New Hampshire

New Hampshire was awarded $204 million to implement its five-year Rural Health Transformation plan. The Community Development Finance Authority will administer the Rural Community Health Infrastructure Program, investing over $40 million annually to support infrastructure improvements across rural health facilities and related community services. Event schedule: - Program Design and Priority Setting - April–May 2026 - New Hampshire - Application and Program Guide Development - May–June 2026 - Virtual webinars - Application Launch and Technical Assistance - June–July 2026 - Virtual - Application Review and Award Notices - July–October 2026 - New Hampshire

New Hampshire was awarded $204 million over five years from CMS to implement its Rural Health Transformation plan. The University System of New Hampshire will receive over $15 million annually to develop clinical simulation networks and support the Governor’s Health Scholars Award Program to promote rural healthcare workforce development. Event schedule: - Initial funding opportunities for youth summer engagement - April - May, 2026

This RFP seeks a contractor to coordinate chronic disease and rural health initiatives for the New Hampshire Department of Health and Human Services, focusing on asthma, cancer, diabetes, hypertension, and arthritis. It requires the vendor to provide education, implementation of evidence-based strategies, support for partners, and reporting. The effort addresses significant public health challenges in rural and statewide New Hampshire. Key contacts: Krissy O. Nikitas kristine.o.nikitas@dhhs.nh.gov Event schedule: - Solicitation Released - 05/28/2026 - ET - Vendor Questions Submission Deadline - 06/04/2026 - 12:00 PM ET - Department Response to Questions Published - 06/18/2026 - ET - Vendor Solicitation Response Due Date - 06/25/2026 - 12:00 PM ET

New Hampshire's GO-NORTH office released an RFP to procure evaluation services for its Rural Health Transformation Program focused on expanding access, improving quality, workforce, technology, and financial sustainability. This is the first RFP issued for this program expecting vendor proposals by May 22, 2026. Key contacts: rfp@go-north.nh.gov; info@go-north.nh.gov Event schedule: - RFP Close Date - 05/22/2026 - 2:30 PM

Governor's Office of New Opportunities & Rural Transformational Health in New Hampshire issued the first RFP (2026-001) for evaluation services related to the Rural Health Transformation Grant. Event schedule: - Date: , 2026 - April 14 - Address: 107 Pleasant Street, Concord, NH 03301

The RFP seeks an independent vendor to evaluate New Hampshire's Rural Health Transformation Program (RHTP), ensuring accountability, transparency, and continuous improvement over a multi-year period. Key deliverables include evaluation plans, quarterly and annual reports, mid-course recommendations, and communication of results. The evaluation will cover implementation, outcome impact, and sustainability across all RHTP initiatives, and coordination with CMS is required. Key contacts: Tom Broderick RFP@go-north.nh.gov Event schedule: - RFP Released (Advertisement) - 04/14/26 - Vendor Inquiry Period Ends - 04/21/26 - 5:00 PM - Final GO-NORTH Responses to Inquiries - 05/06/26 - 5:00 PM - Submission of Proposals Due - 05/22/26 - 2:30 PM - Estimated Notification of Selection - 06/05/26

The document lists multiple communications related to New Hampshire's RHTP efforts, including press releases announcing the submission of a rural health transformation plan and a subsequent award of over $204 million. It also includes information on Governor Ayotte's appointments and meetings related to the program. Event schedule: - These documents were created before , 2027, and are for reference or record keeping only. If you require an accommodation with any of these files, please contact the agency at info@go-north.nh.gov. - April 26 - Address: 107 Pleasant Street, Concord, NH 03301

This CMS summary highlights FY26 state RHTP applications. States propose a variety of initiatives addressing rural health challenges, including workforce expansion, maternal and behavioral health, chronic disease prevention, telehealth, and health IT innovation. Most states identify gaps in rural care and the need for improved access, quality, and financial sustainability. All entries are summary-level and do not specify individual recipient awards.

This strategic plan outlines New Hampshire's ambitious approach for rural health transformation under RHTP. It prioritizes investments in workforce, quality improvement, EMS, health IT, and financial sustainability. The plan includes measurable objectives, innovative models, and the establishment of a dedicated Governor’s Office (GO-NORTH) for coordination.

New Hampshire’s Rural Health Transformation Program (RHTP) focuses on overcoming substantial rural health challenges such as geographic barriers, provider shortages, and higher disease and behavioral health burdens compared to urban regions. The strategy emphasizes technology modernization, workforce development, innovative care and payment models, and coordinated statewide frameworks to sustainably improve health access, outcomes, and equity for rural residents. EMS deserts, maternity care shortages, and food insecurity in rural regions are directly targeted, with integrated efforts spanning prevention, data sharing, workforce, and community partnerships.

The report documents New Hampshire's Medicaid renewal outreach processes including ex-parte rates, continuous enrollment efforts, and targeted direct call campaigns, especially for children and vulnerable individuals who lost coverage for procedural reasons. Evaluations use claims and member characteristic data to prioritize outreach and improve redetermination rates. No new award announcements or funding distribution are described.

The SFY 2026 Medicaid managed care contract amendments make use of federal and state funds to address rising acuity following return to pre-pandemic eligibility policies and to support rural health care activities under the 2025 federal budget. Maternity payment rates increase for Critical Access Hospitals, Medicaid performance targets are enhanced, and new pharmacy management practices are implemented. The amendments are pending approval by the Governor and Council, with a statewide service reach and attention to rural hospital support.

This document is a Request for Proposals (RFP) issued by New Hampshire Department of Health and Human Services seeking vendors to provide services supporting rural health and chronic disease prevention and management. It outlines required experience and approaches specific to rural populations and training delivery.

This agreement exhibit provides the mandatory legal, administrative, and compliance requirements governing all subawards and contracts using RHTP funds in New Hampshire. It incorporates Uniform Guidance, federal statutes, and CMS-specific requirements for the Rural Health Transformation Program and delegates implementation to the GO-NORTH agency. It is not an award announcement. Event schedule: - Original Federal Award Date - 12/29/2025 - Budget Approval Date - 02/03/2026

Memorandum of Understanding between GO-NORTH and DHHS formalizes administration of the Rural Health Transformation program and defines roles and responsibilities in line with Executive Order 2025-06. GO-NORTH manages and expends RHT funds while DHHS acts as the CMS-recognized cognizant agency ensuring compliance with New Hampshire's RHT program obligations.

The University System of New Hampshire received a $97 million sole-source RHTP contract to build rural health workforce pathways, career ladders, and expand simulation-based clinical training infrastructure. Program priorities include high-need fields like nursing, behavioral health, maternal, dental, substance use/emergency care, and rural hospital recruitment and retention. The initiative targets statewide impact and is tied to CMS milestones and rural service obligations.

New Hampshire Medicaid is amending its managed care contracts for over $2.74B total through 2029 with major MCOs, with nearly $1.53B increase for SFY26 to reflect higher directed payments to hospitals (including rural and critical access hospitals) as DSH phases out. Additional quality incentive/withhold programs, pharmacy high-cost risk pools, and the addition of a new CCBHC improve rural behavioral health access. The contract innovations aim to maintain access and financial viability for Medicaid providers during state and federal payment transitions.

New Hampshire was awarded over $204 million for 2026 under the federal Rural Health Transformation Program, the largest award among New England states. The program focuses on preventing disease, improving care coordination, workforce development, technology innovation, and sustainable access in rural areas. The state plans to use evidence-based interventions to enhance disease management, behavioral health, prenatal care, and foster innovative care and payment models.