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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

LEADERSHIP Kris McCracken, MBA President/Chief Executive Officer Kris has been with Amoskeag Health since 1996, first as a Crisis Outreach Counselor, then as a Client & Family Services Manager, then as the Director of Operations from 2000 to 2013 before becoming President/CEO in 2013. She has an MBA in Health Care Administration from Rivier College and a Bachelor’s in Psychology & Latin American Studies from Mt. Holyoke College and is bilingual in English and Spanish. Her background is in counseling having worked with Domestic Violence, HIV/AIDS, Rape Crisis, and Substance Abuse before moving into working with community health. Over the past decade, Ms. McCracken spearheaded Amoskeag Health’s response to the growing diversity in our community. In 2012, Ms. McCracken was nominated by the NH DHHS as a Public Health Hero recognizing her work in cultural competency and advocacy for minority populations. She is frequently requested as a speaker to provide training on organizational cultural competency and best practices in multilingual access and graduated in 2014 from the Disparities Leadership Program at Mass General Hospital. She was then honored in 2016 with the Outstanding Women in Business Award, and then again in 2020 and 2022 with the NH Top 200 Most Influential Business Leaders award. Back to Leadership

Learn about Amoskeag Health's School-Based Health Centers, offering primary care and mental health services directly in Manchester schools. Our program includes nurse practitioners for on-site medical care and weekly mental health counseling, ensuring students' well-being and academic success. HEALTHCARE IN SCHOOLS Our goal is to meet children where they are for their health and wellness needs—that’s why we work with Manchester School District to deliver health care directly in the schools. ABOUT THE PROGRAM We provide weekly mental health counseling and mentorship to K-12 students in Manchester School District’s participating elementary, middle, and high schools. Each partnering school has a dedicated Community Health Worker (CHW) who can work with your family to assess your needs and help you connect with these services and any necessary supports outside of the school district. The School-based Counseling Program provides full mental health assessments and treatment planning with a goal to enhance the overall physical, emotional, and educational well-being of children. We continually foster opportunities to build strong and meaningful connections with their families, schools, and communities. We're fully integrated into the Manchester School District and its "Multi-Tiered System of Support for Behavioral Health and Wellness" (MTSS-B), which provides a comprehensive system of social, emotional, and behavioral supports to promote student wellness and improve engagement in learning . Through this integration and collaboration, the School-Based Counseling Program develops individualized treatment plans and provides interventions to support success. By working with the school district and incorporating elements of MTSS-B, school-based BHCs work within the school to promote improved behaviors and functioning for students in need of additional school support. School-Based Counseling Program HOW DOES THE PROGRAM WORK? Our Amoskeag Health school-based clinicians meet one-on-one with students weekly (for about 20-50 minutes, depending on the level of services required) to provide brief counseling, individualized support, and/or mentoring. They also help coordinate community resources to help students reach their goals, improve their mental health, and their overall health and well-being. Our clinicians stay in touch with Manchester School District! They work directly with the students’ teachers to schedule sessions around their classes. If it’s more convenient, our school-based clinicians can also meet with your child, at Amoskeag Health, summer programs, or via telehealth. The goal of this program is to follow your child through graduation, as research tells us that long-term, supportive relationships increase a child’s chance for success; however, the length of counseling treatment is ultimately based on the individual needs of each participant. THIS SOUNDS LIKE A GOOD FIT – NOW WHAT? Great! Students who want to be a part of the program do not need to be patients at Amoskeag Health, but they must obtain parental/guardian consent. If you would like your child to participate, please call 603-626-9500 and mention that you're interested in school-based counseling at your child's school. The representative will coordinate next steps with you. School-Based Vision Program Amoskeag Health’s Family Eye Care Center partners with Beech Street and Gossler Street Elementary Schools in the Manchester School District to provide eye care for students. Nurses complete a vision screening and refer students to our Eye Care Center for further care. We can offer services to students even if they don’t have a primary care provider at Amoskeag Health. A sliding fee scale is available to make our services affordable, transportation can be arranged if needed, and some students may qualify for free glasses. Our goal is to help every student see clearly, so they can do their best in school. Important Note About Insurance: If your child is currently enrolled in an insurance plan, the health plan will be billed for these services, and you might owe a co-pay or deductible depending on the plan’s benefits. If your child is not insured, Amoskeag Health can help you identify insurance options or determine a discounted fee using our income-based sliding fee scale.

