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In January 2027, new Medicaid eligibility requirements go into effect for certain Granite Advantage members. What do these changes mean for you and your family? 2027 Medicaid Changes Starting in January 2027, Granite Advantage members between the ages of 19 and 64 may need to participate in 80 hours of qualifying activities each month. You will need to show you meet these requirements for the 90 day period prior to your renewal date to keep Medicaid coverage. Requirements include a combination of: Work Community service Participation in an approved job training program School or technical education (at least half time) Click here to read more detail about the new requirements. New Eligibility Requirements Some members won’t need to meet the new requirements, including: People with certain disabilities Pregnant and postpartum women Certain caregivers Foster or former foster youth People meeting work requirements of SNAP or TANF People enrolled in a substance use disorder treatment program Please note: you will need to provide paperwork to the state of New Hampshire to prove exemption status. Keeping records now can help avoid problems later. Possible Exemptions from New Requirements It is important to update your contact info with your insurance provider, Amoskeag Health and other providers. Click here to update your info in our Patient Portal. Open all mail or e-mail from Department of Health and Human Services (DHHS). This correspondence may require a response to maintain coverage. You can also gather important medical or legal documents in case you need to show you qualify for an exemption. Having this documentation readily available will reduce confusion when it comes time to provide relevant information to DHHS. What You Can Do Now To Prepare f you receive your health insurance through NH Healthy Families, AmeriHealth Caritas NH, or WellSense Health Plan, you could be covered by NH Medicaid. Some of these plans cover other types of insurance besides Medicaid. Call the number on your card if you need more information about your plan. Not Sure If You Have Medicaid? Keep Reading: Additional Resources What You Need To Know DHHS Requirements Pay Your Bill Retroactive Coverage Medicaid Matters Medicaid Matters

Join Amoskeag Health's Morning Matters 2026, an annual breakfast fundraiser supporting the Dr. Selma Deitch Center for Children & Teens. Learn more about our event, aimed at raising funds to benefit our youngest patients. 19th ANNUAL MORNING MATTERS Morning Matters is our annual breakfast fundraiser benefiting the operations of the Dr. Selma Deitch Center for Children & Teens. Please join us for an informative and uplifting morning as we celebrate and honor more than three decades of providing quality, patient-centered care and supportive services to children across the community. What is Morning Matters? 2026 PROGRAM SPONSORS John Sigel and Sally Reid Elliot Health System Needham Bank NH Healthy Families Sarah and Rich Sigel WellSense Health Plan 2026 ADVOCATE SPONSORS Associated Grocers of New England BerryDunn Granite State Credit Union Harvey Construction Corporation Lindner Dental Manchester Community College Massachusetts College of Pharmacy and Health Sciences Northeast Delta Dental Primary Bank Sheehan Phinney Solvere Health 2026 TABLE SPONSORS View the 2026 Morning Matters Program Book THANK YOU to ALL 2026 Sponsors whose generosity makes health care accessible for ALL CHILDREN

Learn about Amoskeag Health and our commitment to providing exceptional care. Discover our mission, values, and the dedicated team working to support and improve the health and well-being of our community. WHO WE ARE Amoskeag Health is a nonprofit, federally qualified health center dedicated to improving the health and well-being of patients and communities through comprehensive healthcare services that address both physical and mental health under one roof. We’ve proudly served Manchester, NH, since 1993. More Than a Doctor's Office TODAY, WE SEE MORE THAN 14,700 PATIENTS ANNUALLY WHO COLLECTIVELY SPEAK OVER 50 DIFFERENT LANGUAGES! Our integrated model of healthcare means that we address each patient’s overall well-being for physical and mental health. We offer wraparound services like case management, language interpretation, and financial assistance to meet each patient’s unique needs and surround them with the necessary support and community connections to access quality care. We are an accredited Patient Centered Medical Home, which is a model for achieving primary care excellence by providing care in partnership with patients and their families to ensure decisions respect patients’ wants, needs, and preferences. We provide high-quality healthcare that is accessible to ALL. Amoskeag Health continues to evolve, actively working to ensure that every person who walks through our doors feels welcome and receives the individualized care and support that they need to live their healthiest life. Community Needs Assessment 2025 Annual Impact Report FY 26-28 Strategic Plan Community Benefits Report MISSION To improve the health and well-being of our patients and the communities we serve by providing exceptional care and services that are accessible to all. VISION We envision a healthy and vibrant community with strong families and tight social fabric that ensures everyone has the tools they need to thrive and succeed. CORE VALUES We believe in: Promoting wellness and empowering patients through education Fostering an environment of respect, integrity and caring where all people are treated equally with dignity and courtesy Providing exceptional, evidence-based and patient-centered care Removing barriers so that our patients achieve and maintain their best possible health WELCOME TO AMOSKEAG HEALTH Amoskeag Health is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). HRSA funding provides less than 20% of total costs. The contents are those of the author(s) and do not necessarily represent the official views of, nor endorsement by, HRSA, HHS or the U.S. Government. In addition, Amoskeag Health has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. Amoskeag Health is a nonprofit organization under Section 501(c)(3) of the Internal Revenue Code.

Explore Amoskeag Health’s nutrition and diabetes education services. Our team provides personalized guidance on managing diabetes through diet and lifestyle changes, helping you achieve better health and wellness. NUTRITION & DIABETES EDUCATION Amoskeag Health provides individualized Nutrition consultations offered by a Licensed Dietitian/ Nutritionist (LDN) including nutritional support and guidance for diabetes management, metabolic syndrome, weight loss, and prenatal nutrition (nutrition during pregnancy). We also support prenatal and post-partum lactation support offered by a Certified Lactation Counselor (CLC). Each area of care helps patients identify their unique needs and then create an individualized wellness approach using both diet and lifestyle modifications to support positive nutrition experiences and healthy outcomes. Nutrition We also offer prediabetes and diabetes education and management with a Certified Diabetes Care and Education Specialist and a Nutritionist. These healthcare professionals can explain the diagnosis, blood glucose monitoring and targets, causes of high and low blood glucose levels, meal planning, exercise and weight management, medication options, and how to reduce the risk of complications. Diabetes Education

Explore the Ready, Set, Launch program at Amoskeag Health. This initiative offers resources and support to help parents and caregivers prepare for and navigate key transitions in their family’s journey. Ready, Set, LAUNCH Because it Takes a City to Raise a Baby Home Visiting for All There is no guidebook for bringing home a new baby! Our Ready Set LAUNCH program is for newborns and their families who live in Manchester and give birth at Elliot Hospital. We want to make the first few weeks of caring for newborns a little easier. The Ready Set LAUNCH service is customizable to what YOU need. Newborn Navigators are bilingual Community Health Workers trained to assist families with newborns. They're experts in local resources and can connect you with services like mom's groups, lactation consultants, and childcare scholarships. Your Newborn Navigator can also connect you with free Nutrition and Cooking Classes, support access to SNAP and WIC, or to the local diaper pantry. As parents themselves, they understand how hard the first few months can be and can provide support during those early days at home. About Newborn Navigators Meet a Newborn Navigator Any parent or caregiver of a newborn who resides in Manchester is eligible to receive this FREE, one-time service! You will be introduced to the service at discharge or receive a call from our Newborn Navigator. Our Newborn Navigators will meet you in the hospital and tell you about our service. They will offer to meet you remotely for your visit. Navigators will follow up with you after you leave the hospital and give you a Welcome Baby Bag prior to the visit. How Does Ready, Set LAUNCH Work? Your Newborn Navigator will ask you how your first few weeks have been for you, your child, and your family. Your Navigator will see whether there was anything you wish you had or anything you currently need. Y our Navigator can work with you to make referrals if you'd like them. Your Navigator will determine if you may benefit from, and are eligible for, Enhanced Navigation which provides you with up to five additional home visits to build additional resources and support. Your Navigator will follow up with you after your visit to make sure you and your family are doing well. What Happens During a Home Visit? Since its inception in 2021, the Newborn Navigator has met with 1,433 families at Elliot Hospital, conducted 436 home visits, and referred 482 times to services like Manchester Diaper Pantry, WIC, SNAP, and various food banks. Ninety of these families received services in a language other than English - 80% in Spanish and 20% spread over Dari, French, Nepali, Pashto, Portuguese, and others. About Our Community Impact Interested in learning more about our programs or getting involved with our community impact? Email CommunityInitiatives@AmoskeagHealth.org

