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DHHS seeks federal match for Medicaid IT upgrades; house added Glencliff Home elevator replacement

3123798 · April 25, 2025
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Summary

The Department of Health and Human Services told senators it needs capital installments to continue a 10‑year Medicaid management reprocurement and other eligibility modernization projects (largely federally matched) and said the House added funding to replace a commercial elevator at Glencliff Home.

Department of Health and Human Services officials briefed the Senate Capital Budget Committee on three capital items: two IT projects tied to Medicaid and eligibility modernization and a house‑added project to replace an elevator at Glencliff Home.

David Weeters, DHHS chief operating officer, and Nathan White, CFO, described the Medicaid Enterprise Modular Strategy (MEMS) and modernized eligibility services projects as multi‑year efforts that have substantial federal matches. DHHS said MEMS supports about $2 billion in claims processing, covers roughly 200,000 beneficiaries and 30,000 providers, and that the additional capital request is part of a multi‑installment project. The agency said federal partners have continued to support a 90% federal match for certain modules.

Officials described three modules in the MEMS installment: third‑party liability (a data and recovery module that seeks to ensure Medicaid is the payer of last resort), care/member management (to improve user experience and self‑service channels) and a call‑center management consolidation effort to eliminate duplicative call routing across state programs. DHHS estimated the total project at about $33.75 million with a $3.375 million general‑fund share because of the 90% federal match.

The House added a separate, all‑general‑fund project to replace a commercial elevator at Glencliff Home that the agency said was installed around 1950 and now presents reliability and parts‑availability issues; DHHS said quotes indicate replacement would cost about $450,000 and that the elevator serves warehouse/service functions rather than patient transport. The agency said passenger elevators at New Hampshire Hospital are also failing and listed additional elevator needs in the slide deck; costs for other elevator replacements are included in the agency’s supplemental materials.

Committee members asked the agency to confirm project priorities and costs; DHHS said the IT items are top priorities and that the Glencliff commercial elevator item was the item placed into HB 25 by the House.