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November 7, 2018

Waiver Amendment Application Deemed Complete and Federal Comment Period Through December 6, 2018 at 11 p.m.

New Hampshire submitted a request to CMS to amend its Building Capacity for Transformation (BCT) section 1115(a) demonstration (also referred to as the DSRIP Waiver). The goal of the amendment is to substitute three Designated State Health Programs (DSHP) in the Special Terms and Conditions (STCs) and related Attachments to the STCs. CMS has deemed New Hampshire's request complete and has begun the 30-day federal comment period as required by 42 CFR 431.416(b). The federal public comment period will be open from November 6, 2018 through December 6, 2018 11:00 p.m. Please visit the CMS web site to comment during this federal comment period.

View the Delivery System Reform Incentive Payment (DSRIP) Waiver application and CMS letter Adobe Acrobat Reader Symbol, noting the preliminary review finding that the State’s application is complete.

Information regarding CMS 1115 waivers and the application amendment process is available on the CMS Section 1115 Demonstrations page.

October 26, 2018

Today, the State of New Hampshire Department of Health and Human Services submitted to CMS a request to amend the Special Terms and Conditions for the "New Hampshire Building Capacity for Transformatioin" Delivery System Reform Incentive Program (DSRIP) 1115(a) Medicaid demonstration waiver (Project #11-W-00301-1).

New Hampshire seeks to substitute three Designated State Health Programs (DSHPs), to be effective upon the date of approval of this amendment by CMS, for the Governor's Commission on Drug & Alcohol Abuse, Prevention and Treatment, and Recovery DSHP. The three DSHPs for substitution are the Peer Support Services Program, Mobile Crisis Team/Apartments Program, and Behavioral Health Crisis Treatment Center.

Cover Letter Adobe Acrobat Reader Symbol
Waiver Amendment Request Adobe Acrobat Reader Symbol


DSRIP Annual Report and CMS Waiver Amendment Request

The State of New Hampshire Department of Health and Human Services, as the single state Medicaid agency, is seeking to amend the 1115(a) Building Capacity for Transformation: Delivery System Reform Incentive Payment (DSRIP) Demonstration Waiver.

The amendment will enable the Department to explore potential short term extension of select designated state health programs (DSHPs); and to substitute two (2) DSHPs - Peer Support Services and Mobile Crisis Team/Apartments Program - for the Governor’s Commission on Drug & Alcohol Abuse, Prevention and Treatment and Recovery.

In addition, the purpose of the amendment to the waiver is to maintain the required financing levels and explore potential short term extension of select DSHPs.

The Department will review the NH DSRIP Annual Report DY1 2017 and Waiver Amendment at the Medical Care Advisory Committee Meeting on Monday, April 9, 2018, from 10:00 am - 12:00 pm. All meetings are open to the public:

Medical Care Advisory Committee Meeting
NH Hospital Association
125 Airport Rd, Conference Room 1
Concord, NH 03301


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 Public comments will be received through 12/1/2016.

NH DSRIP Evaluation Design Adobe Acrobat Reader Symbol

Project Plan Template

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

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.

Public Information Session

Public Comment Period

Application Addendum

Final Application

Application Amendment

Public Hearings

Draft Application

Public Notice

Supporting Documents

Concept Paper

Public Information Sessions

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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