Explore sexual and reproductive health services at Amoskeag Health. Our team provides comprehensive care, including education, screenings, and treatments to support your sexual health and well-being. CONFIDENTIAL SEXUAL AND REPRODUCTIVE HEALTH SERVICES EXPLORE THE TABLE OF CONTENTS BELOW Our Services Let's Talk About Sex STIs & STDs Condoms Do's and Dont's Pregnancy Relationships For Parents of Teens OUR SERVICES Call 603-626-9500 for more information about... Finding the best method of birth control for you Emergency Contraception STD education, testing, and treatment Abstinence Education Walk-in pregnancy testing Achieving pregnancy on your schedule BACK TO TOP It’s totally normal to think about sex, but it’s very important to consider whether or not you’re prepared to have sex. No matter what, it’s helpful to have a trusted adult that you can talk to, and your Amoskeag Health provider can be that person. In the meantime, these resources can help you learn a little bit more about your body and what might happen when you have sex. Making Healthy Sexual Decisions | Young Men’s Health (youngmenshealthsite.org) Sexual Health | Young Men’s Health (youngmenshealthsite.org) Center for Young Women’s Health (youngwomenshealth.org) Guías de la Salud | Center for Young Women’s Health (youngwomenshealth.org) Dicas de Saúde | Center for Young Women’s Health (youngwomenshealth.org) Let's Talk About Sex Click Here Haga Clic Aqui BACK TO TOP SEXUALLY TRANSMITTED INFECTIONS & DISEASES (STIs & STDs) WHAT IS THE DIFFERENCE BETWEEN STIs & STDs? STIs (sexually transmitted infections) and STDs (sexually transmitted diseases) are basically the same thing! So, why do people sometimes say “infection” instead of “disease”? The word “disease” can make people think of a visual problem, but a lot of STDs don’t have any signs or symptoms – they’re an infection that you might not see. That’s why it’s so important to get screened if you are sexually active. That way, your doctor can help you if you need it. Learn more about STDs: STDs and STIs from GirlsHealth.gov. HOW DO I GET STDs? STDs are caused by bacteria, viruses, and even tiny insects! You can get a STD by having sexual contact with someone who has one. Sexual contact can mean intercourse or putting your mouth, hands, or genitals on someone else’s genitals. Remember, even if they can’t get pregnant, women who have sex with women are also at risk for STDs. WHAT ARE DIFFERENT TYPES OF STDs? Bacterial Vaginosis Chlamydia Congenital Syphilis Genital Herpes Gonorrhea Herpes genital Pelvic Inflammatory Disease (PID) Syphilis Trichomoniasis WHAT HAPPENS IF I GET A STD? STDs are all different. Some can be treated and cured. But you can still get the STD again if you have sex—especially unprotected sex—with an infected person. Ask your provider about treatments for your partner, otherwise you could give each other the infection back and forth. Some STDs can’t be cured, but you can help manage the symptoms. There are also a few STDs that can be life threatening without treatment. BACK TO TOP CONDOM DO'S AND DON'TS DO use a condom every time you have sex. DO put on a condom before having sex. DO read the package and check the expiration date. DO make sure there are no tears or defects. DO store condoms in a cool, dry place. DO use latex or polyurethane condoms. DO use water-based or silicone-based lubricant to prevent breakage. DON’T store condoms in your wallet as heat and friction can damage them. DON’T use nonoxynol-9 (a spermicide), as this can cause irritation. DON’T use oil-based products like baby oil, lotion, petroleum jelly, or cooking oil because they will cause the condom to break. DON’T use more than one condom at a time. DON’T reuse a condom. More Information BACK TO TOP PREGNANCY PREVENTING PREGNANCY Not having sexual intercourse – otherwise known as abstinence – is the most effective way to prevent pregnancy. But there are still birth control options that you can use when you aren’t ready to become pregnant. HAVING A HEALTHY PREGNANCY ON YOUR SCHEDULE Whether or not you’re interested in having a baby, it’s important to take care of your body by staying active and eating the right food . And if you ARE interested in one day having a baby, it’s important to talk to your provider about “Preconception