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Building Capacity for Transformation:
New Hampshire DSRIP Waiver Program

December 9, 2020
Public Forum, NH DSRIP Annual Report, January 11, 2021 Adobe Acrobat Reader Symbol

Notice is hereby given that the New Hampshire Department of Health and Human Services will provide the annual report on the NH Section 1115(a) Medicaid Waiver, known as the Delivery System Reform Incentive Program (DSRIP), or “Building Capacity for Transformation” waiver, to afford the public with an opportunity to provide comment on the progress of the waiver demonstration.

The Public Forum will be held at the January meeting of the Medical Care Advisory Committee:

  • Monday, January 11, 2021
    10:00am – 12:00pm

Due to COVID-19, this meeting will be held remotely using a call-in option or video conferencing. Please email for details.


February 1, 2019

CMS Approves Request to Amend New Hampshire's Building Capacity for Transformation Waiver

The Centers for Medicare & Medicaid Services (CMS) has approved New Hampshire's request to amend to its section l l l 5(a) demonstration titled, "Building Capacity for Transformation" (BCT) (Project Number l l-W-00301/1). With this approval, the state will replace one existing Designated State Health Program (DSHP) authorized in the Special Terms and Conditions (STC) with three different ones- there are no changes to the DSHP spending limits that were already approved/established- it only replaces the DSHPs for which the state may currently draw federal financial participation (FFP). The BCT demonstration will remain in effect through December 31 , 2020.

NH DSRIP Waiver Program

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 combating the opioid crisis and strengthening the state's strained mental health delivery system.

New Hampshire DSRIP Waiver Program Presentations

NH DSRIP IDN Semi-Annual Reports and Implementation Plans

Reporting Period July 1, 2020 – December 31, 2020

Reporting Period January 1, 2020 – June 30, 2020

Reporting Period July 1, 2019 – December 31, 2019

Reporting Period January 1, 2019 – June 30, 2019

Reporting Period July 1, 2018 – December 31, 2018

Reporting Period January 1, 2018 – June 30, 2018

Reporting Period July 1, 2017 - December 31, 2017

Reporting Period January 1, 2017 – June 30, 2017

NH DSRIP IDN Project Plans

NH DSRIP Evaluation Design

NH DSRIP Overview Slide Deck

Frequently Asked Questions

Draft Process Measures Reporting Guide

DSRIP Alternative Payment Models Roadmap

Section 1115 DSRIP Timeline

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New Hampshire Department of Health and Human Services
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