The public hearing scheduled for Tuesday, March 20, 2018, will be held on Tuesday, March 27, 2018, at 6:00 – 8:00 PM at the Department of Health and Human Services, Hazen Auditorium, 29 Hazen Drive, Concord, NH.

The Department of Health and Human Services (DHHS) will hold a public hearing on the on the Implementation Plan for Medicaid Care Management - Nursing Facility/Choices for Independence (NF/CFI) has been moved to Tuesday, March 27, 2018, from 6:00-8:00 pm at the NH Department of Health and Human Services, Auditorium, 29 Hazen Drive, Concord, NH. (Map)

If accommodations are needed for communication access such as interpreters, CART (captioning), assistive listening devices, or other auxiliary aids and/or services, please contact Leslie Melby at This email address is being protected from spambots. You need JavaScript enabled to view it. or 603-271-9074, no later than March 12, 2018. Every effort will be made to accommodate needs identified with 7 days’ advance notice.

60-Day Comment Period
Comments on the plan may be submitted by 12 noon (Eastern) on Friday, May 4, 2018, by email to This email address is being protected from spambots. You need JavaScript enabled to view it., or by mail to:

Leslie Melby
NH Department of Health and Human Services
Attn: Implementation Plan for Medicaid Care Management-NF/CFI
129 Pleasant Street
Concord, NH 03301-3857

Background: On June 6, 2016, the Governor signed into law Senate Bill (SB) 553 instructing the Department of Health and Human Services (DHHS) to develop an implementation plan for Phase 2 of the Medicaid managed care plan as established in Revised Statutes Annotated (RSA) 126-A:5, XIX.

SB 553 indicates that nursing facility (NF) and in-home care services provided under the Choices for Independence (CFI) waiver shall not be incorporated into managed care until DHHS has prepared and adopted an implementation plan. Therefore, this implementation plan only addresses the process for transitioning services provided under the CFI waiver and NFs to managed care.

The following year, the legislature enacted Senate Bill 155 (2017 Laws Ch. 258), which requires the Department to incorporate both CFI waiver services and NFs into managed care beginning on July 1, 2019.

Consistent with these legislative directives, New Hampshire intends to expand the current Medicaid Care Management (MCM) program, through a competitive procurement, to integrate long-term services and supports (LTSS) provided by the CFI waiver and those services administered in NFs into the current MCM design. In addition, New Hampshire will further build community capacity and offer additional choice for community-based LTSS by developing the Program of All-Inclusive Care for the Elderly (PACE) throughout the State. A streamlined managed care program that is fully integrated and comprehensive offers individuals simplicity in plan selection and focused coordination on all their care needs versus an individual diagnosis.

Click here to read a copy of the DHHS Implementation Plan (pdf).