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Building Capacity for Transformation:
New Hampshire DSRIP Waiver Program

On January 5, 2016 the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's Section 1115 Research and Demonstration Transformation Waiver, #11-W-00301/1 to access new federal funding to help transform its behavioral health delivery system. The Transformation Waiver has four main targets:

  1. Deliver integrated physical and behavioral health care that better addresses the full range of individuals' needs
  2. Expand capacity to address emerging and ongoing behavioral health needs in an appropriate setting
  3. Reduce gaps in care during transitions across care settings by improving coordination across providers and linking patients with community supports.
  4. Move fifty percent of Medicaid reimbursement to alternative payment models by the end of the demonstration period

By providing funding to support delivery system transformation—rather than to cover the costs of specific services rendered by providers—the waiver will enable health care providers and community partners within a region to form relationships focused on transforming care. This funding will also provide prompt resources for combatting the opioid crisis and strengthening the state's strained mental health delivery system.

In addition to the information provided on this and related pages, visit the CMS website to learn more about Section 1115 Demonstration Waivers.

Implementation of Integrated Delivery Networks, Target Implementation Timeline

To submit public comments regarding the New Hampshire Department of Health and Human Services "Building Capacity for Transformation" Section 1115 Transformation Waiver, please e-mail your comments to

NH DSRIP IDN Application

The NH DSRIP IDN application is posted below. Please expect to see the IDN Application released through a formal solicitation process early this week. Please follow the communication guidelines outlined in that solicitation.

Draft Project Metric and Specification Guide

Public comment on the Draft Project Metric and Specification Guide will be accepted through May 23rd, 2016. Comments can be submitted to:

10 Things You Need To Know About DSRIP

Independent Assesor

Frequently Asked Questions

Request for Non-Binding Letters of Intent

DHHS requests non-binding letters of intent from those entities interested in acting as potential administrative leads for an Integrated Delivery Network by April 4, 2016. Potential Administrative Leads are strongly encouraged to submit non-binding Letters of Intent to the state by April 4th, 2016.

New Hampshire's Transformation DSRIP 1115 Medicaid Waiver represents an unprecedented and unique opportunity for New Hampshire to strengthen community-based mental health services, combat the opioid crisis, and drive health care delivery system reform. The program will be spearheaded by regionally-based networks of providers, or Integrated Delivery Networks (IDNs), that will design and implement projects in a geographic region.

Letters of Intent Received

New Hampshire received several Letters of Intent from entities interested in serving as an Administrative Lead. The state requested these LOIs to foster communication among organizations about which entities are considering participating in the DSRIP 1115 initiative. DHHS will continue to accept LOIs from interested parties through April 18, 2016. No entity is precluded from serving as an Administrative Lead or participating in an IDN for not submitting an LOI. Below are the LOIs received through April 4, 2016.

Draft Protocols Submitted to CMS

Approval Documents

Other Supporting Documents

Public Information Sessions

Building Capacity for Transformation (updated 3/18/16) - Information Session Presentation Adobe Acrobat Reader Symbol

  • Friday, March 4, 2016
    2:00 pm - 4:00 pm
    New Hampshire Department of Environmental Services -Auditorium
    29 Hazen Drive
    Concord, NH
  • Monday, March 7, 2016
    6:00 pm - 8:00 pm
    Historical Society of Cheshire County
    246 Main Street
    Keene, NH
  • Tuesday, March 8, 2016
    6:00 pm - 8:00 pm
    Inter-Lakes High School Library
    1 Laker Lane
    Meredith, NH 03253
  • Wednesday, March 9, 2016
    6:00 pm - 8:00 pm
    Manchester City Hall
    Alderman Chambers (3rd floor)
    One City Hall Plaza
    Manchester, NH
  • Thursday, March 10, 2016
    6:00 pm - 8:00 pm
    NH Veteran's Home
    139 Winter Street
    Tilton, NH
  • Monday, March 14, 2016 -- postponed to Thursday, March 24th
    6:00 pm - 8:00 pm
    White Mountains Community College
    2020 Riverside Drive
    Berlin, NH
  • Tuesday, March 15, 2016
    6:00 pm - 8:00 pm
    Nashua Community College – Room 150
    505 Amherst Street
    Nashua, NH
  • Wednesday, March 16, 2016
    6:00 pm - 8:00 pm
    City Library Levenson Community Meeting Room
    Portsmouth Public Library
    175 Parrott Avenue
    Portsmouth, NH
  • Thursday, March 17, 2016
    6:00 pm - 8:00 pm
    Littleton Regional Healthcare
    Taylor Caswell Conference Center
    600 St Johnsbury Road
    Littleton, NH
  • Thursday, March 24, 2016
    6:00 pm - 8:00 pm
    White Mountains Community College - Room 145
    2020 Riverside Drive
    Berlin, NH
  • Monday, March 28, 2016
    2:00 p.m. - 4:00 p.m.
    Division of Motor Vehicles
    23 Hazen Drive
    Concord, NH 03301
    Parking behind the building (unless handicap parking is needed)

Document Archive

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

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