Governor and Executive Council Agenda item PDF - 2026-03-25 - agenda 28

Meeting Date

2026-03-25

Attachment Kind Label

Agenda item PDF

Attachment Relation

primary_meeting_attachment

Agenda Numbers

28

Agency Names

Department Of Information Technology

Parent Meeting Title

Governor and Executive Council meeting - 2026-03-25

STATE OF NEW HAMPSHIRE

DEPARTMENT OF INFORMATION TECHNOLOGY

27 Hazen Drive | Concord, NH | 03301

Fax: (603) 271-1516 | TDD: (800) 753-2964

doit.nh.gov

Denis Goulet, Commissioner

March 2, 2026

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Council

State House

Concord, New Hampshire 03301

REQUESTED ACTION

Authorize Department of Information Technology (DoIT) on behalf of the of the Department

of Health and Human Services, Division of Economic Stability, to enter into a Sole Source

amendment to an existing contract with Deloitte Consulting, LLP (VC 174776), New York, NY, to

modify the scope of work to remove services related to planned Call Center Enhancements

solutions, and to add services to modernize and improve New Hampshire’s eligibility and enrollment

system across NH EASY and New HEIGHTS for the Medicaid, Long -Term Care, and Supplemental

Assistance Nutrition Program (SNAP), by increasing the price limitation by $12,498,561.00 from

$89,670,580.12 to $102,169,141.12, with no change to the contract completion date of September

30, 2028, effective upon Governor and Council approval. 88.14% Federal Funds. 11.86% General

Funds.

The original contract was approved by Governor and Council on November 2, 2022, item #34

and amended on March 22, 2023, item #38A; August 23, 2023, item #44; June 26, 2024, item #81;

December 18, 2024, item #49, and as most recently amended on October 1, 2025, item #5B.).

Funds are available in the following accounts for State Fiscal Year 2026 with the authority to

adjust budget line items within the price limitation and encumbrances between state fiscal years

through the Budget Office, if needed and justified.

See attached fiscal details.

EXPLANATION

The primary purpose of this request is to implement required system enhancements to

comply with federal requirements resulting from the H.R. 1 specific to Medicaid work requirements

and SNAP changes. If the Department does not make the required changes within this year the state

of New Hampshire will be considered out of compliance and will face fiscal penalties.. In addition

to the federally required changes this amendment also includes critical system changes needed to

improve processing times for Long -Term Care Medicaid applications. The Contractor currently

provides maintenance and operations services for New HEIGHTS via a prior approved contract and

is therefore to expected to provide these enhancements in a timely fashion to ensure compliance.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

28

March 25, 2026

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Council

This request is Sole Source because this request is to increase the price limitation by more

than 10%. Approval of this action will provide enhancements to the New HEIGHTS system, the

State’s eligibility and enrollment systems (NH EASY and New HEIGHTS) for Medicaid, Long -Term

Care, and Supplemental Assistance Nutrition Program (SNAP) programs. New HEIGHTS serves as

the integrated eligibility and case management system New Hampshire, supporting approximately

1,100 staff and managing over $1.5 billion annually in SNAP and Cash benefits.

The required changes are critical to ensure (1) compliance with H.R.1 affecting Medicaid and

SNAP eligibility operations and (2) continued federal financial participation. The changes will

improve the integrated eligibility system to increase worker productivity, reduce manual (paper)

workarounds, decrease the time to make eligibility determinations, reduce errors, and improve

client experience. Changes include:

• SNAP Error Reduction and Fraud Detection Initiatives – Using 100% of the Federal funds

made available by the Process Technology Improvement Grant through United States

Department of Agriculture, Food and Nutrition Services (FNS) the changes will 1) redesign

dashboards, automate case tracking, improve data quality, enhance benefit calculations,

and develop system -driven prompts for clients and workers all in an effort to automate

workflows and reduce errors caused by manual entry. 2) Execute the Fraud Framework

Implementation Grant to strengthen fraud detection and recovery through improved case

tracking, standardized Special Investigation Unit reporting, and automated notices. This also

deploys an Eligibility Verification System to automate employment and income verification

and initiate communication to the client when there is a discrepancy in the information

collected.

• Medicaid Community Engagement (Work Requirements) – Using 100% of Federal Funds

received though an H.R. 1 grant award, changes to New HEIGHTS and the NH EASY Gateway

will support implementation of federal Community Engagement requirements. System

changes include updated eligibility logic, strengthening the income verification through New

Hampshire Employment Security, activity tracking, exemption processing, automated

compliance monitoring, required notices, and reporting capabilities. These changes will also

provide dashboards and workflow automation to reduce manual processing and improve

staff efficiency.

• Medicaid H.R. 1 Changes (Non-Community Engagement) – System and policy updates to

implement additional H.R.1 requirements, including revised non -citizen eligibility rules,

increased redetermination frequency to every six months, automated disenrollment for

deceased individuals, address verification safeguards to prevent duplicate enrollment, and

strengthened income verification processes to support Federal Policies. Increasing the

redetermination frequency to every six months will increase number of redeter minations,

therefore automating this work is critical for workload management.

• Streamlining Medicaid Eligibility Processing – Changes to task management through

automated prioritization and tracking within the New HEIGHTS 360 Dashboard and

streamlined premium payment administration with real-time visibility for Modified Adjusted

Gross Income (MAGI) Expanded Children households.

• Updates to NH EASY to Increase Self Service – Changes to NH EASY portal to increase a

client’s self-service accessibility to their eligibility application. Deployment of a chatbot to

provide expedited Medicaid self-service support, facilitate document upload for streamlined

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Council

intake and verification, improve document upload functionality to improve processing, and

automate employment and income verification; reduce data input by eligibility staff; and

integration of third -party employment verification to accelerate income and employment

checks.

• Making Eligibility Easier – Highlighted as a priority in DHHS’ 2025-2027 Roadmap (strategic

plan) is the initiative “Make Eligibility Easier” for those seeking long -term care services

through the home and community based 1915c waivers or nursing facilities. Specific

changes to the New HEIGHTS system are required to complete eligibility determinations

timely and more efficiently. These changes will reduce manual workarounds and the use of

spreadsheets to manage the approximate 21,000 cases reviewed annually. Expansion of

two-way messaging, automated reminders, and client support tools; enhanced document

intake and status tracking; improved operational efficiency through automation and

dashboard reporting; expanded self -service tools for clients, providers, and Service

Coordination/Case Management Agencies; and redesign of the Medical Eligibility

Assessment (MEA) to ensure consistent eligibility determinations.

In summary, the initiatives described in the bullets above are designed to increase accuracy

and timeliness, reduce manual workload, and ensure compliance with federal requirements,

including H.R.1 Medicaid and SNAP provisions. Once complete, these system changes can be

leveraged to support other program areas.

The State is currently evaluating an enterprise contact center strategy that would provide a

unified, statewide solution rather than implementing individual program -specific systems.

Therefore, t his amendment also removes the scope of services and associated funding for the

previously planned HHS customer service call center from the contract.

DHHS will monitor services by:

• Reviewing vendor reporting processes and systems for data integrity.

• Performing file reviews to ensure vendor compliance with state and federal laws and

rules in the administration of the contract.

• Assessing vendor compliance with applicable contract objectives and requirements.

Should the Governor and Council not authorize this request, DHHS will be noncompliant with

state and federally mandated requirements, may be at risk of increased errors and fiscal penalties

for SNAP and Medicaid, and NH residents who access or need to access services may be at risk of

delayed or not receiving timely.

Area served: Statewide.

