Item 199A
approved contractJun 25, 2025
Authorize to amend existing contracts with AmeriHealth Caritas New Hampshire Inc., Philadelphia, PA, Boston Medical Center Health Plan, Inc., d/b/a WellSense Health Plan, Manchester, NH, and Granite State Health Plan Inc. d/b/a New Hampshire Healthy Families, Bedford, NH (originally approved by G&C on 1/10/24, Item #33) to provide health care services to eligible and enrolled Medicaid participants through New Hampshire's Medicaid managed care program known as New Hampshire Medicaid Care Management, by increasing the total shared price limitation by $1,534,804,609 (for a twelve-month contract period that includes a higher amount of directed payments to hospitals as the state transitions away from disproportionate share payments {DSH}) from $1,208,423,719 (a ten-month contract year that included a lower amount of directed payments to hospitals) to $2,743,228,328 with no change to the contract completion date of August 31, 2029. Effective upon G&C approval. 69.15% Federal Funds, 23.43% Other, and 7.42% General Funds