Quality Assurance

Quality Improvement

Producing Information

Recently Published

Interest on Late Paid Dental Claims
Resolution of Provider Appeals within 30 Calendar Days
Dental Member Communications: Calls Abandoned
Timely Processing of All Clean Dental Claims: Thirty Days of Receipt
Polypharmacy Monitoring: Children with 4 or More Prescriptions for 60 Consecutive Days

Highlights

Care Management Quality Strategy

The NH Medicaid quality strategy is the foundational managed care tool that articulates managed care priorities, including goals and objectives for quality improvement. Goals and objectives are formulated in the quality strategy to assure operations of the NH Medicaid managed care quality program as well as to articulate quality improvement opportunities in those areas where performance can …....

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Member Enrollment Guide to the Quality of NH Medicaid Plans

Choosing the managed care plan that works best for you and your family is important. One thing to think about before you decide is how well the different plans perform. This brief report shows how Medicaid managed care plans compare using a few of the quality measures collected by the Department of Health and Human Services.

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