health.” Preconception health is talking about how to take care of yourself so that you can have a healthy baby. If you are ready to have a baby, please talk to your provider. They can help you plan and prepare for a healthy pregnancy. You can schedule an appointment by calling 603-626-9500. Click Here Haga Clic Aqui BACK TO TOP RELATIONSHIPS HEALTHY RELATIONSHIPS Relationships can be tough. It’s important to treat your friends and partners with respect. You deserve that respect as well. Boundaries are so important when you’re creating relationships. When you explore having sex with your partner, you need to have honest and open discussions. No one should feel forced to have sex if they are not ready or do not want to. If you are feeling unsafe with your partner, please tell someone! If you are interested in learning more about boundaries and consent, check out these resources from Bedsider: Boundaries & consent | Sex & relationships | Articles, News, Tips, and Health Information (bedsider.org) Los límites y el consentimiento | El sexo y las relaciones | Artículos, Noticias, e Información de Salud (bedsider.org) Sometimes, dating is complicated. Maybe your family doesn’t approve of your partner or you’re not sure how to end an unhealthy relationship. If you can relate to any of those situations, then love is respect can help! Relationships aren’t all about romance. Are you struggling to make friends, get along with your family, or work out problems in ALL of your relationships? GirlsHealth.gov can help you learn how to communicate and form healthy relationships. ADDITIONAL RESOURCES ABOUT RELATIONSHIPS: Your feelings | girlshealth.gov Healthy relationships for young adults | love is respect Relationships | girlshealth.gov IS SOMEONE MAKING YOU NERVOUS OR UNCOMFORTABLE? No one ever has the right to abuse you! Sometimes, abuse isn’t physical. People can also hurt you by using unkind words meant to bring you down or by trying to control your actions. If you are threatened or hurt by your partner, help is available. It can be very hard to get up the courage to leave a partner who is hurting you (especially if you love them), and it can be a very complicated situation. But it’s not your fault and there are resources to help you. If you don’t feel safe in your relationship, please call 603-626-9500 and ask to speak with a case manager at Amoskeag Health or visit New Hampshire 211 . How can you identify abuse? Click here to learn more. BACK TO TOP FOR PARENTS OF TEENS It’s challenging to parent a teenager! But open and honest two-way communication about sex and their bodies can help keep your teen educated and safe. Helping your teen build a trusting relationship with their healthcare provider is essential. BACK TO TOP

Explore the various Amoskeag Health locations to find the nearest facility for your healthcare needs. Our comprehensive list includes addresses, contact information, and services offered at each location to help you access quality care conveniently. LOCATIONS Hollis Street 145 Hollis Street Manchester, NH 03101 603-626-9500 Monday: 8 AM – 5 PM Tuesday: 8 AM – 5 PM (virtual appointments 5-7 PM) Wednesday: 8 AM – 7 PM Thursday: 8 AM – 8 PM Friday: 8 AM – 5 PM Saturday: 8 AM – 5 PM, every other Saturday (Open 10/24, 11/7, 11/21, 12/5) Sunday: CLOSED The Dr. Selma Deitch Center for Children & Teens 1245 Elm Street Manchester, NH 03101 603-626-9500 Monday-Friday: 8 AM – 5 PM Saturday & Sunday: CLOSED Parking Options Tarrytown Road 184 Tarrytown Road Manchester, NH 03103 603-626-9500 Monday - Friday: 8 AM – 5 PM Saturday & Sunday: CLOSED Mark Stebbins Community Center 306 Kimball Street Manchester, NH 03102 603-626-9500 Monday - Friday: 8 AM – 5 PM Saturday & Sunday: CLOSED ProHealth 2 Wall Street Manchester, NH 03102 603-626-9500 Monday: 8 AM – 4 PM Tuesday: CLOSED Wednesday: 1 PM – 4 PM Thursday: CLOSED Friday: 1 PM – 4 PM Saturday & Sunday: CLOSED Need to talk to a doctor when we are closed? Please call 603-626-9500 to reach our answering service. We have a 24-hour on-call doctor who will return your call as soon as possible. In cases of inclement weather, Amoskeag Health will announce all closures and delays on our website, WMUR Channel 9 (television), and the WMUR website . We also announce closures and delays on our Facebook page.

