The procurement process is underway for the state's Care Management program for Medicaid services. The  NH Department of Health and Human Services (DHHS) is now seeking proposals from Managed Care Organizations (MCO) who will be responsible for  coordinating health benefits for New Hampshire's Medicaid population. The release of the Medicaid Care Management Services Request for Proposal (RFP) follows the passage of  SB 147, legislation that requires DHHS to transition from its current Medicaid fee-for-service system to a Care Management Program. Forums and focus groups were held around the state, and an online survey was conducted to get input from stakeholders.

Bids are due back from interested companies by mid-December, with a narrowing down to two to three providers anticipated in January, and then implementation of the first phase starting in July 2012. The first phase of the conversion covers acute medical care and mental health services, with a setup similar to HMO coverage. Step two, scheduled for July 2013, will cover the more complex issues of long term care and disabilities services – including residential programs, day and vocational services, early supports and services, respite and service coordination.

Articles and comments related to this RFP release include:

Care Management RFP can be found at http://www.dhhs.nh.gov/business/rfp/index.htm.

“How Will Managed Care Affect Us?”  article by Bob James, One Sky Community Services

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