Are you or a loved one facing the challenges of substance misuse or addiction? If you have New Hampshire Medicaid, there’s good news! The Plymouth House now accepts New Hampshire Medicaid through various health plans, including NH Healthy Families/Ambetter, AmeriHealth Caritas NH, and WellSense.
At The Plymouth House, a Guardian Recovery facility, we offer a comprehensive continuum of care designed to support you on your journey to recovery. Our services include detox, residential treatment, a partial hospitalization program with onsite housing, and aftercare. We’re here to help you every step of the way.
If you’re ready to take the next step or want to learn more, reach out now for a free and confidential discussion and an initial assessment. To learn more about rehab benefits for NH Medicaid recipients, read on.
Is Substance Use Disorder Treatment Covered By NH Medicaid?
Yes, substance use disorder (SUD) treatment is covered under NH Medicaid.1 The specific type of SUD treatment you will require may vary, as treatment looks different for everyone and should be personalized based on a person’s unique circumstances.2 NH Medicaid rehab can therefore involve various levels of care, and your unique treatment plan and recommendations can also vary depending on your specific needs.2
SUD Rehabilitation Services & Benefits Covered Under NH Medicaid
New Hampshire Medicaid SUD treatment covers a variety of services, and people can typically benefit from a complete continuum of care.1 This means that provided they meet eligibility requirements a person should typically receive coverage for all or part of the entire addiction treatment process. This is guided by a person’s specific treatment plan and may include different levels of care. The following services and benefits are typically covered under NH Medicaid.1
Assessments
Assessments are typically the first step in the treatment process, involving a thorough evaluation to determine a person’s unique needs.3 At The Plymouth House, our team of SUD professionals will examine all of your medical, psychological, social, vocational, and legal concerns and take into account factors such as your age, gender, ethnicity, and culture, when determining the appropriate treatment plan and placement for you.2
Outpatient Services
Outpatient services, such as The Plymouth House’s partial hospitalization program (PHP), are covered under NH Medicaid.1 Our highly structured and supportive PHP is designed to bridge the gap between inpatient or residential care and standard outpatient services. It’s also available to people who are in need of more intensive services, including those with co-occurring mental health conditions.
Residential Treatment
Residential/inpatient programs are covered by NH Medicaid.1 The Plymouth House’s residential program involves living onsite at our holistic treatment center, which provides 24/7 support, care, and monitoring, while allowing you to fully focus on your recovery without outside distractions or exposure to triggers.
Opioid Treatment Programs
Opioid treatment programs (OTPs) are also covered by NH Medicaid.1 These programs are designed to treat people struggling with oxycodone (OxyContin), hydrocodone, morphine, codeine, fentanyl, heroin, hydromorphone (Dilaudid), oxymorphone (Opana), and more.4 Our medication-assisted approach to treating opioid use disorder involves a combination of medications, such as buprenorphine or Suboxone, and counselling and behavioral therapies, to provide a comprehensive plan designed to help people start and stay on the path to recovery.3
Recovery Support Services
Recovery can take time and ongoing effort that continues even after a person completes a formal treatment program, which is why it’s important to engage in some form of aftercare.2 NH Medicaid provides coverage for recovery support services, which may involve recovery housing, recovery support communities, and/or family supports.1, 5
Recovery Monitoring
Recovery monitoring should also be provided as a part of a comprehensive aftercare program. It can involve a variety of interventions and supports, such as regular recovery check-ins, ongoing individual or group counseling, or participation in 12-Step support groups. Recovery monitoring can take place in a variety of settings, such as our New Hampshire Medicaid rehab program, or by continuing the recovery journey with a licensed counselor, therapist, or peer recovery program.6
Does NH Medicaid Cover Drug & Alcohol Detox Services?
Fortunately, New Hampshire Medicaid detox is a part of comprehensive SUD services that are typically covered under NH Medicaid.1, 3 Withdrawal management involves a set of interventions that are designed to help people stay as safe and comfortable as possible as they undergo detox and become medically stable.7 People who are covered under NH Medicaid include those who require medication, have a recent history of withdrawal management at a less intensive level of care, and have been unable to complete withdrawal management and enter into continuing addiction treatment.3, 4
NH Medicaid & Mental Health Disorder Treatment Coverage
NH Medicaid also covers co-occurring mental health disorder treatment.2 A co-occurring disorder means that a person has an addiction and a mental health disorder, such as depression or anxiety, at the same time. Integrated treatment, such as that which is offered at The Plymouth House’s NH Medicaid rehab, is designed to treat both conditions and is advisable to achieve optimal outcomes.2
Do All New Hampshire Addiction Treatment Programs Accept Medicaid?
