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

Health Strategies for New Hampshire, an affiliate of The Endowment for Health, was awarded a $40M sole source contract to implement the Rural Health Transformation Program statewide. The contract spans two budget periods through September 2028, is 100% federally funded, and focuses on advancing community-based population health systems, partnerships, and sustainable prevention strategies targeting rural NH. Administrative and indirect costs are capped, and implementation includes independent evaluation of program transformation and sustainability with strong monitoring and compliance provisions. Key contacts: Whitney Hammond; Sue Fulton SFulton@endowmentforhealth.org; Donnalee Lozeau; Sue Fulton dhhs.act@dhhs.nh.gov Event schedule: - Contract Approval by Governor and Executive Council - September 9, 2026 - ET - Concord, NH - Contract Execution - September 10, 2026 - ET - Concord, NH - Budget Period 1 End - September 30, 2027 - ET - Budget Period 2 End - September 30, 2028 - ET - Contractor Initial and Date - 2026-09-10 - Deliverable Due Date: Initial Regional Population Health Capacity Assessment Summaries - 2026-12-31 - Deliverable Due Date: Regional Population Health Capacity Action Plans - 2027-04-30 - Deliverable Begin Date: Regional Technical Assistance Learning Program - 2027-07-01

The 2024 Annual Report reflects on milestones reached, strengthened partnerships, and dedication toward improving rural health in New Hampshire. It acknowledges ongoing challenges such as workforce shortages and rising costs while emphasizing commitment to collaboration and teamwork.

The program is administered by the New Hampshire Community Development Finance Authority (CDFA) and focuses on advancing GO-NORTH strategies. It supports community development, health infrastructure projects, workforce development, and regional planning through consultant engagement and project support.

This document sets limitations on provider payment funding under New Hampshire's Rural Health Transformation Program and outlines required justification and documentation for applications. Provider payments may only be funded in cases where a rural care gap is clearly documented and cannot be reimbursed by other sources. All requests must align with care-delivery transformation objectives and be supported by measurable indicators.

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

GO-NORTH, established by Governor Kelly Ayotte, focuses on prevention, chronic disease management, behavioral and maternal health, strengthening rural hospitals and EMS, workforce development, financial sustainability, and modernization of care delivery. The program is part of a $50 billion CMS initiative investing $10 billion annually from 2026-2030 nationwide. New Hampshire’s strategy emphasizes sustainable access, workforce retention, and innovative payment models.

This worksheet details deliverables for quality validation activities related to Medicaid MCOs and dental organizations under the RHTP, including performance measure reviews, improvement project validation, provider network adequacy checks, encounter data validation, surveys, technical reporting, and conference calls for both medical and dental organizations. Activities span SFY 2027–2030, with most deliverables completed by April 30, 2030, and costs inclusive of labor, travel, and mileage. Event schedule: - Contract End Date - April 30, 2030 - SFY 2027 Approval - June 30, 2027

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.

GO-NORTH administers the state's RHTP program focused on rural health transformation with a significant funding allocation of over $204 million for the year 2026. The program is part of a larger federal initiative administered by CMS that dedicates $50 billion over five years from 2026 to 2030 to all 50 states.