Source of Federal Funds: Assistance Listing Number # 10.535, FAIN # 258NH00S8074;

Assistance Listing Number #93.778, FAIN #2605NHWFTC; Assistance Listing Number #10.58, FAIN

#TBD; Assistance Listing Number # 10.561, FAIN # 258NH400S8076; Assistance Listing Number

#93.778, FAIN #2605NH5ADM.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Council

Respectfully submitted,

Denis Goulet

Commissioner, DOIT

Lori A. Weaver

Commissioner, DHHS

DOIT #2020-095F

RID #N/A (91215)

Cc: Ken Gagne, IT Manager

For:

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

Fiscal Details – Amendment #6

New Heights Maintenance and Enhancements

State Fiscal

Year Class/Object Description Job Number Current Amount Increase (Decrease) Revised Amount

2023 046-500465 Consultants 3950041 5,625,110.40$ -$ 5,625,110.40$

2024 046-500465 Consultants 3950041 7,762,227.20$ -$ 7,762,227.20$

2025 046-500465 Consultants 3950041 8,034,208.00$ -$ 8,034,208.00$

2026 046-500465 Consultants 3950041 7,730,832.40$ -$ 7,730,832.40$

2027 046-500465 Consultants 3950041 8,074,278.80$ -$ 8,074,278.80$

2028 046-500465 Consultants 3950041 10,180,352.00$ -$ 10,180,352.00$

2029 046-500465 Consultants 3950041 2,634,112.00$ -$ 2,634,112.00$

Sub Total 50,041,120.80$ -$ 50,041,120.80$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 103-502507Contracts for Operational ServicesVarious 2,247,750.00$ -$ 2,247,750.00$

2024 103-502507Contracts for Operational ServicesVarious -$ -$ -$

2025 103-502507Contracts for Operational ServicesVarious -$ -$ -$

2026 103-502507Contracts for Operational Services00FRF602PH9537A -$ (1,498,500.00)$ (1,498,500.00)$

Sub Total 2,247,750.00$ (1,498,500.00)$ 749,250.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 046-500465 IT Consul-Non-Benefit Various 362,673.00$ -$ 362,673.00$

2024 046-500465 IT Consul-Non-Benefit Various -$ -$ -$

2025 102-500731 Contracts for Programs Various 234,470.00$ - $ 234,470.00$

Sub Total 597,143.00$ -$ 597,143.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 046-500465 IT Consul-Non-Benefit 45103000 $ 674,325.00 $ - $ 674,325.00

2024 046-500465 IT Consul-Non-Benefit Various $ 3,279,470.00 $ - $ 3,279,470.00

2025 046-500465 IT Consul-Non-Benefit Various $ 1,505,000.00 $ - $ 1,505,000.00

2026 046-500465 IT Consul-Non-Benefit Various $ 4,814,901.96 $ 1,221,723.00 $ 6,036,624.96

2027 046-500465 IT Consul-Non-Benefit TBD $ 3,884,680.16 $ - $ 3,884,680.16

Sub Total 14,158,377.12$ 1,221,723.00$ 15,380,100.12$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 034-500099 Major IT Systems 93130707 450,426.00$ - $ $ 450,426.00

2024 034-500099 Major IT Systems n/a -$ -$ $ -

Sub Total 450,426.00$ -$ 450,426.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 034-500099 Major IT Systems 93130707 1,000,000.00$ - $ $ 1,000,000.00

2024 034-500099 Major IT Systems n/a -$ -$ $ -

Sub Total 1,000,000.00$ -$ 1,000,000.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 034-500099 Major IT Systems 93130707 878,939.00$ -$ 878,939.00$

2024 034-500099 Major IT Systems n/a -$ -$ -$

Sub Total 878,939.00$ -$ 878,939.00$

State Fiscal

Year Class / Account Class Title Job Number

01-03-03-030010-76950000 DEPARTMENT OF INFORMATION TECHNOLOGY, DOIT – IT FOR DHHS

100% Other (Agency Class 27) funds: the Agency Class 027 used by the Department of Health and Human Services to reimburse DoIT is 65% Federal, 35%

General.

05-95-045-451010-79930000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, HHS: TRANSITIONAL ASSISTANCE,

DIVISION OF CLIENT SERVICES - DFA FIELD SVCS

05-95-045-451010-72140000 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT, HHS: DIV ECONOMIC STABILITY, BUREAU OF

FAMILY ASSIST-FIELD, NEW HEIGHTS

05-95-093-930030-93170000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DEVELOPMENTAL SVCS DIV, DIV OF

DEVELOPMENTAL SERVICES, L21:1VII3 DEVELOPMENTAL IT REMED

05-95-093-930030-93230000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DEVELOPMENTAL SVCS DIV, DIV OF

DEVELOPMENTAL SERVICES, L21:1VII9 BDS Direct Billing

05-95-093-930030-93170000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DEVELOPMENTAL SVCS DIV, DIV OF

DEVELOPMENTAL SERVICES, L21:1VII3 DEVELOPMENTAL IT REMED

05-95-094-940010-24650000 HEAL TH AND SOCIAL SERVICES, DEPT OF HEAL TH AND HUMAN SERVICES, HHS: NEW HAMPSHIRE HOSPITAL,

ARPA DHHS FISCAL RECOVERY FUND

05-95-048-481030-93220000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, ELDERLY AND ADULT SVCS DIV, STATE

OFFICE ADMIN, L21:1VII8-BEAS SYSTMS MODRNZTN (HB25 SFY22/23)

RFP-2023-DEHS-01-NEWHE-01-A06

2020-095 1 of 3

Fiscal Details – Amendment #6

New Heights Maintenance and Enhancements

2023 034-500099 Major IT Systems 48130705 6,792,640.00$ -$ 6,792,640.00$

2024 034-500099 Major IT Systems n/a -$ -$ -$

Sub Total 6,792,640.00$ -$ 6,792,640.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 034-500161 Capital Projects TBD 133,931.00$ -$ 133,931.00$

2024 034-500161 Capital Projects n/a -$ -$ -$

Sub Total 133,931.00$ -$ 133,931.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 074-500589 Grants for Pub Assist and Reli42117814 - $ -$ -$

2024 074-500589Grants for Pub Assist and Reli42117814 292,227.00$ - $ 292,227.00$

Sub Total 292,227.00$ -$ 292,227.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 102-500731 Contracts for Program Services93009024 - $ -$ -$

2024 102-500731Contracts for Program Services93009024 4,908,938.00$ - $ 4,908,938.00$

2025 102-500731Contracts for Program Services93009021 1,300,000.00$ - $ 1,300,000.00$

Sub Total 6,208,938.00$ -$ 6,208,938.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 034-500099 Major IT Systems 48130706 - $ -$ -$

2024 034-500099 Major IT Systems 48130706 722,200.00$ -$ 722,200.00$

Sub Total 722,200.00$ -$ 722,200.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 102-500731 Contracts for Program ServicesVarious - $ -$ -$

2024 102-500731Contracts for Program ServicesVarious 862,335.00$ - $ 862,335.00$

2025 102-500731Contracts for Program Services47000645 2,186,746.00$ - $ 2,186,746.00$

2026 102-500731Contracts for Program ServicesVarious 319,480.00$ 4,159,677.00$ 4,479,157.00$

Sub Total 3,368,561.00$ 4,159,677.00$ 7,528,238.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2025 102-500731 Contracts for Program Services48108920 192,128.00$ - $ 192,128.00$

Sub Total 192,128.00$ -$ 192,128.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2025 102-500731 Contracts for Program Services93009020 340,548.00$ - $ 340,548.00$

Sub Total 340,548.00$ -$ 340,548.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2023 102-500731 Contracts for Program Services48130624 - $ -$ -$

2024 102-500731Contracts for Program Services48130624 841,758.00$ - $ 841,758.00$

2025 102-500731Contracts for Program Services48130624 246,796.00$ - $ 246,796.00$

Sub Total 1,088,554.00$ -$ 1,088,554.00$

05-95-047-470010-79370000, HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT OF HHS: DIVISION OF MEDICAID SERVICES: OFC

OF MEDICAID SERVICES, MEDICAID ADMINISTRATION

05-95-048-481010-89200000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SVS; HHS: DLTSS-ELDERLY & ADULT SVCS;