LEADERSHIP Gavin Muir, MD Chief Medical Officer/Chief Quality Officer "I joined MCHC, now Amoskeag Health, as a staff physician in 1998. It was and is the only job I’ve had after my Family Medicine residency. I came to New Hampshire from Colorado for the mountains, for the opportunity to provide prenatal care and deliver babies as part of my practice and to work somewhere that would help take care of my student loan debt. After my loans were paid off in 2003, I stayed because I really valued making such a difference in so many people’s lives and because I thoroughly enjoyed working collaboratively with the rest of the health center’s staff in an effort to assist our patients to live their best lives." Gavin is a Family Physician who joined Amoskeag Health in 1998. He is from suburban Philadelphia but has lived in New Hampshire for three decades. He got his undergraduate degree from Princeton University in Ecology & Evolutionary Biology in 1991 and his medical degree from Temple University in 1995 and graduated from his residency program at Southern Colorado Family Medicine in Pueblo, Colorado in 1998. He was a staff physician for his first three years and then started taking on a leadership role at Amoskeag Health. He served as its Medical Director for a decade and then stepped down for two years from that role to focus on the work he was doing with the Elliot Hospital Medical Staff. He served as the Chair of the Department of Medicine at Elliot Hospital for two years and then spent a decade leading Elliot’s Multispecialty Review Committee. He became the Chief Medical Officer of Amoskeag Health in 2013 and has continued to serve in that role. He was a Union Leader Forty Under Forty winner in 2007 and in 2013 he was named the Family Physician of the Year by the NH Academy of Family Physicians. In 2019 he received the Stephen A. Tzinabos award for his leadership and dedication to the Elliot Hospital’s Medical Staff. Last year he stopped doing inpatient medicine after delivering a little over 1,000 babies over 27 years at Elliot Hospital. He continues to see patients in the clinic. Back to Leadership

Stay up-to-date with the latest news and updates from Amoskeag Health. Find information on new services, health tips, community events, and more to keep you informed about what’s happening at our organization. NEWS You can sign up for one (or both!) of our quarterly eNewsletters below. To read our latest news articles and organization updates, click on "Amoskeag Health News." Stay Connected to Amoskeag Health The Advisor In "The Advisor," our quarterly Patient eNewsletter, you'll receive seasonal health tips, important facility information, and articles written by our doctors. Sign up for the Patient Newsletter The Insider In "The Insider," our quarterly Stakeholder eNewsletter, you'll receive donor spotlights, organization-wide updates, and patient impact stories. Sign up for the Stakeholder Newsletter Amoskeag Health News Read recently published news articles and organization updates about the work we do.

Stay informed with the Amoskeag Health blog. Read the latest articles on health tips, community events, and updates from our team to help you live a healthier, more informed life. BLOG View Posts by Category You can read about Amoskeag Health in the media, explore stories about our patients, or browse important health topics. Amoskeag Health News Read recently published news articles and organization updates about the work we do. Patient Stories Explore the positive impact our providers, case managers, and other medical support staff have had on patients. Healthcare Resources Browse healthy tips and important healthcare information written by our medical providers. View Our Latest Blog Posts لم يتم نشر أي منشورات بهذه اللغة حتى الآن بمجرد نشر المنشورات، ستراها هنا.

Join Amoskeag Health's Morning Matters 2024, an annual breakfast fundraiser supporting the Dr. Selma Deitch Center for Children & Teens. This year, Dr. Laura Rubin, an expert in child psychology, will speak on youth mental health trends. Learn more about our impactful event, aimed at raising funds to benefit our youngest patients. MORNING MATTERS What is Morning Matters? Morning Matters is our annual breakfast fundraiser benefiting the Dr. Selma Deitch Center for Children & Teens (formerly known as Child Health Services). Each year, we select a new, relevant subject and an engaging speaker in a topic related to children's healthcare with the goal of raising funds that directly benefit our youngest patients. Trends in Youth Mental Health: Risk and Protective Factors Dr. Laura Rubin is a licensed clinical psychologist and neuropsychologist and 2006 founder of the Portsmouth Neuropsychology Center in Portsmouth, NH. She received her Ph.D. in Child Clinical Psychology at Loyola University of Chicago and her undergraduate psychology degree at the University of Michigan. She has received specialized training in neuropsychology assessment at the University of Chicago, North Shore Hospital, and New York University Medical Center. Dr. Rubin has extensive experience providing neuropsychological evaluations for children, adolescents, and adults. She has particular expertise in evaluating individuals with autism spectrum disorders, ADHD, learning disorders, and mood/anxiety disorders. Additionally, she provides psychotherapy to children, adolescents, and adults and supervises post-doctoral fellows. Dr. Rubin speaks regularly in the community regarding child development, learning and mental health, parenting, and psychotherapeutic treatment at medical centers, universities, elementary schools, and community organizations. She is also a frequent media contributor and also presented “Reframing to Rewire Your Brain ” at TEDxPortsmouth. Dr. Rubin previously served as a former adjunct professor at the University of New Hampshire and board member of the Richie McFarland Children’s Center. She lives in the Seacoast with her husband and three children. 2024 Keynote Speaker Sponsors of Morning Matters: THANK YOU to ALL 2024 Sponsors whose generosity makes health care accessible for ALL CHILDREN View the 2024 Morning Matters Program Book 2024 VENUE SPONSOR 2024 KEYNOTE SPONSOR 2024 PROGRAM SPONSORS John Sigel and Sally Reid Catholic Medican Center CCA Global Partners Eastern Bank Elliot Health System Harbor Group Lavallee/Brensinger Architects Fund Rich and Sarah Sigel WellSense Health Plan 2024 ADVOCATE SPONSORS Associated Grocers of New England, Inc. BerryDunn Charla Stevens Consulting, LLC Joanne & Richard Gustafson Harvey Construction Corporation Judith Jolton 2024 TABLE SPONSORS

Explore valuable resources for parents and caregivers at Amoskeag Health. Find tools, support, and information to help you manage caregiving responsibilities and enhance the well-being of your family. LAUNCH Linking Actions for Unmet Needs in Children’s Health What is LAUNCH? LAUNCH is designed to connect you with resources and services to help support your child’s growth and development. This program is offered at no charge to all Amoskeag Health patients with children 0-8 years of age. LAUNCH is a clinic-based program, which means our "LAUNCH Navigators" work directly with parents and caregivers to discover and navigate local resources for childcare assistance, food access, housing assistance, and more. We provide referrals and set up ongoing support to make sure you have everything you need. Just a Few of the Many Reasons You Might Enroll in LAUNCH... 1 You want to access resources that are available to you and your family You have children 0 - 8 years of age 2 3 You are new to the community You want to connect with other families in Greater Manchester 4 No matter the reason, if you're seeking connection and support as a caregiver of children eight years old and under, we're here for you. Interested in more information? Email CommunityInitiatives@AmoskeagHealth.org ABOUT OUR PROGRAMS AND COMMUNITY INVOLVEMENT Ready, Set, LAUNCH! Our Ready Set LAUNCH program is for newborns and their families who live in Manchester and give birth at Elliot Hospital. Newborns and their families are eligible for this one-time home-visiting service! Learn More Free Developmental Screenings Completing the development screenings during your child's first year of life helps you understand your child's milestones, learn what they are focused on and what skills you will see developing soon. Screening can be completed in 30 minutes. Results over the phone or in person. Activity ideas provided to support your child's development. Want to learn more about helping your child reach age-appropriate milestones? Contact Amoskeag Health Navigators at (603)851-6845 to learn more and to schedule your child's first screening. Caregiver Engagement Caregivers are a child’s first and most important teachers. That’s why our LAUNCH program offers fun and helpful ways for parents, grandparents, and other caregivers to connect, learn, and grow. Amoskeag Health supports families by offering free, family-friendly activities throughout the community. We host Parent Cafés and participate in resource fairs and events with local partners like the Manchester Library and the International Institute of New England. Our goal is to create spaces where parents can connect with each other, learn about child development, and find helpful support and services. Manchester LAUNCH Family Wellness Collaborative (LFWC) Amoskeag Health is a member of the Manchester LAUNCH Family Wellness Collaborative (MLFWC), a group of community partners working together to support children and families. Through this collaboration, we provide education, support, and training while strengthening connections to local resources and services that can help families. Interested in learning more about our programs or getting involved with our community impact? Email CommunityInitiatives@AmoskeagHealth.org

