Item 7A
approved amendmentMay 20, 2020
Authorize the Division of Medicaid Services to retroactively amend existing agreements with AmeriHealth Caritas NH Inc., Philadelphia, PA; Boston Medical Center Health Plan Inc., Charlestown, MA; and Granite State Health Plan Inc., Bedford, NH, to provide health care services to eligible and enrolled Medicaid participants through NH’s Medicaid managed care program known as NH Medicaid Care Management. The shared price remains unchanged, not to exceed $816,565,089, in SFY 2020, retroactive to September 1, 2019, with no change to the completion date of August 31, 2021. After reconciliation of membership a reallocation of funds was done within the price limitation as detailed in letter dated April 24, 2020. Funds for Granite Advantage Health Program are 93% Federal, 7% Other for calendar year 2019 and 90% Federal and 10% Other for calendar year 2020; funds for the Child Health Insurance Program are 77.6% Federal and 22.4% General; and funds for the standard Medicaid population funding under the Medicaid Care Management account are 51% Federal, 22.7% General, and 26.3% Other Funds.