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NH DHHS Issues Request for Proposals for Medicaid Care Management Program
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Division of Medicaid Services
Publish Date:
August 31, 2018

Concord, NH – The New Hampshire Department of Health and Human Services (DHHS) has released a request for proposals (RFP) for the State's Medicaid Care Management (MCM) program. DHHS is soliciting proposals from qualified Managed Care Organizations (MCO) to provide health care services to eligible and enrolled Medicaid participants through a capitated, risk-based contract period that will begin on July 1, 2019 and will continue through June 30, 2024. The release of the RFP follows an extensive public comment period, during which the Department sought and received feedback from Medicaid beneficiaries, providers, advocacy groups and other stakeholders on a draft RFP and Model Contract.

"We appreciate the tremendous amount of public input we received every step of the way and the feedback we received informed the request for proposals released today," said DHHS Commissioner Jeffrey A. Meyers. "The Department's top priority is to provide the people of New Hampshire with a cost-effective and innovative Medicaid program that serves their needs. This procurement will further that objective."

The RFP seeks MCOs that will advance the goal of the MCM program and work with DHHS to address critical social determinants of health. MCOs must offer innovative strategies for addressing the opioid crisis, coordinating and expanding community-based mental health services to alleviate the wait for services in hospital emergency departments, expanding services for children and families involved with the child welfare system, and improving population health in every county in the State.

Selected MCOs will ensure that the approximately 180,000 individuals eligible for managed care will receive services, including acute medical care, behavioral health services, and pharmacy services for all members. Eligible groups include pregnant women, children, parents/caretakers, non-elderly and non-disabled adults under the age of 65, and individuals who are aged, blind, and disabled, among other groups.

The request for proposals and instructions for submissions are available at www.dhhs.nh.gov/business/rfp/rfp-2019-oms-02-manag.htm.

 
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