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New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year October 12, 2016

New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

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Page 1: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

New Hampshire Insurance

Department

Network Adequacy

Public Information Release

Marketplace Issuer Networks for the

2017 Plan Year

October 12, 2016

Page 2: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Agenda (Contents)

10/18/2016 Page 2

2017 Marketplace Network Information Slide

New Hampshire Marketplace Preview 3-9

Health Insurance Carrier Network Profiles

Ambetter from NH Healthy Families, offered by Celtic Insurance 11

Anthem Blue Cross Blue Shield of New Hampshire 12

Harvard Pilgrim Health Care of New England 13-14

Minuteman Health 15

Appendix: Hospital, ECP, & SUD Listing 16

Page 3: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Key Dates: 2017 Marketplace Plan Review

10/18/2016 Page 3

Page 4: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Preview of Marketplace Issuer Networks

10/18/2016 Page 4

All information provided in this presentation has been generated from insurance carrier applications

and is current as of October 12, 2016.

This information does not represent final networks as they will appear on the Health Insurance

Marketplace in 2017. Carriers continually negotiate contract terms with providers, and State review

of these networks may result in changes to provider contracts or geographic coverage of health

plans.

Hospital listings reflect only those hospitals located in NH. Essential Community Providers (ECPs)

are medical care providers who serve predominantly low-income, or medically underserved patient

populations as classified by CMS under 45 CFR 156.235 of the Federal Register.

Page 5: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

New Hampshire Insurance Marketplace Profile

10/18/2016 Page 5

Medical Profile 2014 2015 2016 2017

Number of

Carriers

Number of

Plans

Hospital

Inclusion

1 • Anthem

Blue Cross

Blue Shield

of New

Hampshire

• Anthem Blue

Cross Blue Shield

of New

Hampshire

• Assurant Health

• Community

Health Options

(MCHO)

• Harvard Pilgrim

Health Care of

New England

• Minuteman Health

5 5 • Ambetter from NH

Healthy Families,

offered by Celtic

Insurance

• Anthem Blue

Cross Blue Shield

of New Hampshire

• Community Health

Options (MCHO)

• Harvard Pilgrim

Health Care of

New England

• Minuteman Health

14

• 11 Individual

• 3 Small Group

60

• 42 Individual

• 18 Small Group

62

• 32 Individual

• 30 Small Group

49

• 32 Individual

• 17 Small Group

26 • Acute care

hospitals in

QHP networks

26 • Acute care

hospitals in

QHP networks

26 • Acute care

hospitals in

QHP networks

16 • Acute care

hospitals in

QHP networks

• Ambetter from NH

Healthy Families,

offered by Celtic

Insurance

• Anthem Blue

Cross Blue Shield

of New Hampshire

• Harvard Pilgrim

Health Care of

New England

• Minuteman Health

4

Page 6: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

New Hampshire Insurance Marketplace Profile

10/18/2016 Page 6

Dental Profile 2014 2015 2016 2017

Number of

Carriers

Number of

Plans

3

• Anthem

• Delta

Dental

• Guardian

Life

Insurance

Company

• Anthem

• Delta Dental

• Guardian Life

Insurance

Company

3 4

• Anthem

• Delta Dental

• Guardian Life

Insurance

Company

• Dentegra

Insurance

Company

22

• 8 Individual

• 14 Small Group

13

• 7 Individual

• 6 Small Group

15

• 8 Individual

• 7 Small Group

11

• 7 Individual

• 4 Small Group

2

• Anthem

• Delta Dental

Page 7: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

2017 Network Profile – Hospital Coverage

10/18/2016 Page 7

Location of Hospitals in New Hampshire New Hampshire Hospitals

Page 8: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

2017 Network Profile – Hospital Coverage

10/18/2016 Page 8

Network Contracts per Hospital Each hospital appears in at least 1 issuer network in

2017, with several plans offering coverage at each facility

Page 9: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

10/18/2016 Page 9

The New Hampshire Insurance Department, in a new initiative for 2017,

provided a list of providers in seven SUD treatment categories requesting that

carriers indicate which providers were included in their proposed network(s).

The seven SUD treatment categories provided were:

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Medication Assisted Treatment (MAT) – Buprenorphine (Suboxone)

MAT – Methadone

MAT – Naltrexone (Vivitrol)

MAT – Other Medication

2017 Network Profile – SUD Treatment

Page 10: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

10/18/2016 Page 10

The template provided by the Department included108 SUD treatment

providers throughout the state of New Hampshire. The data set can be

found in the Appendix, starting on slide 16.

The 108 providers listed were generated from a Department created data

set aimed at gathering a snapshot of network coverage by SUD treatment

category.

This may not reflect the full breadth of each carrier’s SUD coverage by

treatment category. For additional information on the providers included in

an issuers’ network please consult the carrier’s provider directory.

2017 Network Profile – SUD Treatment

Page 11: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Ambetter from NH Healthy Families, offered by

Celtic Insurance – Granite State Health Plan

10/18/2016 Page 11

Hospitals SUD Treatment Service Area

Count: 23 Count: 51 Count: 10

Page 12: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 12

Hospitals SUD Treatment Service Area

Count: 20 Count: 94 Count: 10

Page 13: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Harvard Pilgrim Health Care of New England – New

Hampshire Network & Full HMO

10/18/2016 Page 13

Hospitals SUD Treatment Service Area

Count: 26 Count: 64 Count: 10

Page 14: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Harvard Pilgrim Health Care of New England – Elevate

Health

10/18/2016 Page 14

Hospitals SUD Treatment Service Area

Count: 16 Count: 64 Count: 9

Page 15: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Minuteman Health – MHI Network

10/18/2016 Page 15

Hospitals SUD Treatment Service Area

Count: 14 Count: 66 Count: 10

Page 16: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Appendix – Detailed Hospital & ECP Listings