Not all NH addiction treatment programs accept Medicaid. According to the Substance Abuse and Mental Health Services Administration, 45 out of 59 NH SUD treatment providers accept Medicaid. The Plymouth House is pleased to accept New Hampshire Medicaid via the following health plans: NH Healthy Families/Ambetter, AmeriHealth Caritas NH, and WellSense.
Our In-Network New Hampshire Managed Medicaid Providers
The State of New Hampshire runs the NH Medicaid system, but all healthcare plans for Medicaid recipients are run by 3 health insurance providers, including:
- NH Healthy Families/Ambetter.
- AmeriHealth Caritas NH.
- WellSense.
As previously mentioned, The Plymouth House proudly accepts New Hampshire Medicaid through the above-mentioned health plans.
NH Healthy Families / Ambetter
NH Healthy Families/Ambetter is designed to provide members with access to a comprehensive range of health services, including preventive care, primary care, specialty services, and behavioral health services. This plan offers health care coverage for the NH Medicaid and Granite Advantage Health Care Program (Granite Advantage). Behavioral health services, including mental health and SUD treatment, are covered under this program.
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas New Hampshire focuses on delivering healthcare solutions to vulnerable populations, including those enrolled in Medicaid. This plan offers comprehensive mental and behavioral health care and substance use disorder benefits to Medicaid participants who are enrolled with this plan.
WellSense Health Plan
WellSense Health Plan is a managed care organization that provides health insurance services primarily focused on Medicaid and Medicare populations. It offers enrollees access to behavioral and mental health services, including SUD treatment, as well as telehealth behavioral services where people can talk to a psychiatrist or counselor online via an app.
Verifying Your NH Medicaid Coverage for Treatment
You can verify your NH Medicaid coverage for SUD treatment in a variety of ways.
- Contact the NH Department of Health and Human Services (DHHS) Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET.
- Call us at The Plymouth House at 1-888-481-3944, or you can fill out our simple online form on our website, where you’ll just need to input your insurance carrier and policy ID.
Frequently Asked Questions
Does Medicaid Cover Mental Health Treatment in NH?
Yes, Medicaid covers certain types of mental health treatment in NH as well as co-occurring mental health conditions such as depression and anxiety.1, 3 Specifics can vary by plan, so it’s advisable to check your exact benefits with your plan administrator, or call us at 1-888-481-3944 to quickly verify your coverage.
Does NH Medicaid Pay for a Rehab Facility?
Yes, NH Medicaid typically pays for a rehab facility, providing you meet eligibility requirements. According to the NH Department of Health and Human Services, Medicaid recipients are eligible for coverage for the following services:1
- Assessment.
- Outpatient services.
- Residential treatment.
- Opioid treatment programs
- Recovery support services.
- Recovery monitoring.
Does NH Medicaid Cover Inpatient Stay?
Yes, NH Medicaid typically covers an inpatient stay, thanks to the Affordable Care Act, which states that SUD treatment, including inpatient care, is an essential benefit.8 Additionally, healthcare plans, including Medicaid, must provide the same level of care for mental health and SUD treatment as they do for other types of medical conditions.1, 9 However, there may be specific eligibility requirements, so you should verify your coverage with your carrier.
What is the Difference Between NH Medicaid & Medicare?
NH Medicaid and Medicare are different plans.10 Medicare is the federal health insurance plan for anyone age 65 and older, and certain people under 65 with eligible disabilities or conditions.10 On the other hand, Medicaid is a joint federal and state program that gives health coverage to some people with limited income and resources.10
Who Is Eligible for Medicaid in New Hampshire?
If you’re interested in determining your eligibility for Medicaid in NH, you can visit the NH EASY website, which offers a fast and secure way to view and manage your benefits online. The NH DHHS uses various criteria, such as income, resources (based on eligibility group), and non-financial criteria, such as NH residency, to determine a person’s eligibility for Medicaid.11
Sources
- New Hampshire Department of Health and Human Services. (n.d.). Substance Use Disorder (SUD) Benefit for Medicaid Recipients.
- National Institute on Drug Abuse. (2014). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).
- New Hampshire Department of Health and Human Services. (n.d.). SUD Services.
- New Hampshire Department of Health and Human Services. (n.d.). Substance Misuse Treatment Services.
- New Hampshire Department of Health and Human Services. (n.d.). Recovery Support Services.
- New Hampshire Department of Health and Human Services. (2017.). Fact Sheet: SUD Services.
- Center for Substance Abuse Treatment. Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment; 2015.
- Centers for Medicare and Medicaid Services. (2024). The Mental Health Parity and Addiction Equity Act (MHPAEA).
- Office of the Assistant Secretary for Planning and Evaluation. (2013). Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans.
- U.S. Department of Health & Human Services. (n.d.). Category: Medicare and Medicaid.
- New Hampshire Department of Health and Human Services. (n.d.). NH Medicaid (Medical Assistance) Eligibility.