Explore Amoskeag Health's specialized medical services for children with complex needs. Our programs include the Complex Care Network, Nutrition, Feeding, and Swallowing Services, and Child Development Clinics, offering comprehensive support through virtual or in-person consultations for families, medical professionals, and community agencies. Visit our Manchester location for expert pediatric care. COMPLEX MEDICAL CARE FOR CHILDREN Amoskeag Health offers three unique special medical programs services, including: Complex Care Network Nutrition , F eeding , and Swallowing Services Child Development Clinics Special Medical Programs (SMP) Amoskeag Health conducts virtual or in-person consultation and collaboration to families, medical professionals, schools and other community agencies caring for children. To learn more about this program, call 603-860-4151 . Complex Care Network A statewide network of pediatric nutritionists and feeding and swallowing specialists providing in-home and community-based consultation. To learn more about this program, call 603-296-9213 . Click Here to Apply Nutrition, Feeding, and Swallowing Services A comprehensive diagnostic assessment for children through age five. To learn more about this program, please reach out to Pat McLean at either PMclean@AmoskeagHealth.org or 603-296-9249 . Child Development Clinics

Easily pay your bill online through the Amoskeag Health payment portal. PAY YOUR BILL View the convenient options to pay your bill below. If you need financial assistance, please click here. Click here to pay via patient portal. Online Bill Pay To pay your bill over the phone using a credit card, please call our Billing Department at 603-935-5205 . Pay Over the Phone To pay a bill for a service, please send a check to: Amoskeag Health PO Box 34999 Belfast, ME 04915-0627 Mail Check Questions? Call our Billing Department at 603-935-5205.

Discover specialized foot care services at Amoskeag Health. Our experts provide comprehensive treatment for various foot conditions, helping you maintain optimal foot health and comfort. FOOT CARE Podiatry Services Dr. Barry Alan Frank, our Podiatrist, provides foot care to our patients on-site at Amoskeag Health. As a Podiatrist, Dr. Frank can perform regular services such as diabetic foot care as well as management of common podiatry problems such as ingrown toenails, bunions, callouses, infections, and more. Please talk to your Primary Care Provider for more information about Amoskeag Health Podiatry Services! Barry Alan Frank, DPM

Discover language assistance services at Amoskeag Health. We provide support for non-English speakers and those with limited English proficiency, ensuring clear communication and access to quality healthcare for everyone. LANGUAGE ASSISTANCE For patients who speak a language other than English, Amoskeag Health offers language assistance free of charge. Please call 603-626-9500 . For patients who are deaf, hard of hearing, or speech impaired, TTY assistance is available. Please call 711 or 1-800-735-2964 . We believe that everyone has the right to communicate in their own language. At Amoskeag Health, we do our best to make sure that our staff and patients have the ability to talk to one another, even if they speak different languages. We Can Help Amoskeag Health provides high quality, professional language assistance to patients through: Staff Interpreters Video Remote Interpreting (VRI) Over the phone interpreter services that are available for patients during appointments If you need an interpreter for your next appointment, please call 603-626-9500 . Staff interpreters may be available in the following languages: Spanish Portuguese Nepali Arabic Bosnian We also contract with selected agencies to provide face-to-face Video Remote Interpreting (VRI) and over the phone interpreter services in locations where we do not have staff interpreters available. Language Interpretation & Translation Amoskeag Health serves Deaf and Hard-of-Hearing patients through: • Registry of Interpreters for the Deaf (RID) certified sign language interpreters • Written communication and visual aids (Patient Portal online access) • Adaptive electronic equipment such as Video Remote Interpreters Deaf & Hard-of-Hearing Communication Services Explore Other Helpful Pages Pay Your Bill Transportation Assistance Pay Your Bill Financial Assistance