GRANTS FOR SOCIAL SVC PROG; MONEY FOLLOWS THE PERSON

05-95-093-930010-26060000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SVS; HHS: DLTSS-DIV OF DEVELOPMENTAL

SERVICES; DEVELOPMENTAL SERVICES; HCBS ENHANCED FMAP - ARP

05-95-048-481010-26040000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DLTSS-ELDERLY&ADULT SVCS, GRANTS

FOR SOCIAL SVC PROG, ELDER JUSTICE ARP GRANT

05-95-048-480030-0972000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DLTSS-ELDERLY&ADULT SVCS, STATE

OFFICE ADMIN, 11-253:1:VII-L REPLAT OP APP

05-95-093-930010-26060000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, DEVELOPMENTAL SVCS DIV, DIV OF

DEVELOPMENTAL SERVICES, HCBS ENHANCED FMAP-ARP

05-95-042-421030-93160000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SERVICES, HHS: HUMAN SERVICES DIV, DCYF

(CCWIS), L21: 1VII2-DCYF (CCWIS)

05-95-042-421110-29780000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SVCS, HHS: HUMAN SERVICES, CHILD

DEVELOPMENT, CHILD CARE DVLP-QUALITY ASSURE

RFP-2023-DEHS-01-NEWHE-01-A06

2020-095 2 of 3

Fiscal Details – Amendment #6

New Heights Maintenance and Enhancements

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2025 102-500731 Contracts for Program Services95440081 250,000.00$ - $ 250,000.00$

Sub Total 250,000.00$ -$ 250,000.00$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 102-500731 Contracts for Prog Svc 48108922 791,698.20$ -$ 791,698.20$

Sub Total 791,698.20$ -$ 791,698.20$

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 102-500731 Contracts for Prog Svc 48054046 $49,399 $0 $49,399

Sub Total $49,399 $0 $49,399

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 102-500731 Contracts for Prog Svc 48054046 $66,000 $0 $66,000

Sub Total $66,000 $0 $66,000

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 102-500731 Contracts for Prog Svc 95100067 $0 $697,302 $697,302

Sub Total $0 $697,302 $697,302

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 034-500161 Capital Projects TBD $0 $1,864,684 $1,864,684

Sub Total $0 $1,864,684 $1,864,684

State Fiscal

Year Class / Account Class Title Job Number Current Amount Increase (Decrease) Revised Amount

2026 034-500161 Capital Projects 47007052 $0 $6,053,675 $6,053,675

Sub Total $0 $6,053,675 $6,053,675

Overall Total 89,670,580.12$ 12,498,561.00$ 102,169,141.12$

05-95-045-451030-35590000-034 -500161 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT, HHS: DIV ECONOMIC STABILITY,

L25:1VII2-MODRN ELIG SVCS

05-095-047-470030-35570000-034-500161 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT OF HHS: DIVISION OF MEDICAID

SERVICES: OFC OF MEDICAID SERVICES, L 25:1VII1-MDCD ENTRPRISESTRAT

05-095-095-951010-79350000-102-500731 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT HHS: COMMISSIONERE’S OFFICE,

OFFICE OF IMPROVEMENT, INTEGRI

05-95-045-451110-77230000-102-500731 HEALTH AND SOCIAL SVS, HEALTH AND HUMAN SVS DEPT, HHS: DIV ECONOMIC STABILITY, CHILD

DEVELOPMENT, CCDF AMERICAN RELIEF ACT

05-95-048-480510-40460000 HEALTH AND SOCIAL SVS, HEALTH AND HUMAN SVS DEPT, HHS: DLTSS-ELDERLY AND ADULT SVS, PROGRAM

OPERATIONS, APS FORMULA GRANT

05-95-095-954010-59520000 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT OF HHS: COMMISSIONER'S OFFICE: OFFICE OF

INFORMATION SERVICES, OFFICE OF INFORMATION SERVICES

05-95-048-481010-89200000 HEALTH AND SOCIAL SERVICES, HEALTH AND HUMAN SVCS DEPT, HHS: DLTSS-BUR ADULT & AGING, GRANTS FOR

SOCIAL SVC PROG

RFP-2023-DEHS-01-NEWHE-01-A06

2020-095 3 of 3

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095F

State of New Hampshire

Department of Health and Human Services

Amendment #6

New HEIGHTS Maintenance Contract

This Amendment to the New HEIGHTS Maintenance contract is by and between the State of New Hampshire,

and the Department of Information Technology (hereinafter referred to as the “State” or the “Department” or

“DoIT”) and Deloitte Consulting LLP (hereinafter referred to as "the Contractor"), a limited liability partnership

organized under the laws of the State of Delaware with a place of business at 30 Rockefeller Plaza, New York,

NY 10112.

WHEREAS, pursuant to an agreement (the "Contract") approved by the Governor and Executive Council on

November 2, 2022 (Item #34), and amended on March 22, 2023 (Item #38A), August 23, 2023 (Item #44), June

26, 2024 (Item #81), December 18, 2024 (Item #49), and as most re cently amended on October 1, 2025 (Item

#5B), the Contractor agreed to perform certain services based upon the terms and conditions specified in the

Contract as amended and in consideration of certain sums specified; and

WHEREAS, pursuant to Form P-37, General Provisions, the Contract may be amended upon written agreement

of the parties and approval from the Governor and Executive Council; and

NOW THEREFORE, in consideration of the foregoing and the mutual covenants and conditions contained in the

Contract and set forth herein, the parties hereto agree to amend as follows:

1. Form P-37, General Provisions, Block 1.8., Price Limitation, to read:

$102,169,141.12

2. Modify Contract Part 3 – Information Technology Exhibits, Exhibit B – Scope of Services, Section 1.1,

General Project Assumptions, by adding paragraphs m., to read:

m. The Contractor shall provide additional services as defined in Part 3 – Information Technology

Exhibits, Exhibit D – Administrative Services, Section 5, Attachment A ‐1 New HEIGHTS

Statement of Work for Amendment #6 Enhancements, which is attached hereto and incorporated

by reference herein.

3. Modify A-1 New HEIGHTS Statement of Work for Amendment # 1 Enhancements, Section 2.9, Call

Center Enhancements, to read as:

Reserved.

4. Modify Attachment B-1, New HEIGHTS Maintenance, Operations and Enhancements, RFP-2023-DEHS-

01-NEWHE-01-A05, DoIT# 2020-095, Amendment #5 by deleting and replacing it in its entirety with New

HEIGHTS Maintenance, Operations and Enhancements, Attachment B -1, RFP-2023-DES-01-NEWHE-

01-A06, DoIT# 2020-095, Amendment #6, which is attached hereto and incorporated by reference herein.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095F

All terms and conditions of the Contract and prior amendments not modified by this Amendment remain in full

force and effect. This Amendment shall be effective upon Governor and Council approval, unless otherwise

specified above.

IN WITNESS WHEREOF, the parties have set their hands as of the date written below,

State of New Hampshire

Department of Information Technology

__________________ ___________________________________

Date Name: Denis Goulet

Title: Commissioner / CIO

State of New Hampshire

Department of Health and Human Services

__________________ ___________________________________

Date Name:

Title:

Deloitte Consulting LLP

__________________ ___________________________________

Date Name: Surendranatha R Komma

Title: Managing Director

March 2, 2026

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

3/9/2026

Associate Commissioner

Christine Santaniello

3/9/2026

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06

DoIT #2020-095F

Date____________

v7.12.23

The preceding Amendment, having been reviewed by this office, is approved as to form, substance, and

execution.

