PrecaptureMedicaid Market Intelligence

NH MEDICAID MARKET

New Hampshire

solicitation closed; award watch

Proposal window closed October 14, 2026 at noon; official award timing is not stated

Last verified 32 days ago

Last verified 32 days ago · unknown because newest item is older than 21 days

Current procurement

PROCUREMENT

Verification tier 2

New Hampshire closes Medicaid external-quality-review solicitation

New Hampshire DHHS sought one or more external quality review organizations to assess quality, timeliness and access for Medicaid beneficiaries enrolled in statewide Medicaid Care Management. The official procurement page lists the solicitation close as October 14, 2026 at noon and lists official Q&A and Addendum 1 dated October 6. The page does not state an award date or identify an awardee.

Precapture analysis

The procurement has moved past the proposal deadline into an award watch. Because this is an oversight-services procurement rather than an MCO health-plan award, the eventual selection should be tracked for its likely role in quality and access scrutiny without treating it as plan selection.

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 10
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
AmeriHealth CaritasAmeriHealth Caritas of New Hampshirenot reported39,545 (2024)21.8% calculated2 sanctions, 913 appeals resolved
Boston Medical Center Health PlanWell Sensenot reported68,895 (2017)54.0% calculatednot reported
Boston Medical Center Health PlanWell Sense Health Plannot reported95,750 (2022)40.4% calculatednot reported
Boston Medical Center Health PlanWellSense Health Plannot reported72,612 (2024)40.0% calculated2 sanctions, 1,070 appeals resolved
Boston Medical Center Health PlanWell Sense Health Plannot reported68,004 (2018)54.0% calculatednot reported
show all 10
ParentPlanProgramsLatest CMS enrollmentShareMCPAR operations
CenteneNew Hampshire Healthy Familiesnot reported69,519 (2024)38.3% calculated2 sanctions, 1,665 appeals resolved
CenteneNew Hampshire Healthy Familiesnot reported57,940 (2018)46.0% calculatednot reported
not reportedNH Smiles Adult Dental Programnot reported89,662 (2024)100.0% calculatednot reported
not reportedNew Hampshire Healthy Familiesnot reported2,121 (2016)41.9% calculatednot reported
not reportedWell Sensenot reported71,456 (2016)54.2% calculatednot reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

New Hampshire Health Protection Program Medicaid Care Management ABP (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
New Hampshire Healthy FamiliesCentene CorporationCenteneStatewidenot reportednot reportednot reportednot reported2016: 2,121; 2017: 2,497; 2018: 3,158
Well Sense Health PlanBoston Medical Health PlanBoston Medical Health PlanStatewidenot reportednot reportednot reportednot reported2018: 4,727
Well SenseBoston Medical Center Health PlanBoston Medical Center Health Plan, Inc.Statewidenot reportednot reportednot reportednot reported2016: 2,940; 2017: 3,633

New Hampshire Medicaid Care Management (Comprehensive MCO)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
AmeriHealth Caritas of New HampshireAmeriHealth CaritasAmeriHealth CaritasStatewideCMS reported 39,545 (2024)21.8%+19 (+0.0%)+0.9 pts2020: 22,522; 2021: 44,462; 2022: 53,511; 2023: 39,526; 2024: 39,545
New Hampshire Healthy FamiliesCenteneCenteneStatewideCMS reported 69,519 (2024)38.3%-1,623 (-2.3%)+0.8 pts2016: 60,468; 2017: 58,786; 2018: 57,940; 2019: 80,584; 2020: 78,883; 2021: 82,114; 2022: 87,665; 2023: 71,142; 2024: 69,519
Well Sense Health PlanBoston Medical Center Health PlanBoston Medical Center Health Plan, Inc.Statewidenot reportednot reportednot reportednot reported2018: 68,004; 2019: 92,489; 2020: 89,308; 2021: 92,028; 2022: 95,750
Well SenseBoston Medical Center Health PlanBoston Medical Center Health Plan, Inc.Statewidenot reportednot reportednot reportednot reported2016: 71,456; 2017: 68,895
WellSense Health PlanBoston Medical Center Health PlanBoston Medical Center Health Plan, Inc.StatewideCMS reported 72,612 (2024)40.0%-6,460 (-8.2%)-1.7 pts2023: 79,072; 2024: 72,612

New Hampshire Medicaid Care Management Dental Services (Dental only (PAHP)

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
NH Smiles Adult Dental ProgramDelta Dental Plan of NH, Inc.Delta Dental Plan of NH, Inc.StatewideCMS reported 89,662 (2024)100.0%not reportednot reported2024: 89,662

New Hampshire Medicaid Care Management Dental Services (Dental only (PAHP))

PlanCMS parentParentRegion2024 enrollment2024 shareChange from prior reporting year, calculatedShare change, calculatedTrend
NH Smiles Adult Dental ProgramDelta Dental Plan of NH, Inc.Delta Dental Plan of NH, Inc.Statewidenot reportednot reportednot reportednot reported2023: 96,843

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

PlanParentProgramAppeals resolvedIn favor of enrolleeAppeal rateGrievances resolvedMedicaid enrollment shareManaged care enrollment share
Delta Dental Plan of NH, IncunmatchedNew Hampshire Medicaid Care Management Dental Services75not reportednot reported4748%100%
AmeriHealth Caritas New HampshireAmeriHealth CaritasNew Hampshire Medicaid Care Management Program447not reportednot reported16719.5%20.3%
NH Healthy FamiliesCenteneNew Hampshire Medicaid Care Management Program866not reportednot reported28637.3%38.8%
WellSense Health PlanBoston Medical Center Health Plan, Inc.New Hampshire Medicaid Care Management Program502not reportednot reported14839.3%40.9%

Sanctions (2024)

PlanParentTopicDateCorrective action planRemediation status
Delta Dental Plan of NH, IncunmatchedReporting2024-06-30NoRemediation in progress
AmeriHealth Caritas New HampshireAmeriHealth CaritasReporting2024-06-30NoNo, no remediation
NH Healthy FamiliesCenteneReporting2024-06-30NoNo, no remediation
WellSense Health PlanBoston Medical Center Health Plan, Inc.Reporting2024-06-30NoNo, no remediation

Award history

  • NH Medicaid Care Management: not published by state.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.