Standard Reports

The Medicaid Care Management Quality Updates

The Medicaid Care Management (MCM) quality updates is a MCM program outcomes focused series of presentations. These meetings are facilitated by the Office of Quality Assurance and Improvement (QAI), with various guest presenters including Managed Care Organizations or the External Quality Review Organization to review reports and answer questions. Current schedule is available in the Standard Reports section of this website.

Medicaid Care Management Qualitative Studies

The Department of Health and Human Services (DHHS) conducts semi-annual qualitative studies that evaluate Medicaid members's experience with the Care Management Program. While the Department is pleased to conduct and release the study of these qualitative results, it is recommended to be viewed as a single point in evaluating the full membership's experience.

Care Management Quality Strategy

The New Hampshire 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 improve.

Medicaid Care Management Exhibit O Quality Deliverables

DHHS utilizes Excel workbooks to manage the current list of quality deliverables required for both the medical and dental services provided by contracted managed care and dental organizations.  We refer to these documents as Exhibit O Defacto versions.  See links below:

New Hampshire Annual Meeting

On September 29, 2021 a group of stakeholders that include Department of Health and Human Services, Managed Care Organizations, New Hampshire Hospitals, and other providers met to discuss how to improve the rate of follow-up appointments after a patient sought treatment for substance use at the emergency department.  The object of the meeting was to (1) reach consensus concerning barriers to follow-up appointments that affect the NH Medicaid rate and (2) brainstorm potential DHHS and MCO support to address barriers that impact the NH