OFFICE OF THE ATTORNEY GENERAL

__________________ ___________________________________

Date Name:

Title:

I hereby certify that the foregoing Amendment was approved by the Governor and Executive Council of

the State of New Hampshire at the Meeting on: ________________ (date of meeting)

OFFICE OF THE SECRETARY OF STATE

__________________ ___________________________________

Date Name:

Title:

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

Robyn Guarino

Attorney

3/9/2026

New Hampshire

Department of Health and Human Services

Statement of Work (SOW) for

Amendment 6 Enhancements

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

1 Contents

1 INTRODUCTION 4

1.1 New HEIGHTS Background 4

1.2 Purpose 5

1.2.1 SNAP Grants 5

1.2.2 Modernize Eligibility Services 5

1.2.3 Making Eligibility Easier 6

1.2.4 Medicaid Community Engagement Work Requirements 6

1.2.5 Medicaid H.R.1 Changes 6

1.2.6 Medicaid Enhancements 6

2 FUNCTIONAL REQUIREMENTS FOR ENHANCEMENT 7

2.1 SNAP Grants 7

2.1.1 Process & Technology Improvement Grant (PTIG) 7

2.1.2 Fraud Framework Implementation Grant (FFIG) 8

2.1.3 Earnings Verification Support (EVS) Grant 8

2.2 Modernize Eligibility Services 9

2.2.1 Digital Communication – AI Chatbot 9

2.2.2 AI Document Upload & OCR to simplify Application and Verification process

9

2.2.3 Third Party Employment Verifications 9

2.3 Making Eligibility Easier 10

2.3.1 Client Communication Enhancements 10

2.3.2 Document Intake, Tracking and Verifications 10

2.3.3 Operational Efficiency Enhancements 11

2.3.4 Self Service Enhancements for Citizens, Providers and CMAs 12

2.3.5 MEA Redesign 13

2.4 Medicaid Community Engagement Work Requirements 13

2.4.1 CE Eligibility Status Determination 14

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

2.4.2 CE Ex Parte Renewal Enhancements 15

2.4.3 CE Report Change Enhancements 15

2.4.4 New HEIGHTS CE Enhancements 15

2.4.5 NH EASY CE Enhancements 16

2.4.6 CE Reports Enhancement 17

2.4.7 CE Audits & Quality Control 17

2.4.8 CE Notices Enhancements 17

2.4.9 CE Outreach & Digital Campaign 18

2.5 Medicaid H.R.1 Changes 19

2.5.1 Third-party Verifications 19

2.5.2 Alien Medicaid Eligibility 19

2.5.3 Eligibility Redetermination 19

2.5.4 Removing deceased individuals from enrollment 19

2.5.5 Reducing duplicate enrollment - Address Verification 20

2.5.6 100% Federal Poverty Line Verification 20

2.6 Medicaid Enhancements 20

2.6.1 Medicaid Policy, Administration & Operational Efficiency 20

2.6.2 Medicaid Premium Payments 21

3 PROJECT MANAGEMENT PLAN 21

4 ASSUMPTIONS 22

5 MILESTONES 25

6 DELIVERABLES 26

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

1 INTRODUCTION

1.1 New HEIGHTS Background

The New HEIGHTS system is the backbone of the eligibility determination and case management

for the New Hampshire Department of Health and Human Services (DHHS). New HEIGHTS

supports approximately 1,100 DHHS staff who process new applications, determine eligibility,

issue benefits, manage cases, and complete redeterminations. It automates more than 125

public assistance program variations, including 55 different Medicaid categories with 195,000+

Medicaid consumers and manages approximately ~$1.5 billion in annual benefits for SNAP and

Cash programs. New HEIGHTS is a fully Integrated eligibility system that provides shared client

intake, eligibility, client notices, and other features seamlessly across programs to fully automate

multi-program case management. New HEIGHTS case management includes Long Term Supports

and Services (LTSS) Medicaid waiver program administration and Adult Protective Services.

The NH EASY Gateway to Services is an innovative, web-based application that is fully integrated

with New HEIGHTS and enables clients and providers to access many programs and functions via

self-service, including screening for potential eligibility, apply, change reporting, appointment

scheduling, redetermination, check benefit status, online client notices, upload of documents

directly to case workers, status of documents, list of verifications needed to be provided, ability

to sign up for e-mails and text messages, and much more. The NH EASY provider portal supports

LTSS medical eligibility determination, assessments, service planning and prior authorization,

including HCBC (Home and Community Based Care) and Nursing Facility services, service

authorization planning, presumptive eligibility, Foster Care & Adoption Parents referrals, and

more.

New HEIGHTS is fully integrated with a document imaging solution which includes scanning and

indexing, document workflow, enterprise content management, and online upload functionality.

The document imaging solution also supports scanning and indexing documents for Child

Welfare and Child Support systems. New HEIGHTS supports extensive interfaces with federal and

state systems such as the Federally Facilitate Marketplace (FFM), SSA, CMS, NECSES (New

England Child Support), MMIS, and Bridges (Child Welfare). The New HEIGHTS Enterprise

Business Intelligence (EBI) platform supports reporting, and executive dashboards.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

1.2 Purpose

The primary purpose of these projects is to modernize and strengthen New Hampshire’s

eligibility and enrollment (E&E) ecosystem across NH EASY and New HEIGHTS for the Medicaid,

Long-Term Care, and SNAP programs. Through targeted technology and process

enhancements—such as artificial intelligence (AI) chatbot, document upload with optical

character recognition (OCR), and automated third-party employment and income verification—

the State will improve accuracy, timeliness, and customer experience while reducing manual

workload. The scope also advances program integrity by strengthening workflow, reporting,

document management, monitoring, and benefit recovery capabilities, including support for the

Special Investigations Unit (SIU). In parallel, the State will implement required House

Reconciliation bill (H.R. 1) changes, including the community engagement requirements.

Collectively, these initiatives address current operational and compliance challenges and

establish a more efficient, auditable, and scalable foundation for ongoing service delivery

improvement. In addition, the scope includes “Making Eligibility Easier” activities focused on

client communications, document intake and verification, operational efficiency, self-service

enhancements, and Medical Eligibility Assessment (MEA) redesign.

This scope of services supports:

1.2.1 SNAP Grants

a) Process and Technology Improvement Grant (PTIG) – NH EASY and New HEIGHTS

enhancements will improve SNAP case management by increasing usability, data quality,

and workflow efficiency, enabling timely and accurate eligibility decisions and reducing

payment error rates.

b) Fraud Framework Implementation Grant (FFIG) – New HEIGHTS enhancements will

streamline SNAP case management, reporting, and document management by

enhancing data accuracy, workflow efficiency, and program monitoring, enabling more

effective benefit recovery and informed decision-making by the Special Investigations

Unit (SIU).

c) Earnings Verification Support (EVS) Grant – New HEIGHTS Enhancements will improve

the accuracy and efficiency of SNAP eligibility decisions by automating employment and

income verification and streamlining communications regarding income discrepancies

for applicants and recipients.

1.2.2 Modernize Eligibility Services

This project modernizes Medicaid, SNAP and other services by improving digital

communication and eligibility verification to simplify member journeys and reduce manual

work. Enhancements include an

a) AI Chatbot for faster self-service support,

b) Document upload with OCR to streamline application and verification, and

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

c) Automated third-party employment verification via New Hampshire Electronic

Application System (NH EASY) to enable secure, real-time income and employment

checks that reduce paperwork and speed eligibility decisions.

1.2.3 Making Eligibility Easier

This project modernizes NH EASY and Medicaid eligibility support by enhancing client

communications, streamlining document intake/tracking and verification, improving

operational efficiency through automation and monitoring, expanding self-service tools for

clients, providers, and Case Management Agencies, and redesigning MEA to align with

updated clinical and statutory standards for more consistent, equitable, and efficient

eligibility determinations.

1.2.4 Medicaid Community Engagement Work Requirements

This project implements H.R. 1 Medicaid community engagement (work requirement)

changes in alignment with CMS community engagement requirements by configuring NH

EASY and New HEIGHTS to: (1) determine who is subject to the requirement, (2) capture and

track qualifying activities and compliance periods, (3) support exemptions and good-cause

workflows with appropriate documentation, (4) enable verification, and (5) generate

required member notices, appeal-ready actions, and operational reporting/audit and quality

control to support oversight and monitoring.

1.2.5 Medicaid H.R.1 Changes

This project implements House Reconciliation bill (H.R. 1) legislative by enhancing Medicaid

eligibility and program integrity through secure third-party verifications, updated non-citizen

eligibility rules (including screen, interface, and notice updates), more frequent and

auditable eligibility redeterminations and compliance reviews (at least every 6 months),

automated disenrollment using federal death records, safeguards to reduce duplicate multi-

state enrollment via recurring address verification and MCO address interfaces, and

strengthened Federal Poverty Line (FPL) and residency verification.

1.2.6 Medicaid Enhancements

The Medicaid Enhancements initiative strengthens New HEIGHTS by:

a) Modernizing task management in New HEIGHTS 360 by automating task prioritization,

assignment, and tracking with configurable rules, and enhancing real-time dashboards

and reporting to reduce administrative burden and improve operational visibility.

b) Enabling streamlined Medicaid premium payment administration for MAGI Expanded

Children households at or above 255% of the Federal Poverty Level (FPL), including

premium tracking, exemptions, staff reporting and system interfaces, third-party vendor

reconciliation, and NH EASY real-time payment status visibility and vendor access.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

2 FUNCTIONAL REQUIREMENTS FOR

ENHANCEMENT

The scope of work is comprised of multiple projects summarized in Section 1 above and defined

below:

2.1 SNAP Grants

The three (3) SNAP grants (PTIG, FFIG, EVS) aim to modernize SNAP administration by upgrading

the New HEIGHTS and NH EASY systems to automate workflows, enhance data verification and

case management, strengthen program integrity, and improve staff efficiency—promoting

timely, accurate, and reliable SNAP benefit delivery to eligible residents.

2.1.1 Process & Technology Improvement Grant (PTIG)

SNAP PTIG includes four key technological enhancements designed to improve efficiency and

service quality in SNAP administration for clients and staff:

 Enhance system usability by redesigning key worker portal dashboards with human-

centered design principles. Specific system enhancements include: A) Redesign key

eligibility screens (i.e., SUA and Earned Income), using human-centered design principles

and user-friendly language and intuitive layouts that better support staff; B) Enhance

worker dashboards to facilitate better oversight of SNAP applications, redeterminations,

change reporting, and overall task management; C) Implement automated tracking of

cases pending supervisor confirmation, displaying them directly on the supervisor

dashboard and eliminating manual tracking and email exchanges between workers and

supervisors.

 Improve data quality and program efficiency through quality check reviews and

enhanced documentation. Specific system enhancements include: A) Add a

comprehensive Quality Check screen to the SNAP eligibility determination process to

prompt worker action prior to benefit authorization, provide guidance and interview

tips, and offer options to change data, add case comments, and set up a review; B)

Require staff to enter case comments on designated eligibility screens, automatically

display relevant comments on related screens to enhance visibility, and implement

autosave functionality to prevent data loss.

 Streamline existing communication and change processing workflows to facilitate

timely and accurate eligibility determination. Specific system enhancements include: A)

Introduce system-driven prompts for clients and workers to review and update related

information when making a change; B) Verify income and employment data through

electronic data sources and automate benefit calculation after changes are reported; C)

Ensure that when SNAP benefits are denied or closed due to failure to provide, the

Notice of Decision only states relevant closure information, removing unnecessary or

confusing details about income or budgets.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

 Improve accuracy of benefit calculations for SNAP cases. Specific system enhancements

include, remove guardianship fee from gross income for all cases and include reported

medical expenses, whether verified or not, when calculating SNAP benefits, so that

households receive the full benefit amount they are eligible for, in accordance with their

attested application information.

2.1.2 Fraud Framework Implementation Grant (FFIG)

SNAP FFIG includes four key technological enhancements designed to address fraud:

 Improve case management and tracking by enhancing system tracking capabilities and

integrating advanced search and filter features. Specific system enhancements include A)

Expand search options, filters, and sorting capabilities across case management and

referral search screens for more efficient and targeted information retrieval; B)

Seamlessly auto-populate key data elements across Benefit Recovery and Claims screens

to enhance efficiency and data accuracy.

 Streamline SIU reports to improve program monitoring and analysis, thereby improving

performance measures. Specific system enhancements include A) Implement

standardized formatting for all reports to ensure consistency; B) Enable reports to be

exported directly in Excel format for easier analysis; C) Develop a new SNAP Repay

Transaction Summary Report for comprehensive tracking.

 Enhance data management processes and data quality for improved accuracy in benefit

recovery. Specific system enhancements include A) Streamline and standardize data

categorization across Benefit Recovery and Claims screens for greater consistency; B)

Introduce soft delete functionality to allow correction of erroneous data entries across

Benefit Recovery and Claims screens; C) Enable the system to capture and manage

overlapping sanction periods for intentional program violations.

 Modernize enterprise content management and processing, streamlining procedures for

developing evidence packages and automating SIU notice generation. Specific system

enhancements include A) Establish a dedicated module within New HEIGHTS to

electronically store, categorize, and process SIU documents; B) Enable comment entry on

Referral screens and enhance comment functionality on Benefit Recovery and Claims

screens; C) Implement automated electronic generation of SIU notices.

2.1.3 Earnings Verification Support (EVS) Grant

The SNAP EVS grant will enhance the New HEIGHTS eligibility system by streamlining

employment and income verification processes and automating income discrepancy

communications to SNAP applicants and recipients. Specific system enhancements include:

A) Automatically import employment and income data from third party payroll database(s)

into New HEIGHTS and auto-populate on Earned Income screen; B) On-screen system

validations to verify if employment and income data received from third party payroll

database(s) is reasonability consistent with household-reported information; C) Automate

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

communication notices to SNAP applicants and recipients regarding employment and

income-related discrepancies.

2.2 Modernize Eligibility Services

These projects integrate improvements in digital communication and verification to streamline

processes and minimize manual work. The main areas of improvement include:

2.2.1 Digital Communication – AI Chatbot

The project is to implement an AI-enabled virtual assistant (chatbot) for Medicaid beneficiary

inquiries and assistance. Configure natural language processing (NLP) and machine learning

capabilities to classify intents and generate responses for defined inquiry types, including

eligibility, enrollment, benefits, and renewal reminders. Enable 24/7 availability for the

chatbot channel(s). Implement security and privacy controls aligned to the Health Insurance

Portability and Accountability Act (HIPAA) and applicable Medicaid privacy requirements,

including user-data protection measures.

Configure audit logging to maintain a record of chatbot interactions and administrative

actions. Generate analytics and reporting capabilities to monitor chatbot usage and

performance. Configure the solution to support compliance with applicable federal and

Centers for Medicare & Medicaid Services (CMS) requirements, as applicable to the

implemented scope.

2.2.2 AI Document Upload & OCR to simplify Application and

Verification process

The Medicaid AI Document Upload & OCR Initiative focuses on transforming the application

and verification process for Medicaid recipients.

 Powered by secure, state-of-the-art AI and Optical Character Recognition (OCR)

technology, the initiative will enable applicants to upload required documents online for

immediate, automated processing.

 The solution is designed to intelligently extract, validate, and organize essential

information from diverse document types—such as proof of identity, household income,

or legal residency—directly supporting Medicaid’s eligibility and compliance standards.

 By reducing manual intervention, this initiative will not only enhance the applicant

experience and reduce processing delays but also increase operational efficiency and

data accuracy for Medicaid agencies.

2.2.3 Third Party Employment Verifications

The project is to implement automated third-party income and employment verification

capabilities for Medicaid eligibility determinations. The project will enable secure, real-time

data exchange interfaces with designated third-party data sources and integrate the

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

verification workflow within the NH EASY self-service portal, including capture of verification

results and status for use in eligibility processing.

2.3 Making Eligibility Easier

This project combines client communication enhancements, document intake, tracking and

verification, operational efficiency improvements, self-service enhancements for clients,

providers, and case management agencies (CMAs), and a redesigned Medical Eligibility

Assessment (MEA) process to streamline provider and client support. Key areas of enhancement

include:

2.3.1 Client Communication Enhancements

The Client Communication Enhancements initiative is designed to transform interactions

between Medicaid clients, providers, and caseworkers by leveraging modern digital tools

within the NH EASY platform.

 Implement two-way messaging in NH EASY: This project will establish an integrated

online messaging system, enabling Medicaid clients, providers, and case managers to

submit inquiries or requests directly through the NH EASY portal. Caseworkers will be

able to respond efficiently to these requests online using New HEIGHTS screens.

 Enhance Omni-Channel Client Delivery (Chatbot): This project will integrate advanced

chatbot capabilities targeted at Long Term Care (LTC) needs, serving clients, providers,

case managers, and nursing facility administrators. The chatbot will facilitate case-

specific Q&A, provide real-time status updates on documents (applications, medical

verifications), and deliver immediate access to pending requirements or next steps

 Enhance reminders for missing documents: This project will automate the delivery of

reminders for missed interviews, impending case closures, and missing verification

documents relevant to Medicaid clients. The goal is to promote timely client follow-up

and action, reducing eligibility gaps, staff outreach workload, and administrative

overhead.

2.3.2 Document Intake, Tracking and Verifications

This initiative brings together a series of targeted projects focused on modernizing the way

documentation is collected, tracked, and managed throughout the Medicaid case lifecycle.

By implementing advanced automation, improved status tracking, and streamlined

workflows for both case workers and clients, these efforts aim to enhance processing speed,

accountability, and transparency across the eligibility and renewal process.

 Automate Document Intake Using AI Technology: This project will utilize artificial

intelligence solutions to automate the intake and review of bank statements required for

lookback processing. The system will be capable of identifying missing statements,

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

flagging suspicious transactions, and automatically generating communications to clients

seeking additional clarification.

 Enhance Verification Tracking Capabilities: This project will establish a unified

verification tracking platform accessible to both case workers (via the worker portal) and

clients/providers (via self-service portals). The enhanced functionality will offer a

comprehensive view of all pending, completed, and outstanding verifications, including

specialized forms such as disability documentation.

 Implement a Document Status Tracker: This solution will provide clients with

immediate, online visibility of the status of documents they have submitted. By clearly

displaying whether documents are received, pending, or require further action, the

status tracker will significantly reduce confusion, limit unnecessary follow-up inquiries,

and improve clients’ ability to navigate the submission process with confidence.

 Enable Drag-and-Drop Uploads: This project is to implement drag-and-drop functionality

that enables authorized workers to upload documents and messages received via fax or

email directly into the Enterprise Content Management (ECM) system, including routing

of uploaded items into the defined ECM intake/storage location(s) and association to the

appropriate case or record where applicable.

2.3.3 Operational Efficiency Enhancements

This initiative comprises a set of projects targeting key operational workflows for Medicaid

case processing. Each project leverages automation, digital assistance, and enhanced

monitoring tools to optimize caseworker productivity, increase information accuracy, and

modernize the Medicaid eligibility and renewal processes across the NH EASY platform.

 Auto-Update Case Comments from Screen Changes: This project will enable automatic

population of case comments whenever special notations or updates are recorded in

intake and renewal screens by workers. By consolidating these remarks into the case

comment in real-time, this enhancement helps ensure that all critical details are

captured for future reference, improves consistency of documentation, reduces manual

entry errors, and supports seamless continuity across application activities.

 Implement Virtual Assistant for Caseworkers: This project will introduce an AI-powered

virtual assistant embedded within the caseworker platform. The assistant will support

case workers by providing instant access to policy guidance, program validation checks,

automated alerting supervisors, and seamless creation of helpdesk tickets. By serving as

a digital on-demand support tool, the virtual assistant will streamline day-to-day

processes, reduce errors, accelerate onboarding for new staff, and empower workers to

resolve complex Medicaid issues more efficiently.

 Automatically Generate Case Comments: With this enhancement, case comments will

be generated using system-driven prompts based on case data, worker actions, and

recent changes. Workers will be able to standardize comment entries and create high-

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

quality documentation with just a few clicks, reducing time and improving the

completeness and accuracy of case narratives throughout the Medicaid process.

 Automate 3rd Party Verification from Client Registration: This project will streamline

the initiation of third-party verifications within the client registration (CR) process for

Medicaid applications. Family Services Assistants will be able to trigger automated

verifications for critical data elements—such as SSN, citizenship, immigration status, date

of birth, and demographics—directly from CR screens. The process will run in the

background without manual intervention, ensuring necessary eligibility information is

collected early and is available to workers during application review.

 Automate Initiating Data Requests from External Sources via CR: A centralized platform

will be established to allow the initiation of external data verification requests (such as

AVS, VCI, SSI, and others) from the point of application registration. Family Services

Assistants will proactively trigger data verifications, preventing delays during the

Medicaid application processing and enabling more efficient, real-time adjudication

without waiting for third-party responses downstream.

 LTC Medicaid Dashboard Enhancements: This project will deliver an interactive

Medicaid dashboard tailored for case workers and supervisors. The dashboard will

provide comprehensive, real-time monitoring of application volumes, case status,

timeliness, interview outcomes, delays, denials, and backlog metrics. By equipping staff

with actionable trend insights and granular operational views, this enhancement

supports effective workload management, swift issue identification, and data-driven

decision-making to improve overall Medicaid operational performance.

 Supervisor Dashboard Enhancements: This scope involves refining the supervisor

dashboard to streamline case file reviews, enable expedited escalation, and enhance

workflow monitoring. Supervisors will gain increased visibility into case progress, identify

process bottlenecks promptly, and exercise improved oversight on Medicaid operations

to support timely decisions and effective team management.

2.3.4 Self Service Enhancements for Citizens, Providers and CMAs

This set of projects is designed to empower Medicaid recipients, providers, and Case

Management Agencies (CMAs) with advanced self-service tools for document handling, data

consistency, and client information management. By enabling more direct and transparent

engagement within the NH EASY platform, these enhancements support faster case

resolution, improved data quality, and a more collaborative Medicaid application and

renewal experience.

 Allow Viewing of Uploaded Documents: This project will provide providers and

authorized representatives with the ability to view documents they have submitted on

behalf of Medicaid clients directly within the NH EASY portal. Providers will be able to

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

verify the completeness and quality of uploaded material, reducing redundancy and

eliminating the need for repeated submissions.

 CFI Targeted Reconciliation: This project will implement automated reconciliation

between the New HEIGHTS Eligibility and Enrollment (E&E) system and the Medicaid

Management Information System (MMIS) for Choices for Independence (CFI) waivered

services and associated claims

 Provider Managed Digital Updates: This enhancement will establish a secure digital

form within the NH EASY portal, allowing providers and case managers to submit

updates to Medicaid client information, such as address changes, directly and efficiently..

2.3.5 MEA Redesign

The Medicaid Eligibility Assessment (MEA) Redesign initiative is a comprehensive effort to

align the MEA assessment tool, scoring methodology, and related workflows with updated

clinical and statutory standards. This bundle of projects will deliver a streamlined, more

efficient assessment process, ensure equitable and consistent eligibility determinations, and

provide enhanced training and digital solutions to support both staff and applicants

throughout the Medicaid eligibility journey.

 Redesign MEA & Update Algorithm Scoring: This project will overhaul the MEA

assessment tool and its supporting algorithm to ensure full alignment with the clinical

eligibility criteria established by RSA 151-E:3 and He-E 801.03. Key elements of the

redesign include structuring the assessment to clearly separate eligibility-determining

domains—such as ADLs, skilled needs, medical monitoring, and RN medication

administration—from planning-only factors and introducing a hybrid model that

calibrates the recognition of supervisory assistance while ensuring clinical review when

required.

