Frequently Asked Questions

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Question Answer
What is DSRIP and how is it being implemented in New Hampshire?

The Delivery System Reform Incentive Payment (DSRIP) program is one initiative of the Medicaid Section 1115 Waiver program, which is designed to provide states with funding to support healthcare providers transform the way in which they deliver care.

New Hampshire's DSRIP program, Building Capacity for Transformation, seeks to transform its behavioral health delivery system through the integration of physical and behavioral health for "whole person" care, the expansion of provider capacity to address behavioral health needs and the current opiate crisis, and the reduction of gaps in care during transitions through improved care coordination. New Hampshire intends to reform its behavioral health system through a statewide network of regionally-based Integrated Delivery Networks (IDN) that will foster relationships between community providers in order to most effectively address the needs of residents who are living with behavioral health disorders. 


I am a resident of New Hampshire. How does DSRIP affect me?

New Hampshire's DSRIP program is intentionally designed to improve coordination and communication among providers, resulting in better care for patients, improved system efficincies, and lower costs for all.

DSRIP seeks to improve the health and well-being of New Hampshire residents with behavioral health needs through the implementation of evidence-supported programs. These programs will use technology solutions to support information sharing for care planning and treatment management.


How can my organization become involved in this program?

Organizations that are interested in becoming involved in the DSRIP program through membership with an Integrated Delivery Network (IDN) may do so by contacting the Administrative Lead for their respective region. To identify your region and obtain contact information for your region's Administrative Lead, please consult the Supporting Documents located on the New Hampshire Department of Health and Human Services website:

What is the duration of the DSRIP program and how much funding is available?

The transformation waiver has been approved by CMS for a five-year demonstration period, beginning January 5, 2016 and running through December 31, 2020. Over the course of the waiver, up to $150 million is available to New Hampshire to invest in transforming the State’s behavioral health delivery system to help improve care for people with mental illness and substance use disorders (SUDs), as well as to contain long-term growth in health care costs. 

How will the State's DSRIP program be sustained long-term?

Under the Special Terms and Conditions approved by CMS, New Hampshire is required to develop in collaboration with stakeholders a roadmap for moving 50 percent of Medicaid managed care payments to Alternative Payment Models (APMs). The APMs will move Medicaid from primarily a volume-based reimbursement approach to a value-based payment approach. 

It is expected that this will create the opportunity to establish sustainable financing mechanisms for the work being undertaken by IDNs. New Hampshire’s investment in better integrated, higher-quality care must be budget-neutral and is expected to lower the rate of projected per capita growth in Medicaid spending over time, more than offsetting the up to $150 million spent on the waiver. 


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