New Hampshire Medicaid Care Management Program 2020 Withhold & Incentive Guidance

The New Hampshire Department of Health and Human Services (DHHS) issued this policy on September 11, 2018. The policy - or medicaid Care management Withhold and Incentive Program - will require managed care organizations (MCOs) to meet a minimum performance standard for measures in three priority performance categories: quality improvement, care management, and behavioral health. If these performance categories are satisfied, the MCOs will become eligible to earn back withheld capitation payments based on their performance against DHHS performance targets in each of the three categories . . .