The Insurance Department provides additional information relating to

the Marketplace on its website under Federal Health Reform:

http://www.nh.gov/insurance/consumers/fedhealthref.htm

10/18/2016 Page 16

Page 17: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

SUD Treatment Facilities

10/18/2016 Page 17

County Provider Type SUD Facility

Belknap Intensive Outpatient Program

Genesis Behavioral Health (771 North Main Street)

Genesis Behavioral Health (85 Spring Street)

Genesis Behavioral Health Center (111 Church Street)

Horizons Counseling Center

Nathan Brody Program at Horizons Counseling Center

Carroll

Intensive Outpatient Program

ROAD to a Better Life – North Conway

Sinfonia Family Services of New Hampshire

Tri-County CAP – North Conway

Tri-County CAP – Tamworth

White Horse Addiction Center/R.L. Cogswell & Associates

MAT - Buprenorphine

Peter Stone, MA, CAS, MLADC

ROAD to a Better Life – North Conway

ROAD to a Better Life – Wolfeboro

MAT - Naltrexone ROAD to a Better Life – North Conway

ROAD to a Better Life – Wolfeboro

MAT - Other Medication

Peter Stone, MA, CAS, MLADC

ROAD to a Better Life – North Conway

ROAD to a Better Life – Wolfeboro

Residential Services Green Mountain Treatment Center

Cheshire

Intensive Outpatient Program Peter Loiacono MLADC

Phoenix House - Keene Center

MAT - Buprenorphine David Schopick, MD

Phoenix House - Keene Center

Partial Hospitalization Phoenix House - Keene Center

Residential Services Phoenix House - Dublin Center

Coos Intensive Outpatient Program

Tri-County CAP – Colebrook

Tri-County CAP – Berlin

MAT – Buprenorphine Carol Ribner MD

Page 18: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

SUD Treatment Facilities

10/18/2016 Page 18

County Provider Type SUD Facility

Grafton

Intensive Outpatient Program

Genesis Behavioral Health

Tri-County CAP – Woodsville

Tri-County CAP/Friendship House - Bethlehem

MAT - Buprenorphine

Dartmouth Hitchcock Medical Center Addiction Treatment Program

Dartmouth Medical Center

ROAD to a Better Life – Plymouth

ROAD to a Better Life – Lebanon

ROAD to a Better Life – Littleton

MAT - Methadone ROAD to a Better Life – Lebanon

MAT – Naltrexone ROAD to a Better Life – Plymouth

ROAD to a Better Life – Lebanon

MAT - Other Medication

Dartmouth Hitchcock Medical Center Addiction Treatment Program

ROAD to a Better Life – Plymouth

ROAD to a Better Life – Lebanon

ROAD to a Better Life – Littleton

Residential Services Tri-County Community Action Programs, Inc./Friendship House

Hillsborough

Intensive Outpatient Program

Another Way

Child and Family Services

Easter Seals Farnum Center

Greater Nashua Mental Health Center

Serenity Place

SKY Counseling Services, LLC

The Process Recovery Center

The Youth Council

MAT – Buprenorphine

Easter Seals Farnum Center

Greater Nashua Mental Health Center

ROAD to a Better Life – Merrimack

The Counseling Center of Nashua – Nashua

The Counseling Center of Nashua – Manchester

Page 19: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

SUD Treatment Facilities

10/18/2016 Page 19

County Provider Type SUD Facility

Hillsborough

MAT - Naltrexone ROAD to a Better Life – Merrimack

The Process Recovery Center

MAT - Other Medication

Greater Nashua Mental Health Center

Health Care for the Homeless Program of Manchester/Families in

Transition

Health Care for the Homeless Program of Manchester/New

Horizons Shelter

ROAD to a Better Life – Merrimack

The Process Recovery Center

Partial Hospitalization

Easter Seals Farnum Center

The Cypress Center

The Process Recovery Center

Residential Services

Another Way

Easter Seals Farnum Center

Greater Nashua Council on Alcoholism/Keystone Hall

Serenity Place

Merrimack

Intensive Outpatient Program

Child and Family Services

Chrysalis Recovery Center, LLC – Franklin

Chrysalis Recovery Center, LLC – Concord

Concord Hospital, Substance Use Services

Phoenix House of NH at Cornerstone

Riverbend Community Mental Health Center

ROAD to a Better Life – Concord

SKY Counseling Services, LLC

MAT - Buprenorphine ROAD to a Better Life – Concord

MAT - Naltrexone ROAD to a Better Life – Concord

MAT - Other Medication ROAD to a Better Life – Concord

Residential Services New Freedom Academy

Phoenix House of NH at Cornerstone

Page 20: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

SUD Treatment Facilities

10/18/2016 Page 20

County Provider Type SUD Facility

Rockingham

Intensive Outpatient Program

Addiction Recovery Services

Chemical Dependency Consultants

Chrysalis Recovery Center, LLC

George M. Nowak, MD

Hampstead Hospital

ROAD to a Better Life – Newington

Seacoast Youth Services

SKY Counseling Services, LLC

MAT – Buprenorphine

Addiction Recovery Services

American Pain Institute, LLC

George M. Nowak, MD

Herb Meyer Family Practice

ROAD to a Better Life – Newington

The Counseling Center of Nashua

MAT - Naltrexone ROAD to a Better Life – Newington

MAT - Other Medication George M. Nowak, MD

ROAD to a Better Life – Newington

Partial Hospitalization Hampstead Hospital

Residential Services Hampstead Hospital

Strafford

Intensive Outpatient Program Meredith Hamel, LADC, ICADC

ROAD to a Better Life – Somersworth

MAT - Buprenorphine ROAD to a Better Life – Somersworth

MAT - Naltrexone ROAD to a Better Life – Somersworth

MAT - Other Medication ROAD to a Better Life – Somersworth

Page 21: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Ambetter from NH Healthy Families, offered by