 MEA Training Video Recording & Publishing: To support successful adoption of the

redesigned MEA tool and scoring logic, this project will develop a training content,

including recorded tutorial videos, to guide assessors through the revised process. These

resources will be made available through NH EASY.

 Automation of Consent and Authorization for Release of PHI: This project will automate

the intake and management of consent and PHI (Protected Health Information) release

as part of the Medicaid application workflow. By updating and digitizing the combined

consent (Form 3740) and authorization for PHI release (Form 3735), the system will allow

applicants and staff to request, complete, and process these forms electronically within

the intake process.

2.4 Medicaid Community Engagement Work Requirements

This project incorporates legislative changes from the House Reconciliation bill (H.R. 1) related to

community engagement requirements. Community Engagement and Work Requirements

functionality was implemented in 2019 but was not enabled following a U.S. District Court

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

decision; per Department of Health and Human Services (DHHS) guidance, the functionality was

subsequently removed from the application. Since 2019, multiple system changes, including core

technology stack version upgrades, have made the prior implementation outdated relative to the

current platform and business processes. As a result, reinstating Community Engagement

capability requires baseline modernization and re-alignment to bring major processes and

software to current levels before implementing the new federal requirements. The work will be

sequenced as follows: (1) Baseline restore (prerequisite)—update major processes and align

software/versions to the current state; (2) CMS Minimum Viable Product (MVP) readiness—

implement changes required for Centers for Medicare & Medicaid Services (CMS) MVP

compliance; and (3) Full H.R. 1 community engagement scope—implement remaining H.R. 1

community engagement functionality on top of the MVP. The following sections describe the key

areas of functional enhancements included as part of the scope.

2.4.1 CE Eligibility Status Determination

The New HEIGHTS eligibility system will be enhanced to ensure that all CE participants are

assessed accurately, fairly, and in compliance with new federal work requirements. The

project involves integrating federally mandated logic and workflow improvements into

application, eligibility determination, and verification processes. The solution will leverage

data automation, robust rules for compliance and exemption identification, and responsive

workflow management to minimize eligibility disruptions and streamline manual review.

The enhancements for CE to eligibility status determination will include the following

features:

 Revise state MAGI-based applications to include clear CE-related questions.

 Collect detailed information about qualifying work and CE activities, hours, and

exemptions.

 Develop specific logic for CE rules, including assessments for expansion adults under

Medicaid.

 Systematically determine which applicants or beneficiaries are subject to CE

requirements and identify those who qualify for exemptions or exclusions.

 Apply minimum income and activity thresholds (e.g., 80 hours per month of work,

education, or volunteerism).

 Accept various combinations of qualifying activities to meet CE thresholds.

 Handle non-compliance by providing official notice and a 30 calendar-day response

window, maintaining benefits during that period.

 Support disenrollment logic for applicants or beneficiaries failing to demonstrate

compliance after the grace period, with a requirement to reassess eligibility on all bases

before termination.

 Automate verification and exemption logic using reliable electronic data sources—such

as wage, education, program participation, claims, SNAP/TANF, and geographic data.

 Attempt electronic verification prior to requesting auditable self-declarations or

additional documentation.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

 Trigger workflow requests for documentation when electronic data is insufficient,

supporting multiple submission modalities (online, mail, phone, or in person).

 Support exception and “Good Cause” request handling, maintaining audit trails and

controls.

 Apply exemptions and compliance tracking logic for the correct period, with effective

date management.

2.4.2 CE Ex Parte Renewal Enhancements

The Ex parte renewal process will be enhanced and automated by integrating community

engagement (CE) compliance checks into current workflows. By leveraging existing new data

sources, the updated logic will evaluate both CE requirements and exemption statuses,

ensuring that eligibility renewals are performed accurately, efficiently, and in full alignment

with broader state and federal renewal policies. When ex parte data is insufficient, the

system will generate pre-populated renewal forms and route individuals, accordingly,

reducing burden on eligibility workers and improving the overall renewal experience for

beneficiaries.

The Ex parte renewal enhancements will include:

 Integrate CE compliance and exemption check into ex parte renewal workflows.

 Use electronic data to assess status and route beneficiaries (streamlined, manual, or

pending).

 Auto-generate pre-populated renewal forms if CE status cannot be confirmed. Send

notices to beneficiaries with renewal outcomes and next steps.

 Log all CE status changes for audits and reports. Apply CE policies consistently and

reduce unnecessary worker intervention

2.4.3 CE Report Change Enhancements

The New HEIGHTS eligibility system will be enhanced so that any reported or system-

identified change in a beneficiary’s circumstances automatically triggers a real-time review of

CE status. The system will promptly recalculate CE compliance or exemption, send updated

notices, initiate cure periods if needed, and redirect beneficiaries through the right eligibility

processes. This approach ensures participants are accurately evaluated, reducing improper

disenrollment and erroneous exemptions.

The Report Change enhancements will include the following features:

 Collect CE-related data during change reporting and periodic data matches, across all

submission channels.

 Recalculate CE status and eligibility in real time when a change is reported or detected.

 Generate updated notices, manage cure periods if needed, and route beneficiaries

through appropriate eligibility pathways.

 Log CE status determinations for audit and reporting purposes.

2.4.4 New HEIGHTS CE Enhancements

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

This project will enhance the New HEIGHTS Application for case workers to capture and

monitor all aspects of Medicaid CE, including exemption, participation, activity tracking, and

status management. Enhanced features will make it easier to process CE-related eligibility,

support manual intervention where automation is not enough, and ensure data consistency

and auditability across all workflows.

New HEIGHTS Caseworker Portal Community engagement enhancements include the

following features:

 Exemption Request: Collect, verify, and manage CE activity and exemption information,

including new data fields, workflows, and exemption request capturing.

 Work Program Information Blend: Modify current work program screen to include

community engagement categories (i.e., employment, self-employment, job search, job

readiness, student, community service, etc.)

 Activity Tracking: Develop new screens for activity entry, tracking, and category selection

(e.g., employment, education, job search) and enable upload and management of

supporting documentation.

 Medicaid Community Engagement Work Program Dashboard & Search Screen: Provide

dashboards and search screens for quick access to individual CE status, history, and

compliance metrics.

 Allow authorized workers to initiate, override, or escalate CE workflows when manual

intervention is required.

 Securely exchange and integrate relevant CE data with workforce and volunteering data

sources, eligibility systems, and case notes.

 Event Management for Change in Status: Modify existing batch jobs to track and change

work program status of an individual based on events such as key age thresholds.

2.4.5 NH EASY CE Enhancements

The Citizen/Client service portal is also known as NH EASY. NH Easy will be enhanced to

allow citizens and clients to report, track, and verify their CE activities and exemptions as

required by updated Medicaid eligibility rules. New workflows and tools will make it easier

for participants to document compliance, request exemptions or good cause, download

forms, access resources, and view current CE status—all from a single, accessible portal

experience.

The NH EASY Citizen/Client Portal Features include:

 Activity Management & Verification: Enable efficient reporting and verification of

qualifying activities, including minimum wage earnings, across work, education, and

volunteering.

 Simplifying Exemption and Good Cause Requests: Simplify submission and tracking of

exemption and good cause requests through user-friendly portal interfaces.

 Automating Document Handling: Automate document handling and enable secure

upload, indexing, and download of activity-related forms and verification.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

 Providing Easy Download of Forms: Ensure participants and staff can securely download

relevant forms.

 Centralizing Program Resources: Centralize updated program resources, CE education,

and FAQs for easy access within the portal.

 Improving Status Tracking: Clearly display participant work program status, upcoming

deadlines, and CE compliance on dashboards, with guidance for next steps.

