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DHHS defends New Hampshire Care Coordination pilot: privacy protections, SMART on FHIR interoperability and $4.285M spent

Joint Fiscal Committee · April 18, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

DHHS staff told the Fiscal Committee the New Hampshire Care Coordination closed-loop referral system supports SMART on FHIR interoperability, uses per-referral consent and role-based authentication to protect client data, has more than 100 providers on the network, has spent $4,285,000 to date and has roughly $3.7M remaining for maintenance and provider growth.

Representative Erf pressed DHHS about interoperability and privacy for the New Hampshire Care Coordination closed-loop referral system, asking whether the state system is interoperable with other IT systems, whether external interfaces for managed-care organizations are on track, and how the system prevents unauthorized searching of client records.

David Weeters, DHHS chief operating officer, described multiple integration options: a discoverable SMART on FHIR integration that providers can consume, single-sign-on options, and deeper…

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