# Medicaid Medication Risk Reduction Initiative (MMRRI) The New Hampshire Medicaid Medication Risk Reduction Initiative (MMRRI) aims to improve health outcomes and reduce healthcare costs for Medicaid beneficiaries by decreasing the prevalence of polypharmacy, over-prescribing, adverse drug events (ADEs), medication-related problems (MRPs), opioid-related, and behavioral health medication risks. The initiative will be led by New Hampshire-licensed advanced clinical pharmacists who, in partnership with Medicaid providers and managed care organizations (MCOs), will conduct comprehensive medication reviews (CMRs) and generate Medication Safety Reports (MSRs) using technology-enabled solutions informed by pharmacy claims data. Services are required to be delivered statewide, with a special focus on rural beneficiaries. The selected vendor is responsible for developing electronic systems for secure claims data integration, staffing a center of clinical pharmacists, implementing provider workflows, training, and incentive strategies, and supporting program sustainability through demonstrated, guaranteed reductions in per-member-per-month (PMPM) costs. Contractor activities also include development and maintenance of claims data interfaces, engagement with providers and MCOs, communication of actionable clinical recommendations, and ongoing performance and impact reporting in compliance with RHTP/CMS and State guidelines. Total available funding is $33,553,391 with no required cost match, and payment is based on deliverable completion. ## Key facts - Status: Closed - Type: RFP - Issued by: New Hampshire Department of Health and Human Services, Division of Medicaid Services (New Hampshire) - Posted: 2026-09-29 - Questions due: 2026-10-07 - Letter of intent due: 2026-10-07 - Application due: 2026-10-28 - Funding: $33.6M - Eligible applicants: Nonprofit organizations, For-profit organizations, Academic medical centers, Pharmacy organizations, Health IT vendors, Community health organizations, Partnerships with New Hampshire licensed pharmacists - How to apply: Electronic submission via NH Department of Health and Human Services secure application portal, with separate documents for Technical Response and Cost Proposal as outlined in Section 6 of the RFP. Required appendices (C, D, E, F, G, H) and resumes for key personnel must be included. - Funding source: Rural Health Transformation Program (CMS) - Official source: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic.pdf ## Eligibility Eligible applicants are organizations capable of employing or contracting with New Hampshire-licensed advanced clinical pharmacists and capable of delivering statewide services, including in rural areas. Vendors must demonstrate experience with technology-driven medication management solutions, integration of claims data, and partnership with Medicaid providers and managed care organizations. Collaborative proposals are allowed, but subcontractors must be identified and are subject to State terms (Appendix B, P-37). Applicants must be eligible to contract with the State of New Hampshire, not debarred or suspended, and able to comply with all federal (2 CFR Part 200, CMS) and State requirements. ## Requirements The selected vendor must: - Employ or contract with NH-licensed advanced clinical pharmacists to conduct statewide comprehensive medication reviews and produce MSRs. - Develop, implement, and maintain electronic systems for secure exchange and integration of Medicaid and Medicare pharmacy claims data from PBMs, MCOs, and NH-DMS. - Utilize technology solutions and validated algorithms to identify high-risk medication scenarios (polypharmacy, ADEs, MRPs, opioid/behavioral health risks). - Facilitate provider/MCO engagement, workflows, and incentive strategies to promote review and adoption of MSRs and interventions. - Deliver training and technical assistance to providers, and develop community-based health literacy and medication safety programs. - Guarantee and report measurable reductions in per-member/per-month (PMPM) costs for Medicaid Managed Care, validated by actuarial attestation. - Complete required program, fiscal, and evaluation reporting, and participate in program evaluation activities led by State and CMS partners. - Adhere to all terms, allowable/unallowable costs, and reporting requirements as detailed in the RFP and CMS guidance. ## Required attachments - Appendix C - Culturally and Linguistically Appropriate Services (CLAS) Requirements - Appendix D – Transmittal Letter and Vendor Information (with Vendor Code Number) - Appendix E – Technical Responses to Mandatory Questions - Appendix F – Program Staff List - Appendix G – Deliverables Cost Sheet - Appendix H – Application Requirements - Resumes for key personnel ## Application package and source documents - [NH - 2027 - Medicaid Medication Risk Reduction Initiative Appendix A – Scope of Services (Appendix A - Scope of Services)](https://www.ruralcarejourney.com/api/documents/e0ab5e39-215f-4cc5-a5ed-c985be7d0936/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-a.pdf - [NH - 2025 - Appendix E – Technical Response to Mandatory Questions (Appendix E - Mandatory Questions)](https://www.ruralcarejourney.com/api/documents/fda53545-1169-417c-9a39-edfa5dabcf29/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-e.docx - [NH - 2026 - Request for Proposals For Medicaid Medication Risk Reduction Initiative RFP-2027-DMS-01-MEDIC (Official MEDIC RFP)](https://www.ruralcarejourney.com/api/documents/dba11d3f-8618-4cfc-ad07-8f3ddf6961b0/file) (primary) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic.pdf - [NH - 2027 - Deliverables and Activities for Medication Claims Data Integration in New Hampshire Medicaid (Appendix G - Deliverables and Activities)](https://www.ruralcarejourney.com/api/documents/879d8ec5-e71c-4cd8-92fc-b2503004511f/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-g.docx - [NH - 2027 - New Hampshire Department of Health and Human Services Medicaid Medication Risk Reduction Initiative ADDENDUM #1](https://www.ruralcarejourney.com/api/documents/9d9c003e-9c30-43dd-8ca7-9028ed3ef1d2/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-add1.pdf - [NH - 2027 - Medicaid Medication Risk Reduction Initiative Official Responses To Vendor Questions RFP-2027-Dms-01-Medic (Official Responses to Vendor Questions)](https://www.ruralcarejourney.com/api/documents/fab8dd7b-9335-4b43-895f-72f0150672f2/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-qa.pdf - [NH - 2027 - Appendix E – Addendum #1 Technical Response to Mandatory Questions for RFP-2027-DMS-01-MEDIC (Appendix E - Addendum #1 (Mandatory Questions))](https://www.ruralcarejourney.com/api/documents/f1a94d1c-c037-49e5-b60f-bc5d11061a5c/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-e-add1_0.pdf - [NH - 2027 - Appendix F: Program Staff List.xlsx](https://www.ruralcarejourney.com/api/documents/eefbcdea-a814-4286-b185-ab340993a7bb/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-f.xlsx - [NH - 2027 - Appendix D: Transmittal Letter and Vendor Information.docx](https://www.ruralcarejourney.com/api/documents/6dfa6164-4937-4ca5-8126-55a4201a2b77/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-d.docx - [NH - 2027 - Appendix H: IT Requirements Workbook.xlsx](https://www.ruralcarejourney.com/api/documents/b1acc2c5-e1ac-43e9-87ce-ff2153de5304/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-h.xlsx - [NH - 2027 - Appendix C: CLAS Requirements.docx](https://www.ruralcarejourney.com/api/documents/41fdc514-f8e7-4922-bd91-afc006c23177/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-c.docx - [NH - 2027 - Appendix B: P37 and Standard Exhibits.pdf](https://www.ruralcarejourney.com/api/documents/7c9613ed-3f15-4018-bfe5-310b387a8de6/file) — official: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/inline-documents/sonh/rfp-2027-dms-01-medic-app-b.pdf More New Hampshire RHTP activity: https://www.ruralcarejourney.com/states/nh (markdown: https://www.ruralcarejourney.com/states/nh.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/medicaid-medication-risk-reduction-initiative-mmrri--7a72ec3197 — data as of 2026-10-30. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.