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Building Capacity for Transformation:
New Hampshire DSRIP Waiver Program

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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.

Section 1115 DSRIP 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 [email protected].

NH DSRIP Evaluation Design
Per CMS requirements, New Hampshire must conduct an independent evaluation of the DSRIP demonstration and submit an evaluation design to CMS for approval. The purpose of the evaluation is to determine whether the NH DSRIP Demonstration was effective in achieving its goals. To submit public comments regarding the NH DSRIP Evaluation Design, please e-mail your comments to [email protected]. Public comments will be received through 12/1/2016.

NH DSRIP Evaluation Design Adobe Acrobat Reader Symbol

NH DSRIP Overview Slide Deck

Project Plan Template

Independent Assesor

Frequently Asked Questions

Approval Documents

Approach Documents

Other Supporting Documents

Public Information Sessions

Document Archive

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

copyright 2016. State of New Hampshire