New Hampshire (NH)

What the state has obligated, by initiative

• ›Initiative 1: Rural Population Health$14,455,592

  Consumer Tech Solutions · $2,272,696

  • Technology that helps rural residents access, navigate, and engage with healthcare and community-based services. Investments may include digital navigation, patient-facing tools, remote monitoring, closed-loop referral capabilities, and other technologies that connect individuals with clinical care, prevention services, and community supports$2,272,696

  Fostering Collaboration · $5,000,000

  • Regional and statewide partnerships among healthcare providers, community-based organizations, public health partners, and other rural stakeholders to coordinate population health strategies. Funding may support convening, regional planning, shared infrastructure, referral networks, and development of sustainable clinical-community partnerships$5,000,000

  Prevention and Chronic Disease · $7,182,897

  • Clinical and community-based population health strategies that prevent disease, improve chronic disease management, and address priority needs such as nutrition, maternal and child health, behavioral health prevention and early intervention, healthy aging, and physical activity Investments may support evidence-based interventions, care coordination, community-based services, and partnerships that improve health outcomes in rural populations$7,182,897
• ›Initiative 2: Rural Healthcare Access$74,670,901

  Appropriate Care Availability · $12,628,210

  • Expansion, preservation, and redesign of healthcare services so rural residents can receive the right care in the right setting. Investments may increase access to primary care, EMS, post- acute and long-term care, specialty services, oral health, and other essential services while reducing avoidable emergency department use, hospital stays, and unnecessary transfers Behavioral Health $11,800,000)$12,628,210
  • Expanded access to behavioral health services and integration of behavioral health into rural care delivery. Investments may include Certified Community Behavioral Health Clinic (CCBHC) expansion, crisis and transition services, integrated care models, workforce supports, technology, and other activities that improve timely access and continuity of behavioral healthcare$11,800,000

  Capital Expenditures and Infrastructure · $13,601,103

  • Renovations and other allowable capital improvements that enable transformation of rural healthcare delivery. Priority investments include maintaining or increasing nursing facility bed capacity and supporting Federally Qualified Health Centers (FQHCs), Community Mental Health Centers (CMHCs), emergency medical services (EMS) agencies, and other eligible providers with physical improvements needed to expand access, implement new models of care, and improve patient flow across the healthcare continuum$13,601,103

  Fostering Collaboration · $6,039,105

  • Supporting collaboration among rural providers, regional partners, payers, and implementation hubs to identify access barriers and develop shared solutions. Activities may include regional planning, provider convenings, shared service models, referral relationships, and coordination across primary care, behavioral health, EMS, hospitals, and post-acute care Provider Payments $30,602,482.50)$6,039,105
  • Supporting targeted payments to healthcare providers to implement and sustain new or expanded models of care that improve rural access. Investments may support primary care transformation, Mobile Integrated Health, specialty access, oral health, behavioral health, team-based care, and other delivery models where payment is necessary to enable implementation or bridge to a sustainable financing approach$30,602,483
• ›Initiative 3: Rural Workforce Recruitment and Retention$34,601,103

  Behavioral Health · $6,000,000

  • The development of the behavioral health workforce, including recruitment, education, training, clinical placement, and retention strategies. Investments may strengthen pipelines into behavioral health occupations and help CMHCs, CCBHCs, and other providers build the workforce needed to expand access and sustain new models of care$6,000,000

  Capital Expenditures and Infrastructure · $13,601,103

  • Allowable educational and training infrastructure needed to expand rural healthcare workforce capacity. Investments may include simulation facilities, training equipment, learning environments, and other physical assets that increase the number of students who can enter and complete healthcare training programs$13,601,103

  Workforce · $15,000,000

  • Recruitment, education, training, and retention of healthcare workers needed in rural communities. Investments through Community College System of New Hampshires (CCSNH), University System of New Hampshire (USNH), and other partners may expand nursing and other high-need training capacity, strengthen career pathways, support rural clinical experiences, develop employer partnerships, and increase the number of workers prepared to practice in rural settings$15,000,000
• ›Initiative 4: Rural Health Technology$29,940,939

  Consumer Tech Solutions · $2,500,000

  • Patient-facing technology that improves access, care coordination, and engagement, including remote patient monitoring, telehealth access, digital navigation, and other tools that allow rural residents to connect with care and manage their health more effectively$2,500,000

  IT Advances · $19,940,939

  • Modernization and integration of healthcare technology systems, including electronic health records (EHRs), interoperability, cybersecurity, data infrastructure, electronic dental records, EMS technology, and care management platforms. This includes Community Behavioral Health Association (CBHA)’s work to assess the technology environment across all 10 CMHCs and support coordinated selection of an EHR platform that strengthens care coordination and data sharing$19,940,939

  Training and Technical Assistance · $7,500,000

  • Technical assistance to help healthcare organizations assess, select, implement, and optimize technology. Assistance may address EHRs, interoperability, cybersecurity, data reporting, digital workflow redesign, technology readiness, and adoption of tools that support clinical transformation and value-based care$7,500,000
• ›Initiative 5: Rural Financial Solvency$29,946,360

  Capital Expenditures and Infrastructure · $13,601,103

  • Capital investments that improve both care delivery and financial sustainability, including nursing facility renovations that preserve or expand post-acute capacity, reduce hospital administrative stays by enabling timely discharge, and allow nursing facilities to serve more patients eligible for skilled nursing reimbursement$13,601,103

  Fostering Collaboration · $14,452,751

  • Engagement among providers, payers, State agencies, and other partners to develop sustainable strategies. Activities include collaboration with NH Department of Health and Human Services (DHHS) Medicaid and Behavioral Health, Medicaid and Dental Managed Care Organizations, Critical Access Hospitals, FQHCs, EMS providers, the NH Insurance Department, and commercial payers to identify multi-payer approaches to coverage and alignment on reimbursement of services (e.g comprehensive team-based primary care, mobile integrated health, CCBHC, value-based hospital reimbursement, etc.); inter-facility transport redesign work; projects to reduce hospital discharge barriers (e.g. streamlining Medicaid long-term care (LTC) eligibility processes, etc.)$14,452,751

  Innovative Care · $1,892,505

  • The development and implementation of financially sustainable care-delivery and payment approaches, including value-based payment, alternative payment models, shared services, and other strategies that improve efficiency while maintaining or expanding rural access. Investments may include development of a Medicaid hospital payment model and other approaches designed to sustain transformation beyond Rural Health Transformation (RHT) funding$1,892,505
• ›Program Operations$20,401,655

  Program Administration Expense · $20,401,655

  • Supporting the staffing, financial management, contracting, compliance, evaluation, reporting, governance, project management, and administrative infrastructure necessary to oversee the RHT Program. These expenses support the Governor’s Office of New Opportunities & Rural Transformational Health (GO-NORTH) Program and State responsibilities for federal grant administration, program integrity, monitoring, coordination, and accountability across all five initiatives$20,401,655