Understanding Your Medicaid [verification pending] Coverage
Medicaid [verification pending] is one of the managed care organizations (MCOs) that administers New Hampshire Medicaid, known as Granite Advantage. Medicaid [verification pending] provides health coverage to eligible New Hampshire residents whose income falls at or below 138% of the Federal Poverty Level (FPL).
As a Medicaid managed care plan, Medicaid [verification pending] provides comprehensive health benefits including substance use disorder treatment and mental health services. New Hampshire has been a national leader in expanding Medicaid coverage for addiction treatment, recognizing the critical need for accessible substance use services in the state.
Medicaid [verification pending] members typically pay $0 or very low copays for addiction treatment services. There is no deductible to meet, and prior authorization — while sometimes required — is handled entirely by our admissions team. Financial barriers should never prevent someone from accessing life-saving addiction treatment.
What Medicaid [verification pending] Typically Covers
Medicaid [verification pending] provides coverage for the following addiction treatment services at Trailhead Treatment Center:
Partial Hospitalization
Full-day structured treatment, Mon-Fri, 9 AM - 3:30 PM
Intensive Outpatient
Flexible morning or evening sessions
Outpatient Program
Weekly individual therapy and check-ins
Medication-Assisted Treatment
Vivitrol, Sublocade, Brixadi, and medication management
Telehealth Services
Virtual therapy and hybrid programming
Group & Individual Therapy
CBT, DBT, ACT, trauma processing, and more
Medicaid [verification pending] covers all medically necessary substance use disorder treatment with $0 or minimal copays. There is no annual or lifetime limit on behavioral health services under Medicaid. Our team handles any required prior authorizations on your behalf.
Trailhead Is In-Network with Medicaid [verification pending]
$0 or Low Copays for Treatment
Trailhead Treatment Center is an in-network provider with Medicaid [verification pending]. As a Medicaid managed care participant, your out-of-pocket costs are minimal to nonexistent.
Most Medicaid [verification pending] members pay nothing out of pocket for addiction treatment services at Trailhead. Medicaid regulations limit what managed care plans can charge members, ensuring that financial barriers do not prevent you from accessing the treatment you need.
We handle all billing, claims, and prior authorizations directly with Medicaid [verification pending]. You will never receive a surprise bill from Trailhead for covered services.
- $0 or minimal copays for all covered addiction treatment services
- No deductible to meet before coverage begins
- No balance billing — we accept Medicaid [verification pending]'s Medicaid rates
- We handle all prior authorizations on your behalf
- Transportation assistance may be available through Medicaid [verification pending]
About Medicaid [verification pending] and NH Medicaid
Medicaid [verification pending] (formerly Boston Medical Center HealthNet Plan) is a not-for-profit health plan that has served Medicaid populations for over 25 years. In New Hampshire, Medicaid [verification pending] administers the Granite Advantage Health Care Program, the state's Medicaid expansion program.
Granite Advantage Eligibility
New Hampshire's Granite Advantage program provides health coverage to adults aged 19-64 whose household income is at or below 138% of the Federal Poverty Level. For 2026, this means:
- Individual — Income up to approximately $20,783 per year
- Family of 2 — Income up to approximately $28,208 per year
- Family of 3 — Income up to approximately $35,632 per year
- Family of 4 — Income up to approximately $43,056 per year
How to Apply for Medicaid [verification pending]
If you do not currently have health insurance and think you may qualify for NH Medicaid, our admissions team can help you understand the application process. You can apply for Granite Advantage through the NH EASY online portal or by calling NH Medicaid at 1-844-ASK-DHHS (1-844-275-3447). Once enrolled, you can select Medicaid [verification pending] as your managed care plan.
If you already have Medicaid [verification pending] coverage, call Trailhead at (857) 312-1697 and we can verify your benefits and schedule an intake assessment immediately.
Additional Medicaid [verification pending] Benefits
Beyond addiction treatment, Medicaid [verification pending] members may have access to additional support services that complement recovery, including transportation to and from treatment appointments, care coordination, and referrals to community resources for housing, employment, and other social determinants of health.
Programs Available with Medicaid [verification pending]
Your Medicaid [verification pending] coverage gives you access to Trailhead's full continuum of outpatient addiction treatment programs:
How to Verify Your Medicaid [verification pending] Coverage
Verifying your Medicaid [verification pending] coverage is quick and easy. Our admissions team handles everything.
Call Us
Call (857) 312-1697 or fill out our online verification form. Have your Medicaid [verification pending] member ID card ready.
We Verify Your Benefits
Our team contacts Medicaid [verification pending] to confirm your eligibility, coverage details, and handle any prior authorization requirements.
Start Treatment
Once verified, most clients begin treatment within 24-48 hours. There is typically $0 out of pocket. We handle all billing with Medicaid [verification pending].
