November 12, 2013 Followup:

The Medicaid Managed Care Commissioners, responsible for oversight of the transition to Managed Care, heard from various constituencies re: Step 2 and disabilities services at the November 7th meeting in Concord. Governor Hassan attended the meeting and addressed her own involvement as a mother; NH Public Radio issued a story entitled, Managed Care Transition Puts Governor Hassan in Difficult Position (click here to read/listen). Susan Cambria, CSNI Executive Director, spoke on behalf of the Area Agencies. Here is Ms. Cambria's statement:

"Good afternoon. I am Susan Cambria, the Executive Director for Community Support Network, CSNI, the member association of the Area Agencies.

I appreciate the opportunity to speak before you today and to initiate a public dialog on Step 2 of managed care with this Commission, Governor Hassan, Commissioner Toumpas, and importantly the people with developmental disabilities and acquired brain disorders and their families here today. In our great state families almost exclusively care for their loved ones in their homes. The Area Agencies could not do the work they do without the support and hard work of our families.

I want to be clear ... we are not opposed to managed care. We are opposed to commercial managed care for the long term supports and services that the Area Agencies provide. There are significant concerns, at both a local and national level, about the implementation of commercial managed care for long term supports and services for those with developmental disabilities and acquired brain disorders.

That being said …, CSNI fully supports both Step 1 of Medicaid Managed Care and Medicaid Expansion. We believe that the individuals we support could potentially benefit from Step 1. We see significant value in better coordinating care for those we serve. We want to work collaboratively to evolve the Area Agency system and are prepared to take the lead to better integrate medical, behavioral, and long term care for those we serve.

To do this effectively, we will build on our system strengths -- a system that is ranked #2 in the country for quality care.

We delivered a progressive, savings-based plan to the Governor and Commissioner earlier this year and want to move this forward. We acknowledge that the current system must change to one that is more cost efficient and maintains high quality individualized services. Over the past year, we have worked diligently on this plan and now have an updated version to discuss.

As I stand here today with so many people united in resolve to support people with disabilities, I assure you we want to engage in a collaborative process to develop a meaningful relationship with the Governor and Commissioner, their staff and the members of this commission. We are available at any time to move this process forward, establish a productive partnership and develop a thoughtful and detailed plan that best serves the needs of our citizens and our State."


October 31, 2013: Health and Human Services Commissioner Nicholas Toumpas will lay out his road map for Step 2* of the Medicaid Managed Care program to Governor Maggie Hassan and her Commission on Medicaid Care Management. This meeting will take place in Concord on Thursday, November 7 at 1:00 p.m. at the Legislative Office Building in Concord (click here for map).

Governor Hassan formed the Governor’s Commission on Medicaid Care Management in April 2013 to ensure providers and patients are protected as New Hampshire moves to a managed care model for the state’s Medicaid program.

It is hoped that at least 10 people from the Monadnock region will attend this public meeting to show support to and for the Area Agencies to the Commissioner and Governor.

If you are able to attend, or have any questions, please contact Chris Coates either via email at: This email address is being protected from spambots. You need JavaScript enabled to view it. or by phone at: 313-9002.

*Step 2 currently includes developmental disabilities services and long-term care, and is slated to begin one year from the start of Step 1 (acute health care services).