Support Amoskeag Health and make a difference in our community. Your donation helps provide essential healthcare services to those in need. Learn how you can contribute and support our mission to offer high-quality care to everyone, regardless of their circumstances. DONATE Building a Healthier Community Where Collaboration Grows Resilience, Encouragement, and Understanding Amoskeag Health works toward a healthy and vibrant community where strong families and a tight social fabric ensure that everyone has the tools they need to thrive and succeed. Every day, an integrated healthcare team of primary care professionals, behavior health clinicians, support case managers, and community health workers deliver the essential services that give people the power to make healthcare decisions, establish a care plan, and pursue a path to well-being and stability. Amoskeag Health accepts most insurances, making this exceptional team accessible to everyone. However, for the children and adults who are uninsured, underinsured, or without access, YOUR donation delivers accessible, affordable, quality healthcare for them. Every dollar you donate helps us to continue our mission of delivering exceptional and accessible healthcare. Use the form below to make a secure online donation. Donate Today! The President’s Wellbeing Sustainers Society unites philanthropists who share a vision of providing every child and family the healthcare and support services they need to thrive. By making an annual contribution, members of the President's Wellbeing Sustainers Society actively improve the health and welfare of Greater Manchester's residents. Participation is open to anyone passionate about supporting the health and well-being of their neighbors. Made annually or monthly, your generous tax-deductible gift will immediately support access to healthcare services, funding the care for those unable to pay, and delivering concrete supports to patients of all ages. As a member in the Wellbeing Sustainers Society, you will be invited to an exclusive annual event. Additionally, you'll receive a lapel pin and a window decal to display your membership and encourage philanthropy! The President’s Wellbeing Sustainers Society has various levels: The Generosity Guild gives $200+ monthly/$2,400+ annually Community Champions donate $100 monthly/$1,200 annually Healthcare Heroes contribute $50 monthly/$600 annually Consider Joining The President's Wellbeing Sustainers Society Make a Lasting Impact—Now and Beyond Your Lifetime When you include a legacy gift as part of your estate planning, you create a meaningful way to support accessible healthcare for generations to come. You can ensure that your values and vision for the people of Greater Manchester endure with a lasting, profound impact. Thank you for considering a gift to Amoskeag Health. For more information on giving, please contact our Director of Donor Relations, Christopher Dugan by emailing cdugan@amoskeaghealth.org , calling 603-851-6237, or mailing to Amoskeag Health, Attn: Advancement Dept, 145 Hollis Street, Manchester, NH 03101. Your contribution is important to us and is also fully tax-deductible to the extent allowed by law. Amoskeag Health is a 501(c)(3) nonprofit organization with tax ID number 02-0458174. Please call 603-851-6237 or email Director of Donor Relations, Christopher Dugan at cdugan@amoskeaghealth.org. Please Note: Amoskeag Health can no longer accept donations of used clothing, toys, or baby gear. Thankfully, many area partners can! (Click here to view a full list of local organizations accepting those donations. ) We will gladly accept donations of gift cards so that clients can purchase their own new items of need. Charitable Giving Questions? The Insider By signing up for "The Insider," our quarterly Stakeholder eNewsletter, you'll receive donor spotlights, organization-wide updates, and patient impact stories. Sign up Today! Stay Connected to Amoskeag Health Thank You to All Donors: Corporate, Foundation, and