Celtic Insurance – Granite State Health Plan

10/18/2016 Page 21

County Name Hospital Name

Belknap Lakes Region General Hospital

Huggins Hospital

Memorial Hospital

Cheshire Cheshire Medical Center

Androscoggin Valley Hospital

Upper Connecticut Valley Hospital

Weeks Medical Center

Cottage Hospital

Littleton Regional Healthcare

Mary Hitchcock Memorial Hospital

Speare Memorial Hospital

Catholic Medical Center

Elliot Hospital

Monadnock Community Hospital

Southern NH Medical Center

St. Joseph Hospital

Concord Hospital

Franklin Regional Hospital

New London Hospital

Rockingham Exeter Hospital

Frisbie Memorial Hospital

Wentworth-Douglass Hospital

Sullivan Valley Regional Hospital

Strafford

Carroll

Coos

Grafton

Hillsborough

Merrimack

Hospitals

Count: 23

Page 22: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Ambetter from NH Healthy Families, offered by

Celtic Insurance – Granite State Health Plan

10/18/2016 Page 22

County ECP Name County ECP Name Belknap CAP Belknap Merrimack Co. Grafton Cottage Hospital

Belknap Healthfirst Family Care Center, Inc. Hillsborough Concord Hospital

Belknap Lakes Region General Hospital Hillsborough MCHC –Child Health Services

Carroll New Hampshire Department of Health & Human Services, FP Program Hillsborough Manchester Community Health Center

Carroll Saco River Medical Group Hillsborough MCHC – Greater Manchester Mental Health

Carroll CAP Belknap Merrimack Co. Hillsborough Catholic Medical Center – 177 Lake Ave

Carroll Huggins Hospital Hillsborough MCHC – Tarrytown

Cheshire Cheshire Medical Center Hillsborough Catholic Medical Center – 199 Manchester St

Coos New Hampshire Department of Health & Human Services, FP Program Hillsborough MCHC West Side Neighborhood Health Center

Coos Androscoggin Valley Hospital Hillsborough Lamprey Health Care, Inc.

Coos Indian Stream Health Center, Inc. Hillsborough Harbor Homes, Inc.

Coos Weeks Medical Center – Groveton Hillsborough Monadnock Community Hospital

Coos Weeks Medical Center – Lancaster (170 Middle Street) Hillsborough Antrim Medical Group

Coos Weeks Medical Center – Lancaster (173 Middle Street) Merrimack Concord Hospital

Coos Weeks Medical Center – North Stratford Merrimack Franklin Regional Hospital

Coos Ammonoosuc Community Health Services Inc – Whitefield (14 King Sq) Merrimack Healthfirst Family Care Center, Inc.

Coos Weeks Medical Center – Whitefield (24 Lancaster Road) Merrimack New London Hospital

Coos Ammonoosuc Community Health Services – Whitefield (30 King Sq) Rockingham Families First / St. Vincent de Paul

Coos Weeks Medical Center – Whitefield (8 Clover Lane) Rockingham Lamprey Health Care, Inc. - Newmarket

Grafton Newfound Family Practice Rockingham Families First Health and Support Center

Grafton Ammonoosuc Community Health Services Inc – Franconia Rockingham Families First – Cross Roads House

Grafton Mary Hitchcock Memorial Hospital Rockingham Lamprey Health Care, Inc. - Raymond

Grafton Ammonoosuc Community Health Services Inc – Littleton Strafford Goodwin Community Health – Woodman Park ES

Grafton Littleton Regional Healthcare Strafford Goodwin Community Health – Horne Street ES

Grafton Speare Primary Care Strafford Goodwin Community Health – Somersworth

Grafton Speare Memorial Hospital Sullivan Springfield Medical Care Systems, Inc.

Grafton Dartmouth-Hitchcock Clinic Sullivan Valley Regional Hospital

Grafton Ammonoosuc Community Health Services – Warren Sullivan Newport Health Center

Grafton Ammonoosuc Community Health Services Inc – Woodsville

Page 23: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Ambetter from NH Healthy Families, offered by

Celtic Insurance – Granite State Health Plan

10/18/2016 Page 23

County SUD Facility Provider Type Belknap Genesis Behavioral Health – Laconia (771 North Main St) Intensive Outpatient Program

Belknap Genesis Behavioral Health – Laconia (85 Spring St) Intensive Outpatient Program

Belknap Genesis Behavioral Health Center – Laconia (111 Church St) Intensive Outpatient Program

Belknap Horizons Counseling Center Intensive Outpatient Program

Belknap Nathan Brody Program at Horizons Counseling Center Intensive Outpatient Program

Carroll Tri-County CAP – Tamworth Intensive Outpatient Program

Carroll Tri-County CAP – North Conway Intensive Outpatient Program

Carroll White Horse Addiction Center/R.L. Cogswell & Associates Intensive Outpatient Program

Cheshire Phoenix House - Keene Center

Intensive Outpatient Program

MAT – Buprenorphine

Partial Hospitalization

Cheshire Phoenix House - Dublin Center Residential Services

Coos Tri-County CAP - Berlin Intensive Outpatient Program

Coos Tri-County CAP - Colebrook Intensive Outpatient Program

Grafton Genesis Behavioral Health Intensive Outpatient Program

Grafton Tri-County CAP – Woodsville Intensive Outpatient Program

Grafton Tri-County CAP./Friendship House – Bethlehem Intensive Outpatient Program

Residential Services

Grafton Dartmouth Hitchcock Medical Center Addiction Treatment Program MAT – Buprenorphine

MAT – Other Medication

Grafton Dartmouth Medical Center MAT - Buprenorphine

Hillsborough Another Way Intensive Outpatient Program

Residential Services

Hillsborough Child and Family Services Intensive Outpatient Program

Hillsborough Easter Seals Farnum Center

Intensive Outpatient Program

MAT – Buprenorphine

Partial Hospitalization

Residential Services

Hillsborough Greater Nashua Council on Alcoholism/Keystone Hall Residential Services

Page 24: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Ambetter from NH Healthy Families, offered by

Celtic Insurance – Granite State Health Plan

10/18/2016 Page 24

County SUD Facility Provider Type

Hillsborough Greater Nashua Mental Health Center

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Other Medication

Hillsborough Serenity Place Intensive Outpatient Program

Residential Services

Hillsborough SKY Counseling Services, LLC Intensive Outpatient Program

Hillsborough The Cypress Center Partial Hospitalization

Merrimack Child and Family Services Intensive Outpatient Program

Merrimack Chrysalis Recovery Center, LLC – Franklin Intensive Outpatient Program

Merrimack Chrysalis Recovery Center, LLC – Concord Intensive Outpatient Program

Merrimack Concord Hospital, Substance Use Services Intensive Outpatient Program

Merrimack Phoenix House of NH at Cornerstone Intensive Outpatient Program

Residential Services

Merrimack Riverbend Community Mental Health Center Intensive Outpatient Program

Merrimack SKY Counseling Services, LLC Intensive Outpatient Program

Rockingham Chemical Dependency Consultants Intensive Outpatient Program

Rockingham Chrysalis Recovery Center, LLC Intensive Outpatient Program

Rockingham Hampstead Hospital

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Rockingham Seacoast Youth Services Intensive Outpatient Program

Rockingham SKY Counseling Services, LLC Intensive Outpatient Program

Page 25: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 25

County Name Hospital Name

Belknap Lakes Region General Hospital

Huggins Hospital

Memorial Hospital

Cheshire Cheshire Medical Center

Androscoggin Valley Hospital

Upper Connecticut Valley Hospital

Weeks Medical Center

Alice Peck Day Memorial Hospital

Cottage Hospital

Littleton Regional Healthcare

Mary Hitchcock Memorial Hospital

Speare Memorial Hospital

Catholic Medical Center

Elliot Hospital

St. Joseph Hospital

Franklin Regional Hospital

New London Hospital

Rockingham Exeter Hospital

Strafford Wentworth-Douglass Hospital

Sullivan Valley Regional Hospital

Carroll

Coos

Grafton

Hillsborough

Merrimack

Hospitals

Count: 20

Page 26: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 26

County ECP Name County ECP Name Belknap CAP Belknap Merrimack Co. Grafton Speare Primary Care

Belknap Healthfirst Family Care Center, Inc. Grafton Speare Memorial Hospital

Belknap Lakes Region General Hospital Grafton Dartmouth-Hitchcock Clinic

Carroll New Hampshire Department of Health & Human Services, FP Program Grafton Ammonoosuc Community Health Services - Woodsville

Carroll Saco River Medical Group Grafton Cottage Hospital

Carroll Memorial Hospital, The Hillsborough Antrim Medical Group

Carroll CAP Belknap Merrimack Co. Hillsborough Concord Hospital

Carroll Huggins Hospital Hillsborough MCHC – Child Health Services

Cheshire Cheshire Medical Center Hillsborough Manchester Community Health Center

Coos Coos County Family Health Services – Pleasant Street Clinic Hillsborough Catholic Medical Center (177 Lake Ave)

Coos Androscoggin Valley Hospital Hillsborough MCHC – Tarrytown

Coos Coos County Family Health Services, Inc. – Page Hill Clinic Hillsborough Catholic Medical Center (199 Manchester St)

Coos Indian Stream Health Center, Inc. Hillsborough Planned Parenthood of Northern New England

Coos Upper Connecticut Valley Hospital Hillsborough MCHC West Side Neighborhood Health Center

Coos Coos County Family Health Services, Inc. – Gorham Clinic Hillsborough Lamprey Health Care, Inc.

Coos Weeks Medical Center – Groveton Hillsborough Harbor Homes, Inc.

Coos Weeks Medical Center – Lancaster (170 Middle St) Hillsborough Monadnock Community Hospital

Coos Weeks Medical Center – Lancaster (173 Middle St) Merrimack Concord Hospital

Coos Weeks Medical Center – North Stratford Merrimack Franklin Regional Hospital

Coos Ammonoosuc Community Health Services Inc Merrimack Healthfirst Family Care Center, Inc.

Coos Weeks Medical Center Merrimack New London Hospital

Grafton Ammonoosuc Community Health Services Inc – Littleton Rockingham Families First Health and Support Center

Grafton Mid-state Health Center Rockingham Lamprey Health Care, Inc. - Newmarket

Grafton Newfound Family Practice Rockingham Families First – Cross Roads House

Grafton Ammonoosuc Community Health Services Inc – Franconia Rockingham Lamprey Health Care, Inc. - Raymond

Grafton Mary Hitchcock Memorial Hospital Strafford Goodwin Community Health

Grafton Alice Peck Day Memorial Hospital Sullivan Springfield Medical Care Systems, Inc.

Grafton Littleton Regional Healthcare Sullivan Valley Regional Hospital

Grafton Mid-state Health Center Sullivan Newport Health Center

Page 27: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 27

County SUD Facility Provider Type Belknap Genesis Behavioral Health – Laconia (771 North Main St) Intensive Outpatient Program

Belknap Genesis Behavioral Health – Laconia (85 Spring St) Intensive Outpatient Program

Belknap Genesis Behavioral Health Center – Laconia (111 Church St) Intensive Outpatient Program

Belknap Horizons Counseling Center Intensive Outpatient Program

Carroll Green Mountain Treatment Center Residential Services

Carroll Peter Stone, MA, CAS, MLADC MAT - Buprenorphine

MAT - Other Medication

Carroll ROAD to a Better Life – North Conway

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll ROAD to a Better Life - Wolfeboro

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll Sinfonia Family Services of New Hampshire Intensive Outpatient Program

Carroll Tri-County CAP – North Conway Intensive Outpatient Program

Carroll Tri-County CAP - Tamworth Intensive Outpatient Program

Cheshire David Schopick, MD MAT - Buprenorphine

Cheshire Peter Loiacono MLADC Intensive Outpatient Program

Cheshire Phoenix House - Dublin Center Residential Services

Cheshire Phoenix House - Keene Center

Intensive Outpatient Program

MAT - Buprenorphine

Partial Hospitalization

Coos Carol Ribner MD MAT - Buprenorphine

Coos Tri-County CAP – Colebrook Intensive Outpatient Program

Coos Tri-County CAP - Berlin Intensive Outpatient Program

Grafton Dartmouth Hitchcock Medical Center Addiction Treatment Program MAT - Buprenorphine

MAT - Other Medication

Grafton Dartmouth Medical Center MAT - Buprenorphine

Grafton Genesis Behavioral Health Intensive Outpatient Program

Page 28: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 28

County SUD Facility Provider Type

Grafton ROAD to a Better Life – Plymouth

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Lebanon

MAT - Buprenorphine

MAT - Methadone

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Littleton MAT - Buprenorphine

MAT - Other Medication

Grafton Tri-County CAP – Woodsville Intensive Outpatient Program

Grafton Tri-County CAP/Friendship House – Bethlehem Intensive Outpatient Program

Hillsborough Another Way Intensive Outpatient Program

Hillsborough Child and Family Services Intensive Outpatient Program

Hillsborough Easter Seals Farnum Center

Intensive Outpatient Program

MAT - Buprenorphine

Partial Hospitalization

Residential Services

Hillsborough Greater Nashua Council on Alcoholism/Keystone Hall Residential Services

Hillsborough Greater Nashua Mental Health Center

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Other Medication

Hillsborough Health Care for the Homeless Program of Manchester/Families in Transition MAT - Other Medication

Hillsborough Health Care for the Homeless Program of Manchester/New Horizons Shelter MAT - Other Medication

Hillsborough ROAD to a Better Life – Merrimack

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Hillsborough Serenity Place Intensive Outpatient Program

Residential Services

Hillsborough SKY Counseling Services, LLC Intensive Outpatient Program

Hillsborough The Cypress Center Partial Hospitalization

Page 29: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 29

County SUD Facility Provider Type Merrimack Child and Family Services Intensive Outpatient Program

Merrimack Chrysalis Recovery Center, LLC Intensive Outpatient Program

Merrimack Chrysalis Recovery Center, LLC Intensive Outpatient Program

Merrimack Phoenix House of NH at Cornerstone Intensive Outpatient Program

Residential Services

Merrimack Riverbend Community Mental Health Center Intensive Outpatient Program

Merrimack ROAD to a Better Life – Concord

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Merrimack SKY Counseling Services, LLC Intensive Outpatient Program

Rockingham Addiction Recovery Services MAT - Buprenorphine

Intensive Outpatient Program

Rockingham American Pain Institute, LLC MAT - Buprenorphine

Rockingham Chemical Dependency Consultants Intensive Outpatient Program

Rockingham Chrysalis Recovery Center, LLC Intensive Outpatient Program

Rockingham George M. Nowak, MD

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Other Medication

Rockingham Hampstead Hospital

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Rockingham Herb Meyer Family Practice MAT - Buprenorphine

Rockingham ROAD to a Better Life - Newington

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham Seacoast Youth Services Intensive Outpatient Program

Rockingham SKY Counseling Services, LLC Intensive Outpatient Program

Strafford Meredith Hamel, LADC, ICADC Intensive Outpatient Program

Page 30: New Hampshire Insurance Department - NH.gov … · New Hampshire Insurance Department Network Adequacy Public Information Release Marketplace Issuer Networks for the 2017 Plan Year

Anthem Blue Cross Blue Shield of New Hampshire –

Pathway X and Pathway X Enhanced

10/18/2016 Page 30

County SUD Facility Provider Type

Strafford ROAD to a Better Life - Somersworth

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

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10/18/2016 Page 31

County Name Hospital Name

Belknap Lakes Region General Hospital

Huggins Hospital

Memorial Hospital

Cheshire Cheshire Medical Center

Androscoggin Valley Hospital

Upper Connecticut Valley Hospital

Weeks Medical Center

Alice Peck Day Memorial Hospital

Cottage Hospital

Littleton Regional Healthcare

Mary Hitchcock Memorial Hospital

Speare Memorial Hospital

Catholic Medical Center

Elliot Hospital

Monadnock Community Hospital

Southern NH Medical Center

St. Joseph Hospital

Concord Hospital

Franklin Regional Hospital

New London Hospital

Exeter Hospital

Parkland Medical Center

Portsmouth Regional Hospital

Frisbie Memorial Hospital

Wentworth-Douglass Hospital

Sullivan Valley Regional Hospital

Rockingham

Strafford

Carroll

Coos

Grafton

Hillsborough

Merrimack

Hospitals

Count: 26

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10/18/2016 Page 32

County ECP Name County ECP Name Belknap Healthfirst Family Care Center, Inc. Grafton Ammonoosuc Community Health Services - Littleton

Belknap Lakes Region General Hospital Grafton Ammonoosuc Community Health Services - Woodsville

Carroll New Hampshire Department of Health & Human Services, FP Program Grafton Cottage Hospital

