Leaving the Plan (Disenrollment)

The times when your plan membership may end are:

When you no longer qualify for New Hampshire Medicaid.
If you decide to switch to another plan during the Annual Open Enrollment Period:

When is the Annual Open Enrollment Period? This generally happens November 1 through December 31 each year (dates may vary). NH DHHS will mail you information to remind you about the Annual Open Enrollment Period. The notice will provide instructions on how to switch health plans if you choose to do so.
When will your membership end? If you switch health plans during the Annual Open Enrollment Period, your membership will end on December 31. The effective date for your new plan coverage will be January 1 the following year. For information on care transitions between plans, refer to our information about continuity of care.

If you request to be assigned to the same plan in which another family member is enrolled.
In certain situations, you may also be eligible to leave the plan at other times of the year for cause. These situations include:

When you move out of state.
When you need related services to be performed at the same time and not all related services are available within the network; and when receiving services separately would subject you to unnecessary risk.
For other reasons, such as poor quality of care, lack of access to services, violation of your rights, or lack of access to network providers experienced in dealing with your needs.

You may also be eligible at other times of the year to leave the plan without cause, including:

During the 90 calendar days following the initial date of your enrollment with the plan, or the date that NH DHHS sends you notice of enrollment, whichever is later.
During the first twelve (12) months of enrollment for members who are auto-assigned to a plan, and have an established relationship with a PCP that is only in the network of a non-assigned health plan.
During open enrollment related to NH DHHS’s new contracts for New Hampshire Medicaid managed care plans.
For 60 calendar days following an automatic reenrollment if the temporary loss of Medicaid has caused you to miss the Annual Open Enrollment Period. (This does not apply to new applications for New Hampshire Medicaid.)

When NH DHHS grants members the right to terminate enrollment without cause and notifies affected members of their right to disenroll from the plan.
When members are involuntarily disenrolled from the plan as described in the next section.

To request disenrollment from your plan, call or write to NH DHHS. Contact the NH DHHS Customer Service Center at 1-844-ASK-DHHS (1-844-275-3447) (TDD Access Relay: 1-800-735-2964), Monday through Friday, 8 a.m. – 4 p.m. ET.

Until your new coverage begins you must continue to get your health care and prescription drugs through our plan.

There are times when a member may be involuntarily disenrolled from the plan, including:

When a member has established out of state residence.
When a member is ineligible for enrollment in the plan as established by NH DHHS.
When a member uses their plan membership card fraudulently.
Upon a member’s death.
Under the terms of the plan’s contract with NH DHHS, the plan may request a member’s disenrollment in the event of the member’s threatening or abusive behavior that jeopardizes the health or safety of other members, or plan staff or providers. If such a request is made by the plan, NH DHHS will be involved in the review and approval of such a request.

We cannot ask you to leave the plan for any reason related to your health.

If you feel that you are being asked to leave our plan because of a health reason, contact the NH DHHS Customer Service Center at 1-844-ASK-DHHS (1-844-275-3447) (TDD Access Relay: 1-800-735-2964), Monday through Friday, 8 a.m. – 4 p.m. ET.

If you have any questions, call Member Services at 1-833-704-1177 (TTY 1-855-534-6730).

Members