Individual You make our work possible! City of Manchester Community Improvement Program Oleonda Jameson Trust Samuel P. Hunt Foundation THE MARY GALE FOUNDATION Associated Grocers of NE and AG Supermarket Employees Corbit Family Fund Dorothy Gould Cook Memorial Fund Grandgeorge Family Fund John H. Pearson Fund James W. Squires Social Justice Fund Lavallee/Brensinger Architects Fund Mary and Charles Howe Family Fund New Hampshire Charitable Foundation Raymond G. and Olga Cote Family Fund Aegis Consulting & Solutions Group Alexander Eastman Foundation AmazonSmile Foundation AmeriHealth Caritas New Hampshire Amoskeag Quilters Guild Associated Grocers of New England Aurora Business Solutions BerryDunn Bill Cahill’s Super Subs Brookside Congregational Church Catholic Medical Center CCA Global Partners CGI Business Solutions Charla Stevens Consulting LLC Dahar Law Firm Dartmouth Health Dartmouth Health Children's Eastern Bank Foundation Elliot Health System Energy Efficient Investments, Inc. Firefly Bistro & Bar Granite Group Benefits, LLC Granite State Credit Union Granite State Generosity The Greenspan Foundation Hannaford Bloomin’ 4 Good Program Hannaford Community Bag Program Harbor Group Harvey Construction Corporation Lavallee/Brensinger Liberty Mutual Group Inc. Lindner Dental Associates, P.C. Manchester Community College MCPHS University Members First Credit Union The Mental Health Center of Greater Manchester Microsoft Rewards/Give with Bing Mutual of America Foundation New Hampshire Healthy Families North End Properties Oceanfront Gaming, Inc. Pastori Krans, PLLC Professional Office Services, Inc. Revo Casino and Social House The Rotary Club of Bedford Saul O. Sidore Memorial Foundation Shaw’s Give Back Where it Counts Program Southern New Hampshire University Southwest NH Project Linus Chapter St. Mary’s Bank Walmart Community Grants Team/Store #2399 Well Sense Health Plan Whole Foods Market - Bedford, NH The Women's Fund of New Hampshire

LOCAL PHARMACIES Most insurance plans will cover prescriptions at many different pharmacies. If you’re not sure which ones your insurance works with, call the number on your insurance card. They can give you a list. Please note: CVS does not accept Wellsense Insurance. Walgreens does not take New Hampshire Healthy Families Insurance, except at the Valley Street Walgreens in Manchester. How to update your pharmacy: Tell the front desk or your provider which pharmacy you want to use. If you need a refill before your next visit, call us and let us know which pharmacy you’d like us to use. Please note that it can take five to seven days for the transfer to happen. You do not need to call your old pharmacy. Your prescriptions will move once we send them to your new pharmacy. Update Your Pharmacy Pharmacy Address Phone Number CVS Pharmacy 250 Mammoth Rd, Manchester, NH 03109 603-623-3995 CVS Pharmacy 432 S Main St, Manchester, NH 03102 603-623-3532 CVS Pharmacy 788 S Willow St, Manchester, NH 03103 603-668-4637 Elliott Pharmacy at River’s Edge 175 Queen City Ave, Suite 1, Manchester, NH 03101 603-663-5678 Genoa Pharmacy 2 Wall St, Manchester, NH 03101 603-509-2106 Hannaford Bros Co Pharmacy 201 John E Devine Dr, Manchester, NH 03103 603-626-1233 Hannaford Bros Co Pharmacy 605 Mast Rd, Manchester, NH 603-626-4366 Ken's Pharmacy Inc. 36 Elm St, Manchester, NH 03101 603-623-2813 PillPack by Amazon Pharmacy 250 Commercial St, Suite 2012, Manchester, NH 03101 855-745-5725 Walgreens 606 Valley St, Manchester, NH 03103 603-668-7924 Walgreens 227 S Main St, Manchester, NH 03102 603-666-8538 Find a Pharmacy Outside of Manchester: CVS Pharmacy Hannaford Bros Co Pharmacy Walgreens Manchester Pharmacy Locations Explore Other Helpful Pages Language Assistance Language Assistance Pay Your Bill Financial Assistance Pay Your Bill Transportation Assistance