Carroll Saco River Medical Group Hillsborough Antrim Medical Group

Carroll Memorial Hospital, The Hillsborough Concord Hospital

Carroll Huggins Hospital Hillsborough Manchester, City Of

Cheshire Cheshire Medical Center Hillsborough MCHC – Child Health Services

Coos Coos County Family Health Services – Pleasant Street Clinic Hillsborough Manchester Community Health Center

Coos New Hampshire Department of Health & Human Services, FP Program Hillsborough MCHC – Greater Manchester Mental Health

Coos Androscoggin Valley Hospital Hillsborough Catholic Medical Center – 177 Lake Ave

Coos Coos County Family Health Services, Inc. – Page Hill Clinic Hillsborough MCHC – Tarrytown

Coos Indian Stream Health Center, Inc. Hillsborough Catholic Medical Center – 199 Manchester St

Coos Upper Connecticut Valley Hospital Hillsborough Planned Parenthood of Northern New England

Coos Coos County Family Health Services, Inc. – Gorham Clinic Hillsborough MCHC West Side Neighborhood Health Center

Coos Weeks Medical Center – Groveton Hillsborough Harbor Homes, Inc. – St. Joseph’s Hospital

Coos Weeks Medical Center – Lancaster (170 Middle St) Hillsborough Lamprey Health Care, Inc.

Coos Weeks Medical Center – Lancaster (173 Middle St) Hillsborough Harbor Care Health and Wellness Center

Coos Weeks Medical Center – North Stratford Hillsborough Monadnock Community Hospital

Coos Ammonoosuc Community Health Services Inc – Whitefield (14 King Sq) Merrimack Concord Hospital

Coos Weeks Medical Center – Whitefield (24 Lancaster Rd) Merrimack Franklin Regional Hospital

Coos Ammonoosuc Community Health Services – Whitefield (30 King Sq) Merrimack healthfirst family care center, inc.

Coos Weeks Medical Center – Whitefield (8 Clover Lane) Merrimack New London Hospital

Grafton Mid-state Health Center - Bristol Rockingham Families First – St. Vincent de Paul

Grafton Newfound Family Practice Rockingham Lamprey Health Care, Inc. – Newmarket

Grafton Ammonoosuc Community Health Services Inc – Warren Rockingham Families First – Cross Roads House

Grafton Mary Hitchcock Memorial Hospital Rockingham Families First Health and Support Center

Grafton Alice Peck Day Memorial Hospital Rockingham Lamprey Health Care, Inc. – Raymond

Grafton Ammonoosuc Community Health Services Inc - Franconia Strafford Goodwin Community Health – Woodman Park ES

Grafton Littleton Regional Healthcare Strafford Goodwin Community Health – Horne Street ES

Grafton Mid-state Health Center - Plymouth Strafford Goodwin Community Health – Somersworth

Grafton Speare Primary Care Sullivan Springfield Medical Care Systems, Inc.

Grafton Speare Memorial Hospital Sullivan Valley Regional Hospital

Grafton Dartmouth-Hitchcock Clinic Sullivan Newport Health Center

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10/18/2016 Page 33

County SUD Facility Provider Type Belknap Nathan Brody Program at Horizons Counseling Center Intensive Outpatient Program

Carroll Peter Stone, MA, CAS, MLADC MAT - Buprenorphine

MAT - Other Medication

Carroll ROAD to a Better Life – North Conway

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll ROAD to a Better Life – Wolfeboro

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Cheshire David Schopick, MD MAT – Buprenorphine

Cheshire Phoenix House - Dublin Center Residential Services

Cheshire Phoenix House - Keene Center

Intensive Outpatient Program

Partial Hospitalization

MAT - Buprenorphine

Grafton Dartmouth Hitchcock Medical Center Addiction Treatment Program MAT - Buprenorphine

MAT - Other Medication

Grafton Dartmouth Medical Center MAT – Buprenorphine

Grafton ROAD to a Better Life – Plymouth

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Lebanon

MAT - Buprenorphine

MAT - Methadone

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Littleton MAT - Buprenorphine

MAT - Other Medication

Hillsborough Another Way Intensive Outpatient Program

Residential Services

Hillsborough Child and Family Services Intensive Outpatient Program

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10/18/2016 Page 34

County SUD Facility Provider Type

Hillsborough Easter Seals Farnum Center

Intensive Outpatient Program

Partial Hospitalization

Residential Services

MAT - Buprenorphine

Hillsborough Greater Nashua Mental Health Center

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Other Medication

Hillsborough ROAD to a Better Life - Merrimack

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Hillsborough The Counseling Center of Nashua – Nashua MAT – Buprenorphine

Hillsborough The Counseling Center of Nashua – Manchester MAT – Buprenorphine

Merrimack Child and Family Services Intensive Outpatient Program

Merrimack Concord Hospital, Substance Use Services Intensive Outpatient Program

Merrimack Riverbend Community Mental Health Center Intensive Outpatient Program

Merrimack ROAD to a Better Life – Concord

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham Addiction Recovery Services MAT - Buprenorphine

Intensive Outpatient Program

Rockingham Hampstead Hospital

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Rockingham ROAD to a Better Life – Newington

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham The Counseling Center of Nashua MAT - Buprenorphine

Strafford Meredith Hamel, LADC, ICADC Intensive Outpatient Program

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10/18/2016 Page 35

County SUD Facility Provider Type

Strafford ROAD to a Better Life – Somersworth

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

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Health

10/18/2016 Page 36

County Name Hospital Name

Cheshire Cheshire Medical Center

Androscoggin Valley Hospital

Upper Connecticut Valley Hospital

Weeks Medical Center

Alice Peck Day Memorial Hospital

Cottage Hospital

Mary Hitchcock Memorial Hospital

Elliot Hospital

Monadnock Community Hospital

St. Joseph Hospital

Concord Hospital

New London Hospital

Rockingham Exeter Hospital

Frisbie Memorial Hospital

Wentworth-Douglass Hospital

Sullivan Valley Regional Hospital

Strafford

Coos

Grafton

Hillsborough

Merrimack

Hospitals

Count: 16

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10/18/2016 Page 37

County ECP Name County ECP Name Cheshire Cheshire Medical Center Hillsborough Planned Parenthood of Northern New England

Coos Coos County Family Health Services – Pleasant Street Clinic Hillsborough Lamprey Health Care, Inc.

