“Innovations in the Balancing Incentive Program: New Hampshire”

New Hampshire

State Policies & Initiatives: 
Systems-Change Funding

~~“New Hampshire was the first state to participate in the Balancing Incentive Program , joining in April 2012. New Hampshire was awarded $28.6 million through 2% enhanced FMAP on its community LTSS. In addition to supporting the structural changes, the state has used funds to enhance access to care.
Mission Analytics conducted a site visit with New Hampshire in May 2016, holding interviews with state staff and contractors and visiting several NWD agencies. This case study summarizes findings from the site visit along with information submitted by New Hampshire through its quarterly progress reports. The case study highlights elements that have enabled New Hampshire to effectively promote community LTSS: 1) establishing a NWD system, 2) engaging the community, and 3) serving specialized populations, such as veterans, service members, and their families and youth with behavioral health needs. Many states can learn from New Hampshire’s experiences because New Hampshire successfully fostered cross-agency collaboration, truly breaking down silos of community LTSS access.”


  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships
Date Enacted: