10 Ferry Street, Suite 309, Concord, NH 03301
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10 Ferry Street, Suite 309, Concord, NH 03301
The Association for New Hampshire's Ten Area Agencies
Bureau of Developmental Services (BDS) Systems Work
In 2020, Alvarez & Marsal (A&M) was contracted by the State of New Hampshire to assess the operations of the Department of Health and Human Services’ (DHHS) programs. A&M’s primary focus was on improving efficiencies. One of the five programmatic areas analyzed was the developmental disabilities service system overseen by the Bureau of Developmental Services (BDS). A&M worked with BDS (no individuals, families or Area Agencies were consulted) and from that collaboration, A&M proposed large scale system reform to three areas with the goal of “strengthening the BDS service delivery system”:
- Waiver structure redesign
- Reimbursement rate redesign
- Comprehensive overhaul to information technology system
The system changes that may be of greatest interest to folks are the waiver and the reimbursement rate changes. BDS is also developing a new rate methodology that will “align reimbursement with level of support/need.”