Discover the history of Amoskeag Health. Learn about our origins, growth, and milestones as we continue our mission to provide exceptional healthcare and support to the community. AMOSKEAG HEALTH'S HISTORY Our Pioneer for Children’s Health Dr. Selma Deitch was fondly referred to as "The Matriarch of New Hampshire's Pediatricians." With a medical career spanning over five decades, she dedicated herself to improving the lives of families and their children while advocating for comprehensive, high-quality healthcare for all. Dr. Deitch's journey began with her education at Tufts University Medical School and Harvard School of Public Health. In 1966, she became the director of New Hampshire's Division of Maternal and Child Health, where she tirelessly worked to establish vital preventive health services for disadvantaged children and their families. Her passion and commitment led to the founding of Child Health Services, which later merged to become what we know today as Amoskeag Health. In the early years, Dr. Deitch was on call nearly every weekend. Not only did she make frequent house calls (which were a rarity back then!), but she even took patients out to the movies when their stressed parents needed a break. Dr. Selma Deitch's legacy lives on as Amoskeag Health continues to provide essential healthcare services to nearly 15,000 Manchester residents in her honor. 1980 From 100 Patients to NH Woman of the Year In the early 1980s, Dr. Selma Deitch established Child Health Services (CHS) with 100 patients, offering an innovative model of healthcare that included nutrition, social services, and transportation, alongside medical care. Over the years, CHS expanded to include behavioral and mental health services, a Child Development Clinic, Special Medical Programs, and a Preschool Dental Clinic. Dr. Selma Deitch's exceptional contributions were recognized in 1986 when she was named NH Woman of the Year. 1990 Milestones in Manchester: MCHC's Evolution In 1993, Manchester Community Health Center (MCHC) was founded at 1415 Elm Street as a collaborative effort by Elliot Hospital, Catholic Medical Center, and community partners to provide healthcare for Manchester's residents with limited access to health care . Mariellen Durso became the first Executive Director, with Dr. Geordie Thomson as the first Medical Director. In 1996, Child Health Services moved to 1245 Elm Street. The following year, they partnered with the Minority Health Coalition to improve care, introducing interpreters with country flags. Ed George took over as MCHC's second President/CEO in 1998, the same year "News & Views," a community newsletter, was launched. Additionally, a Teen Health Clinic was established at Child Health Services, and by 1999, MCHC received its first accreditation from the Joint Commission on Accreditation of Healthcare Organizations, marking a milestone in their commitment to quality healthcare. 2000 Joint Commission Recognition and Technological Advancements In the early 2000s, Manchester's healthcare landscape evolved significantly. Governor Jeanne Shaheen and Pfizer Pharmaceuticals recognized Manchester Community Health Center (MCHC) for its role in Pfizer's "Sharing the Care" program. Dr. Selma Deitch, CHS founder, passed the torch on to Dr. Rob Nordgren when she retired in 2000, and sadly, our beloved founder passed away just four years later. A campaign raised CHS's endowment to $1 million in Dr. Selma Deitch's honor, and the Adolescent Health Program began in 2000 to expand youth services. Dr. Gavin Muir became MCHC's Medical Director in 2001, the same year First Lady Hillary Clinton visited. Then, MCHC introduced a Medicaid enrollment process, initiated bilingual case management in 2002, and achieved recognition from the Joint Commission in 2003. Technological advancements followed, with the establishment of electronic medical records, a visit from U.S. Surgeon General C. Everett Koop, and a collaboration with Elliot Hospital introducing on-site lab services. Integrating Mental Health Care for a Brighter Future In 2005, U.S. Surgeon General Richard Carmona paid a visit to the Manchester Community Health Center (MCHC) as Child Health Services marked its 25th Anniversary. That same year, the "Children's Care Campaign" was launched, successfully raising $1.36 million for clinic renovations and program expansion. In 2006, WMUR covered the inspiring "MCHC Story" on YouTube . By 2008, MCHC relocated to its current location at 145 Hollis Street and implemented a behavioral integration of care model . Also