/20212021 Annual CPT-HCPC Code and Modifier Update Complete          193kPDF
01/08/20212021 Annual CPT/HCPC Code and Modifier Update          470kPDF
12/11/2020Provider Bulletin - Prescriber Edit Implementation on Fee-for-Service Pharmacy Claims          190kPDF
10/02/2020Phase 3 Provider Relief Funding          88kPDF
09/29/2020NEMT-FFS Program          74kPDF
04/28/2020Provider Bulletin - Issuance of Temporary Emergency NH License           158kPDF
04/16/2020Fact Sheet - Administrative Protocols for Health Services, DME/POS, and Prescription Drugs          699kPDF
04/01/2020Provider Bulletin—Enhanced Payment of Specific DRGs under New Peer Group          480kPDF
03/27/2020Provider Bulletin - Submitting Service Authorization Requests for Fee-for-Service Medicaid          189kPDF
01/18/20202020 CPT-HCPC Code Update          480kPDF
01/08/2020Provider Bulletin - Rate Increases for NH Medicaid’s State Plan and Waiver Services, Effective January 1, 2020          474kPDF
01/08/2020Provider Bulletin - The 2020 Annual CPT/HCPC Code and Modifier Update Release Expected Mid-January          469kPDF
01/07/2020Provider Notice - Changes in Medicare’s Coverage of Opioid Use Disorder Services          212kPDF

                                                                                     

Long Term Services and Supports (LTSS)

                                                                                     

Publication Date File File Size File Type 
04/08/2022CFI Provider Notice Manual: Participant Directed and Managed Services and Financial Management Services          135kPDF
04/08/2022CFI PDMS and FMS Frequently Asked Questions          450kPDF
07/01/20212021 Fee Schedule - HCBC CFI Covered Procedure Codes as of 07-01-2021          170kPDF
07/01/20212021 Fee Schedule - HCBC CFI Manual Priced Procedure Codes as of 07-01-2021          175kPDF
06/24/2021UPDATE from 04/26/2021 - SUD Residential Treatment Billing Requirements          637kPDF
01/20/20212021 Fee Schedule - HCBC CFI Covered Procedure Codes as of 01-01-2021          170kPDF
01/20/20212021 Fee Schedule - HCBC CFI Manual Priced Procedure Codes as of 01-01-2021          175kPDF
01/01/20202020 Fee Schedule – HCBC-CFI Covered Procedure Codes as of 01-01-2020          157kPDF
01/01/20202020 Fee Schedule – HCBC-CFI Manual Priced Procedure Codes as of 01-01-2020          167kPDF
02/15/2019Fee Schedule - HCBC-CFI Covered Procedure Codes          161kPDF
02/15/2019Fee Schedule - HCBC-CFI Manual Priced Procedure Codes          177kPDF
01/19/2019CFI Medicaid Doc training handout CFI Provider Manual 12-1-17          340kPDF
01/19/2019CFI Medicaid Doc training handout He-E 801          311kPDF
01/19/2019CFI Medicaid Documentation Training slides          5027kPDF
07/27/2021Updated - New Billing Claims Requirement - Ordering Providers          214kPDF

                                                                                     

Medicaid to Schools

                                                                                     

Publication Date File File Size File Type 
07/26/2021Ordering Provider Communication to Schools          176kPDF
05/19/2021UPDATE : Authorization and Orders for Medicaid to Schools          367kPDF
05/07/2021Authorization and Orders for Medicaid to Schools          532kPDF
06/29/2020NH Medicaid timely filing notice          329kPDF
05/07/2020Fact Sheet : NH Medicaid to Schools-Telehealth School-Based Services          523kPDF

                                                                                     

Program Integrity

                                                                                     

Publication Date File File Size File Type 
01/19/2019CFI Medicaid Doc training handout CFI Provider Manual 12-1-17          340kPDF
01/19/2019CFI Medicaid Doc training handout He-E 801          311kPDF
01/19/2019CFI Medicaid Documentation Training slides          5027kPDF
11/27/2018INPATIENT HOSPITAL KePRO DENIAL PROCEDURES          76kPDF

                                                                                     

Provider Relief

                                                                                     