Explore mental health services at Amoskeag Health. Our compassionate team offers support for various mental health needs, including therapy and counseling, to help you achieve emotional well-being and improve your quality of life. MENTAL HEALTH Our philosophy is that mental and physical health go hand-in-hand. That's why we have an "integrated" model of care where we address all of your physical health concerns in addition to talking about any external or mental health challenges. If you are struggling with finances, childcare, or housing, or any other necessity, you may become stressed and overwhelmed. Eventually, that impacts your health. We have dedicated Case Managers who can connect you with local resources and services. Talk with your provider at your next appointment. We'll connect you with the right person to help you navigate these challenges. We provide behavioral health services to patients of all ages, ranging from traditional therapy to substance misuse counseling. Most of the time, we can provide brief behavioral health interventions during regularly scheduled appointments. These interventions are conducted by a Behavioral Health Clinician (BHC) to help identify and manage mental health, substance misuse, and crisis-related issues . If you're interested in seeing a BHC, please talk to your Primary Care Provider at your next appointment. We also have Psychiatric Nurse Practitioners who can provide psychiatric medication assistance. Common mental health issues treated at Amoskeag Health include anxiety, depression, and mood disorders. Once patients are stabilized on their medication regimen, they are transferred back to their Primary Care Providers. Everyone works together on your healthcare team. Physical and Mental Health are Linked Services Provided Amoskeag Health’s Pediatric Behavioral Health team offers counseling care to children, adolescents, and young adult patients from birth to age 20. Behavioral Health Clinicians (BHCs) provide a range of services including brief supportive check-ins during medical visits, short-term counseling, and referrals to mental health care providers in the community. Please talk to your Primary Care Provider at your child/teen’s next well-check visit if you feel they would benefit from Behavioral Health services. Pediatric Behavioral Health Amoskeag Health provides 40-60-minute mental health therapy sessions, on a weekly or bi-weekly basis, for our patients who are struggling and want to make changes in their life. Please talk to your Primary Care Provider for more information on mental health therapy. Mental Health Therapy (Traditional) Amoskeag Health provides assessment and counseling sessions, ongoing weekly or bi-weekly, for patients struggling with substance use. If you are in need of Substance Use Counseling , please talk to your Primary Care Provider about your options. Substance Use Counseling Your journey to recovery begins at Amoskeag Health! Amoskeag Health offers Medication Assisted Treatment for opiate use and alcohol misuse disorder. Amoskeag Health uses Suboxone, Naltrexone, Sublocade, and Vivitrol to support recovery. If you are interested in learning more about Amoskeag Health’s Medication Assisted Treatment program , please call 603-935-5263 or talk to your Primary Care Provider at your next visit. Medication Assisted Treatment Behavioral Health Clinicians Behavioral Health Clinicians Meet Your Mental Health Team