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DHHS opposes bill to let non‑designated providers claim community mental health program rates, warns of oversight and fiscal risks
Summary
Department testimony and behavioral‑health advocates told the committee HB636 would expand access to higher Medicaid reimbursement for providers that currently are not subject to the program‑level oversight and quality controls required of New Hampshire’s 10 designated community mental health programs.
The committee heard competing views on House Bill 636, a proposal that would allow community mental health providers — a broader provider category — to receive the same enhanced reimbursement rates now set for designated community mental health programs.
Rob Berry, general counsel for the Medicaid division at the Department of Health and Human Services, described the current statutory scheme and the reason for separate rate schedules.
"There are currently 10 community mental health centers who meet the term of community mental health program," Berry told the committee. "These are reviewed through a designation process every 5 years and are monitored through ongoing, contract oversight."
Why it matters: The department says the higher, program‑specific rates are calibrated to cover unbillable services, community‑based outreach and…
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