Publication Date File File Size File Type 
09/29/2021Provider Relief & American Rescue Plan (ARP) Funding: Available Resources          387kPDF
10/27/2020Provider Relief Fund - Expanded & Updated          146kPDF
08/27/2020Provider Relief Fund: Medicaid & CHIP Provider Distribution - Extended          68kPDF
08/13/2020Provider Relief Fund-Medicaid          80kPDF
08/03/2020Provider Relief Fund -Medicaid-CHIP Provider Distribution          68kPDF
07/24/2020Provider Relief Fund Application Process Webcast Opportunity          197kPDF
07/21/2020Provider Relief Fund - Deadline Extended          315kPDF
07/14/2020Provider Relief Fund - Medicaid and CHIP Provider Distribution          297kPDF

                                                                                     

SUD

                                                                                     

Publication Date File File Size File Type 
07/05/2022Provider Bulletin - Rendering Provider Enrollment for SUD          129kPDF
03/03/2022Code Change - SUD Recovery Support and Group SUD Recovery Support          346kPDF
06/24/2021UPDATE from 04/26/2021 - SUD Residential Treatment Billing Requirements          637kPDF
04/26/2021SUD Residential Treatment Billing Requirements          637kPDF

                                                                                     

Telehealth

                                                                                     

Publication Date File File Size File Type 
03/25/2022New Modifiers and Telehealth POS          299kPDF
04/21/2020Tele Health Annual Visits          195kPDF
04/21/2020Provider Bulletin - Telehealth Billing Clarification for Annual and Well Child Visits          348kPDF
04/08/2020Provider Bulletin - FQHC/RHC Telehealth Billing          393kPDF
04/03/2020Updated Tele Health FFS          195kPDF
04/01/2020Provider Bulletin - Telehealth Informational Bulletin          572kPDF
03/27/2020Provider Bulletin - Update on Telehealth under State of Emergency           499kPDF
03/27/2020Update Tele Health During Emergency          227kPDF
03/23/2020Provider Bulletin - Telehealth for Dental Practices Under State of Emergency          328kPDF
03/18/2020Fact Sheet - Telehealth During COVID-19 State of Emergency          2641kPDF
03/18/2020Governor’s Emergency Order #8 on Telehealth Services          142kPDF

                                                                                     

Archived Messages and Announcements

                                                                                     

Publication Date File File Size File Type 
08/21/2019Provider Bulletin - Enrollment of Ordering, Referring, or Prescribing Providers          400kPDF
08/20/2019Open Enrollment Ends          86kPDF
07/01/2019Provider Bulletin - Incontinence Products:Elimination of Modifiers and Revised Service Authorization Requirements          425kPDF
04/01/2019Provider Bulletin - Applied Behavioral Analysis (ABA) Rate Change          312kPDF
11/01/2018Provider Bulletin - Billing Requirements for SUD IMD Waiver Providers          366kPDF
07/01/2018Provider Bulletin - Medicaid Enrolled Air Ambulance Providers - CLAIM INFORMATION REQUIRED          91kPDF
07/01/2018Provider Bulletin - Modifier 59 Guidelines          107kPDF
06/28/2018Provider Bulletin - Rendering Providers Must be Enrolled          26kPDF
12/01/2017FQHC Billing of SUD Services          380kPDF
11/22/2017Provider Bulletin - NURSING FACILITY REIMBURSEMENT UPDATE          274kPDF
11/02/2016Provider Bulletin - Use of the GY Modifier for Claim Payment Without Medicare Denial          236kPDF
10/28/2016Provider Bulletin - BILLING CLARIFICATION - SBIRT - SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT          255kPDF
09/12/2016Provider Bulletin - Provider Requirements - Regarding the False Claims Act          227kPDF
08/25/2016Provider Bulletin - Billing Clarification—Immunization Administration          251kPDF
07/29/2016Provider Bulletin - New Home Health Face-to-Face Encounter Rule for Standard Medicaid Population          114kPDF
09/25/2015Important Notice for NH Medicaid Enrolled Providers          192kPDF
06/04/2015Provider Login change Notice          439kPDF
03/08/2015Revised Vaccine and Immunization Administration Billing Guidelines          82kDOC
03/08/2015Interpreter Provider Billing Guidelines          100kPDF
10/21/2014CMS 1500 Transition          174kPDF
03/01/2014Provider Notice Immunization Billing Guidelines          174kPDF
03/01/2014Provider Bulletin - New Service Authorization Requirements and Related Form for Scheduled and Routine Ambulance Transportation          174kPDF
09/01/2013Provider Bulletin - Change of Ownership          39kPDF
07/29/2013Notice Retroactive ED Claim Submissions          39kPDF
07/12/2013Notice Change in ED Policy Provider Notice          31kPDF
07/12/2013Notice Change in ED Policy Recipient Notice          70kPDF