in 2008, Fred Rusczek became the Executive Director and Lisa DiBrigida, MD, the Medical Director at Child Health Services. The Manchester Sustainable Access Project identified a healthcare need on the West Side, leading to the establishment of the West Side Neighborhood Health Center in collaboration with Catholic Medical Center and Dartmouth-Hitchcock. Fast forward to 2010, and Bedford Commons OB-GYN partnered with MCHC for clinical support. Additionally, a Family Literacy Program was developed at CHS, while MCHC introduced online program information and a video facility tour. 2010 From Accreditation to Community Expansion In 2011, MCHC established the Advancement department to increase community awareness and support. The following year, Child Health Services received accreditation as a Patient-Centered Medical Home from the National Committee for Quality Assurance. During the same year, they secured a grant under the Affordable Care Act for the Personal Responsibility Education Program, focusing on reducing teenage pregnancies and sexually transmitted infections. In November 2012, Ed George retired as President/CEO after over 14 years of service. In 2013, MCHC expanded to a second location on Tarrytown Road, with Kris McCracken becoming the new President and CEO. Dr. Gavin Muir, Chief Medical Officer, was honored as Family Physician of the Year by the New Hampshire Academy of Family Physicians. The year 2013 also marked MCHC's 20th anniversary and the beginning of LAUNCH (Linking Actions for Unmet Needs in Children's Health) Manchester. In 2014, MCHC united with Child Health Services to expand services to the community and becoming Child Health Services at MCHC, the pediatric practice of the organization. Amoskeag Health: Fusing Compassion & Commitment In 2015, Manchester Community Health Center (MCHC) achieved recognition as a Patient-Centered Medical Home by NCQA, and Dr. Laura Fry was honored as Family Physician of the Year by the New Hampshire Academy of Family Physicians. The same year, MCHC expanded its reach by taking over operations at the West Side Neighborhood Health Center, making it the fourth location in Manchester. In 2017, MCHC received accolades in the New York Times and was awarded the 2017 Health Center Quality Leader award from HRSA. CHS underwent renovations in September 2017, adding new exam rooms and improving the teen clinic's check-in area. In 2018, MCHC celebrated its 25th anniversary and was recognized again with the Health Center Quality Leader Award. Through a partnership with MCPHS University, MCHC opened the Family Eye Care Center to offer on-site optometry services. In the same year, Dr. Lisa DiBrigida was named Pediatrician of the Year by the New Hampshire Pediatric Society. In June 2019, Manchester Community Health Center, Child Health Services, and West Side Neighborhood Healthcare all combined under the name Amoskeag Health to expand services and better serve patients in Greater Manchester. In 2019, Amoskeag Health hosted a congressional delegation press conference to advocate for the Affordable Care Act, and ProHealth opened in October, providing co-located physical and mental health services. 2020 Mental Health Advocacy & Community Collaboration In 2020, Amoskeag Health faced the challenges of the COVID-19 pandemic while remaining open to serve those in need. In 2021, Amoskeag Health played a vital role in administering vaccines to populations with limited access to healthcare through dedicated clinics. The following year, NHHS Secretary Xavier Becerra held a roundtable discussion at the Hollis site to streamline and strengthen Mental Health Services. Also in 2022, Amoskeag Health collaborated with the Manchester School District to introduce the state's first school-based health centers at Beech Street and Gossler Park elementary schools , providing convenient access to healthcare services for families during the school year. In 2023, Amoskeag Health continued its commitment to patient care by upgrading their Electronic Medical Record system and launching a new brand-new patient portal in both English and Spanish, enhancing the understanding of medical information for Spanish-speaking patients.