Item 10A

Authorize to amend existing individuals agreements with the State’s two managed care health plans, Granite State Health Plan d/b/a NH Healthy Families, Bedford, NH, and Boston Medical Center HealthNet Plan d/b/a Well Sense Health Plan, Boston, MA (originally approved by G&C on 5-9-12, item #54A), by adjusting the rates to reflect the actuarially certified rate structure for the inclusion of increased private duty nursing, through June 30, 2016 – the new rate provides increased capitation payment rates to reflect this additional cost; and to ensure increased access to private duty nursing services is being achieved through data reporting specific to this service need. These amendments increase the SFY 2016 price by $623,698 from $708,898,351 to $709,522,049 for a cumulative contract value of $1,612,522,049 for all Medicaid Care Management contracts, subject to the continued availability and continued appropriation of funds. Effective April 1, 2016 through June 30, 2017. 100% Federal Funds for the NH Health Protection Program, 50% Federal & 50% General Funds for the currently eligible Medicaid Population.