NH Healthy Families is the healthcare provider for the NH Medicaid and Granite Advantage Health Care Program (Granite Advantage). The Department of Health and Human Services (DHHS) determines eligibility for this program. NH Healthy Families helps families handle their health care needs in addition to paying providers for the services they deliver to members.1

This plan covers essential benefits, such as mental health and substance use treatment as well as additional services like pharmacy and value added services, to address the specific health and wellness needs of their members.2, 3 If you or a loved one are struggling, you can benefit from learning more about The Plymouth House. Our New Hampshire rehab center offers a host of treatment options and accepts NH Medicaid through the NH Healthy Families Medicaid plan.

Does NH Healthy Families Medicaid Cover Substance Use Disorder Treatment in New Hampshire?

Yes, NH Healthy Families Medicaid covers substance use disorder and behavioral health treatment in New Hampshire.4 The Plymouth House is proud to announce that we now accept New Hampshire Medicaid through NH Healthy Families/Ambetter, as well as AmeriHealth Caritas NH and WellSense.

SUD Treatment Coverage Through Ambetter Health Insurance Plan

Ambetter is the Marketplace healthcare plan run by NH Healthy Families, so it is an affordable healthcare plan that is offered to individuals and families.5  Ambetter covers the 10 essential benefits outlined under the Affordable Care Act (ACA), which includes mental health and substance use disorder treatment, such as psychotherapy, counselling, mental health care, and inpatient rehab.3

SUD Benefits & Behavioral Services Covered Under New Hampshire Medicaid Programs

NH Healthy Families Medicaid offers coverage for a range of addiction treatment services, including NH Healthy Families detox, inpatient, and outpatient care.4, 6 Members who qualify typically have access to a comprehensive continuum of care. This often means that those who are enrolled in NH Healthy Families can expect coverage throughout the entire addiction treatment journey.

Your journey will begin with the proper treatment placement for you, which is tailored to your individual needs after a thorough assessment conducted by a team of addiction treatment professionals.7

Treatment can look different for everyone, as it is influenced by each person’s specific treatment plan. Recovery may begin with NH detox, followed by either inpatient addiction treatment or outpatient care, or a combination of both. People may enter a certain level of care to start, and then transition through different levels as their needs evolve and they progress through the treatment process.7

Assessments

Everyone who enters drug or alcohol rehab first undergoes a comprehensive assessment process. This entails several components, where you will meet with various addiction treatment professionals to discuss your concerns and receive a thorough evaluation to examine your specific needs, which will help guide your treatment plan. You may be asked to provide detailed information in a variety of areas, such as the type of substance used and how often you used it, whether you’ve had previous treatment experiences, your mental and physical health, and your current living situation.8

Outpatient Services

Outpatient drug rehab means that you’ll continue to live at home, but you will need reliable transportation in order to attend treatment, which is provided on a predetermined schedule. It can be a beneficial option for many people, as it often offers flexible scheduling, such as weekends or evenings, which can allow people to continue to work, care for families, or attend to other responsibilities.8

Rehab at an outpatient addiction treatment center can take place on different levels of care, ranging from very intensive and supportive partial hospitalization programs (PHPs) that require treatment attendance most days of the week, to standard outpatient care that may only mean treatment 1-3 times per week.8

Residential Treatment

Residential treatment means that you’ll live on site for the duration of your treatment program. For those struggling with addiction or co-occurring mental health conditions, inpatient rehab can be helpful, as it removes a person from their immediate surroundings and triggers to resume substance use.8 People therefore have the opportunity to fully focus on their recovery.

The Plymouth House’s residential treatment program is the first phase of our comprehensive treatment program. It provides a full daily schedule to help you get started and stay on the path to recovery, and includes group therapy, educational workshops, recreational activities, guided meditation and yoga, 12-Step work, individual therapy, and fitness programming.

Opioid Treatment Programs

Opioid treatment programs (OTPs) are designed to help people recover from opioid misuse and addiction. Treatment can involve a combination of medications for opioid addiction, behavioral therapies, and counseling to help people develop the skills they’ll need to avoid substance misuse and prevent relapse.7

If you or a loved one are struggling with oxycodone (OxyContin), hydrocodone, morphine, codeine, fentanyl, heroin, hydromorphone (Dilaudid), oxymorphone (Opana), or other opioids, the Plymouth House can help. Our NH Healthy Families rehab has helped hundreds of people of all ages recover from opioid addiction. The Plymouth House program is based on a powerful combination of intensive 12-step work and behavioral therapy that can help people achieve and maintain abstinence from opioids and continue to lead healthy, fulfilling lives.

Recovery Support Services

Recovery support services aim to help people transition back into their daily lives after treatment, and it can involve a range of interventions like recovery housing, family support, and peer recovery services.9

Recovery Monitoring

Recovery monitoring is an important component of a comprehensive aftercare plan, which provides an extra level of assistance to help people sustain their sobriety and recovery after finishing a formal treatment program.10 Depending on your specific needs and preferences, this support may include a variety of options, such as joining 12-step support groups, or engaging in ongoing individual, family, or group therapy. While receiving treatment at The Plymouth House, you will have the chance to get acquainted with and take part in 12-step groups as part of your comprehensive care.

Does NH Healthy Families Medicaid Cover Mental Health Disorder Treatment?

Yes, NH Healthy Families Medicaid covers mental health, behavioral health, and substance use disorder treatment.4, 6 This means that if you have NH Healthy Families Medicaid, you should be covered for the following services:6

• Assessment.
• Outpatient services.
• Residential treatment.
• Opioid treatment programs.
• Recovery support services.
• Recovery monitoring.

The Plymouth House Is In-Network With NH Healthy Families Medicaid Provider

Using insurance to pay for addiction treatment can seem daunting, but we are here to help you every step of the way. The Plymouth House is pleased to announce that we now accepted New Hampshire Medicaid through NH Healthy Families/Ambetter, as well as AmeriHealth Caritas NH and WellSense.

SUD Treatment Levels of Care Covered By NH Healthy Families

The American Society of Addiction Medicine provides most commonly used and comprehensive set of guidelines for the placement, continued service, and transfer of those with addiction and co-occurring conditions.11 These levels of care are covered by NH Healthy Families and include:6

• Medical detox at a NH drug detox program or alcohol detox in NH.
• Inpatient rehab.
• Outpatient treatment.
• Partial hospitalization programs.
• Intensive outpatient programs.

Verifying Your Medicaid Substance Use Disorder Treatment Benefits

When considering a NH drug rehab, it’s wise to verify your specific coverage before starting treatment. You can verify your coverage for addiction treatment by contacting NH Healthy Families at 1-866-769-3085 to discuss your benefits. Alternatively, you can quickly verify your Medicaid substance use disorder treatment benefits by calling us at 1-888-665-9607, 24 hours a day, or fill out our easy online form to instantly check your coverage.

Frequently Asked Questions