Coos New Hampshire Department of Health & Human Services, FP Program Hillsborough Monadnock Community Hospital

Coos Androscoggin Valley Hospital Merrimack Concord Hospital

Coos Coos County Family Health Services, Inc. – Page Hill Clinic Merrimack New London Hospital

Coos Indian Stream Health Center, Inc. Rockingham Lamprey Health Care, Inc.

Coos Upper Connecticut Valley Hospital Rockingham Lamprey Health Care, Inc.

Coos Coos County Family Health Services, Inc. – Gorham Clinic Strafford Goodwin Community Health – Woodman Park ES

Coos Weeks Medical Center – Groveton Strafford Goodwin Community Health – Horne Street ES

Coos Weeks Medical Center – Lancaster (170 Middle St) Strafford Goodwin Community Health – Somersworth

Coos Weeks Medical Center – Lancaster (173 Middle St) Sullivan Valley Regional Hospital

Coos Weeks Medical Center – North Stratford Sullivan Newport Health Center

Coos Ammonoosuc Community Health Services Inc – Whitefield (14 King Sq)

Coos Weeks Medical Center – Whitefield (24 Lancaster Rd)

Coos Ammonoosuc Community Health Services – Whitefield (30 King S1)

Coos Weeks Medical Center – Whitefield (8 Clover Lane)

Grafton Ammonoosuc Community Health Services Inc – Warren

Grafton Mary Hitchcock Memorial Hospital

Grafton Alice Peck Day Memorial Hospital

Grafton Ammonoosuc Community Health Services Inc - Franconia

Grafton Dartmouth-Hitchcock Clinic

Grafton Ammonoosuc Community Health Services - Littleton

Grafton Ammonoosuc Community Health Services Inc - Woodsville

Grafton Cottage Hospital

Hillsborough Antrim Medical Group

Hillsborough Concord Hospital

Hillsborough MCHC – Greater Manchester Mental Health

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Health

10/18/2016 Page 38

County SUD Facility Provider Type Belknap Nathan Brody Program at Horizons Counseling Center Intensive Outpatient Program

Carroll Peter Stone, MA, CAS, MLADC MAT - Buprenorphine

MAT - Other Medication

Carroll ROAD to a Better Life – North Conway

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll ROAD to a Better Life – Wolfeboro

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Cheshire David Schopick, MD MAT – Buprenorphine

Cheshire Phoenix House - Dublin Center Residential Services

Cheshire Phoenix House - Keene Center

Intensive Outpatient Program

Partial Hospitalization

MAT - Buprenorphine

Grafton Dartmouth Hitchcock Medical Center Addiction Treatment Program MAT - Buprenorphine

MAT - Other Medication

Grafton Dartmouth Medical Center MAT – Buprenorphine

Grafton ROAD to a Better Life – Plymouth

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Lebanon

MAT - Buprenorphine

MAT - Methadone

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Littleton MAT - Buprenorphine

MAT - Other Medication

Hillsborough Another Way Intensive Outpatient Program

Residential Services

Hillsborough Child and Family Services Intensive Outpatient Program

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10/18/2016 Page 39

County SUD Facility Provider Type

Hillsborough Easter Seals Farnum Center

Intensive Outpatient Program

Partial Hospitalization

Residential Services

MAT - Buprenorphine

Hillsborough Greater Nashua Mental Health Center

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Other Medication

Hillsborough ROAD to a Better Life - Merrimack

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Hillsborough The Counseling Center of Nashua – Nashua MAT – Buprenorphine

Hillsborough The Counseling Center of Nashua – Manchester MAT – Buprenorphine

Merrimack Child and Family Services Intensive Outpatient Program

Merrimack Concord Hospital, Substance Use Services Intensive Outpatient Program

Merrimack Riverbend Community Mental Health Center Intensive Outpatient Program

Merrimack ROAD to a Better Life – Concord

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham Addiction Recovery Services MAT - Buprenorphine

Intensive Outpatient Program

Rockingham Hampstead Hospital

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Rockingham ROAD to a Better Life – Newington

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham The Counseling Center of Nashua MAT - Buprenorphine

Strafford Meredith Hamel, LADC, ICADC Intensive Outpatient Program

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10/18/2016 Page 40

County SUD Facility Provider Type

Strafford ROAD to a Better Life – Somersworth

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

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Minuteman Health – MHI Network

10/18/2016 Page 41

Hospitals

Count: 14

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Minuteman Health – MHI Network

10/18/2016 Page 42

County ECP Name County ECP Name Belknap CAP Belknap Merrimack Co. Grafton Speare Memorial Hospital

Belknap Healthfirst Family Care Center, Inc. Grafton Ammonoosuc Community Health Services - Littleton

Carroll Saco River Medical Group Grafton Ammonoosuc Community Health Services - Woodsville

Carroll Memorial Hospital, The Grafton Cottage Hospital

Carroll CAP Belknap Merrimack Co. Hillsborough MCHC – Child Health Services

Carroll Huggins Hospital Hillsborough Manchester Community Health Center

Coos Coos County Family Health Services – Pleasant Street Clinic Hillsborough MCHC – Greater Manchester Mental Health

Coos Androscoggin Valley Hospital Hillsborough Catholic Medical Center – 177 Lake Ave

Coos Coos County Family Health Services, Inc. – Page Hill Clinic Hillsborough MCHC - Tarrytown

Coos Indian Stream Health Center, Inc. Hillsborough Catholic Medical Center – 199 Manchester St

Coos Upper Connecticut Valley Hospital Hillsborough Planned Parenthood of Northern New England

Coos Coos County Family Health Services, Inc. – Gorham Clinic Hillsborough MCHC West Side Neighborhood Health Center

Coos Weeks Medical Center – Groveton Hillsborough Harbor Homes, Inc. – St. Joseph’s Hospital

Coos Weeks Medical Center – Lancaster (170 Middle St) Hillsborough Lamprey Health Care, Inc.

Coos Weeks Medical Center – Lancaster (173 Middle St) Hillsborough Harbor Care Health and Wellness Center

Coos Weeks Medical Center – North Stratford Hillsborough Monadnock Community Hospital

Coos Ammonoosuc Community Health Services Inc – Whitefield (30 King Sq) Merrimack healthfirst family care center, inc.

Coos Weeks Medical Center – Whitefield (24 Lancaster Rd) Merrimack

New Hampshire Department of Health & Human

Services, FP Program

Coos Ammonoosuc Community Health Services – Whitefield (14 King Sq) Rockingham Families First – St. Vincent de Paul

Coos Weeks Medical Center – Whitefield (8 Clover Ln) Rockingham Lamprey Health Care, Inc. – Newmarket

Coos New Hampshire Department of Health & Human Services, FP Program Rockingham Families First Health and Support Center

Grafton Mid-state Health Center – Bristol Rockingham Families First – Cross Roads House

Grafton Ammonoosuc Community Health Services Inc – Warren Rockingham Lamprey Health Care, Inc. – Raymond

Grafton Alice Peck Day Memorial Hospital Strafford Goodwin Community Health – Woodman Park ES

Grafton Ammonoosuc Community Health Services Inc – Franconia Strafford Goodwin Community Health – Horne Street ES

Grafton Littleton Regional Healthcare Strafford Goodwin Community Health – Somersworth

Grafton Mid-state Health Center – Plymouth Sullivan Springfield Medical Care Systems, Inc.

Grafton Speare Primary Care

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10/18/2016 Page 43

County SUD Facility Provider Type Belknap Genesis Behavioral Health – Laconia (771 North Main Street) Intensive Outpatient Program

Belknap Genesis Behavioral Health – Laconia (85 Spring Street) Intensive Outpatient Program

Belknap Genesis Behavioral Health Center – Laconia (111 Church Street) Intensive Outpatient Program

Belknap Horizons Counseling Center Intensive Outpatient Program

Belknap Nathan Brody Program at Horizons Counseling Center Intensive Outpatient Program

Carroll ROAD to a Better Life – North Conway

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll ROAD to a Better Life – Wolfeboro

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Carroll Sinfonia Family Services of New Hampshire Intensive Outpatient Program

Carroll Tri-County Community Action Programs, Inc./Division of Alcohol and Other Drug Services Intensive Outpatient Program

Carroll Tri-County Community Action Programs, Inc./Division of Alcohol and Other Drug Services Intensive Outpatient Program

Carroll White Horse Addiction Center/R.L. Cogswell & Associates Intensive Outpatient Program

Cheshire Phoenix House - Dublin Center Residential Services

Cheshire Phoenix House - Keene Center

Intensive Outpatient Program

Partial Hospitalization

MAT - Buprenorphine

Coos Carol Ribner MD MAT - Buprenorphine

Coos Tri-County CAP – Colebrook Intensive Outpatient Program

Coos Tri-County CAP – Berlin Intensive Outpatient Program

Grafton Genesis Behavioral Health Intensive Outpatient Program

Grafton ROAD to a Better Life – Plymouth

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Grafton ROAD to a Better Life – Lebanon

MAT - Buprenorphine

MAT - Methadone

MAT - Naltrexone

MAT - Other Medication

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10/18/2016 Page 44

County SUD Facility Provider Type

Grafton ROAD to a Better Life – Littleton MAT - Buprenorphine

MAT - Other Medication

Grafton Tri-County Community Action Programs, Inc./Division of Alcohol and Other Drug Services Intensive Outpatient Program

Grafton Tri-County CAP/Friendship House Intensive Outpatient Program

Residential Services

Hillsborough Child and Family Services Intensive Outpatient Program

Hillsborough Easter Seals Farnum Center

Intensive Outpatient Program

Partial Hospitalization

Residential Services

MAT - Buprenorphine

Hillsborough Greater Nashua Council on Alcoholism/Keystone Hall Residential Services

Hillsborough ROAD to a Better Life – Merrimack

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Hillsborough Serenity Place Intensive Outpatient Program

Residential Services

Hillsborough The Cypress Center Partial Hospitalization

Merrimack Child and Family Services Intensive Outpatient Program

Merrimack ROAD to a Better Life – Concord

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

Rockingham Addiction Recovery Services MAT - Buprenorphine

Intensive Outpatient Program

Rockingham Hampstead Hospital

Intensive Outpatient Program

Partial Hospitalization

Residential Services

Rockingham ROAD to a Better Life – Newington

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

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10/18/2016 Page 45

County SUD Facility Provider Type

Strafford ROAD to a Better Life – Somersworth

Intensive Outpatient Program

MAT - Buprenorphine

MAT - Naltrexone

MAT - Other Medication

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Thank You

Contact Information

New Hampshire Insurance

Department 21 South Fruit Street, Suite #14

Concord, NH 03301

[email protected]

Phone: (603) 271-2261

Fax: (603) 271-1406

TTY/TDD: 1 (800) 735-2964

www.nh.gov/insurance

10/18/2016 Page 46