2.4.6 CE Reports Enhancement

Enhancements will allow the state’s Enterprise Business Intelligence platform to collect and

analyze detailed CE program data. By integrating CE-specific fields and updating reporting

processes, the state will gain real-time insights into participant activity, compliance trends,

exemptions, and disenrollment reasons.

Reporting enhancements include the following features:

 Integrate new CE data fields—such as exemption reasons, reported hours, and

disenrollment reasons—into the enterprise data warehouse.

 Update systems to capture and reflect changes to CE-related Performance Indicators

(PIs) and eligibility data.

 Add granular reason codes for exemptions and disenrollments as needed.

 Develop dashboards and standard reports for: Participation tracking, Closure tracking,

Excuse absence utilization, Mandatory vs. exempt status with further breakdowns,

Customer service center metrics

2.4.7 CE Audits & Quality Control

This project will enhance system capabilities to comprehensively document and monitor all

CE-related activities and decisions. Automated logs and audit-ready reports will ensure each

case is substantiated, traceable, and compliant with oversight standards. These

improvements support ongoing quality assurance, appeals, audits, and risk management.

Enhanced features will include:

 Maintain detailed audit logs for all CE-related decisions (including status changes,

exemption approvals, compliance assessments, and disenrollment triggers).

 Capture and time-stamp both system-initiated and worker-initiated CE actions, tracking

outcome codes.

 Store supporting documentation (verification evidence, exemption forms, notices) in

auditable, accessible formats.

 Create CE-specific audit views and extract files for CMS or external audit requests.

 Integrate CE audit trails with state program integrity and risk management systems.

 Implement QC (Quality Control) event review, search, and sampling rules.

 Additional features may be identified based on further clarification from CMS guidance.

2.4.8 CE Notices Enhancements

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

This project will develop new and revise existing notices to fully reflect CE requirements and

workflows. Every notice will help beneficiaries understand their CE obligations, current

status, available exemptions, required actions, and consequences of non-compliance

(including cure periods and appeals).

 Design letters with CE-specific language and required variable content for clear,

actionable, and timely communication. Integrate determinations of financial and

community engagement compliance in all relevant noticing.

 Incorporate clear explanations of the 30-calendar day cure period and beneficiary

rights/responsibilities in relevant instruments.

 Trigger notices based on real-time system activity, workflow events, and caseworker

actions.

 Develop and update the following notice and form templates for CE-related

communications for Status & Activity, Exemptions & Special Status, Good Cause &

Decisions, Compliance/Noncompliance & Appeals and Redetermination

2.4.9 CE Outreach & Digital Campaign

This project is to enhance outreach and communication capabilities to ensure all applicable

beneficiaries are informed and reminded of Community Engagement (CE) program rules and

timelines. The system will automatically identify applicable individuals and generate initial

outreach in advance of CE requirements, delivered by mail and reinforced by at least one

supplemental channel, and will support recurring outreach with individualized content and

digital tools (including tutorials and feedback mechanisms). The solution will log and retain

outreach activities and make them accessible for workers and auditors for compliance,

monitoring, and audit purposes.

Features of this effort will include:

 Generate and send initial outreach 4–6 months ahead of CE compliance start, tailored to

the state’s review period and impacted populations. Schedule and manage recurring

targeted outreach at state-defined intervals.

 Mail notices by default; deliver electronically if elected by the beneficiary. Reinforce with

at least one additional channel (e.g., SMS text, portal messages, managed care

organization communications, or phone).

 Log all outreach events, delivery channels, and outcomes for compliance and audit

purposes. Display notice/outreach history and contact preferences in worker portals,

supporting confirmation of delivery prior to adverse action.

 Launch a CE Digital Information Campaign, including:

o AI-driven content development for tailored and regularly updated messaging.

o Tutorials and how-to resources to educate clients and the community about CE

requirements and processes.

o AI-driven content development for tailored and regularly updated messaging.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

o Digital notifications and feedback collection across all channels, with AI for

summary insights and rapid response to participant questions.

2.5 Medicaid H.R.1 Changes

This project combines legislative changes from the House Reconciliation bill (H.R. 1), excluding

community engagement requirements, which are CMS grant funded. Key areas enhancements

include:

2.5.1 Third-party Verifications

This project is to design, build, and implement secure external interface(s) for third-party

verifications (e.g., Managed Care Organization (MCO), National Student Clearinghouse (NSC),

etc.) to support Medicaid eligibility processes

 Integrate solutions into eligibility determination, renewal and compliance workflows,

and any other workflows, as needed depending on interface

 Support text, email, and notification letter changes, as needed depending on interface

2.5.2 Alien Medicaid Eligibility

The Alien Medicaid Eligibility change restricts full Medicaid eligibility to U.S. citizens, lawful

permanent residents, Cuban/Haitian entrants, and Compact of Free Association migrants,

effective October 1, 2026. This will include the changes below:

 Update eligibility determination rules to ensure that after October 1, 2026, only

individuals who are U.S. citizens, nationals, or specific qualified non-citizens (as newly

defined), including lawful permanent residents, specified humanitarian entrants, and

certain Compact of Free Association (COFA) migrants are eligible for Medicaid provided

all other eligibility requirements are met.

 Modify screens to collect data based on new rules for application, renewal and

verifications processing.

 Update real time and batch VLP interface with FDSH for verification of immigration

status and Update notices to add language pertaining to new determination rules where

necessary.

2.5.3 Eligibility Redetermination

This project will update both business processes and support systems to make

redeterminations and CE compliance reviews at least every 6 months, auditable, and

seamlessly integrated with eligibility workflows. The renewed approach will allow for

scheduled checks, easier verification of activities, real-time compliance status evaluations,

and prompt escalation when someone is non-compliant or exempt

2.5.4 Removing deceased individuals from enrollment

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

This project seeks to improve the current interface with federal death records (Death Master

File) so that all Medicaid enrollees are automatically disenrolled when their information

matches the file, thereby strengthening program integrity.

 Use the existing monthly schedule process to securely submit enrollee data (including all

required identifiers) for comparison with the federal Death Master File or its successor.

 Automatically end eligibility as soon as a death notification is received to avoid improper

payments.

 Create or update current notices for beneficiary households or authorized

representatives if a member is flagged as possibly deceased.

2.5.5 Reducing duplicate enrollment - Address Verification

These initiatives implement system enhancements that routinely refresh address

information, thereby preventing duplicate enrollments across multiple states. Outlined

below are the planned system and interface modifications to be executed as part of these

projects.

 Address Verification: Configure address request processes in eligibility system to

regularly (Quarterly) verify and update addresses using USPS National Change of Address

(NCOA). Issue notice to Medicaid recipients when discrepancies in address information

are identified from data sources and the address has been updated.

 Contractual Address Support: Establish a new interface with MCOs to receive address

changes from MCOs and issue notice to Medicaid recipients when discrepancies in

address information are identified.

2.5.6 100% Federal Poverty Line Verification

The project is to modify the passive renewal workflow such that, when an individual has a

previously verified income attestation within the prior two years (covering two

redetermination cycles) at or below 100% of the Federal Poverty Level (FPL), including $0

income, and the State has queried all available income data sources per its verification plan

with no income information returned, the State will execute passive renewal to continue

benefits contingent upon continued State residency, in accordance with the State’s

verification plan.

2.6 Medicaid Enhancements

These projects enhance the system to improve both operational and administrative efficiencies

while ensuring compliance with Medicaid policies at the state and federal levels. Key

enhancements include:

2.6.1 Medicaid Policy, Administration & Operational Efficiency

This initiative aims to optimize task management for supervisors and caseworkers by

automating the prioritization, assignment, and tracking of tasks related to Medicaid

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

applications, renewals and changes in the New HEIGHTS 360 system. The solution is designed

to reduce administrative burden, streamline workflows, and enhance decision-making

through improved dashboards and reporting. The major areas of opportunity include:

 Automate Task Prioritization and Assignment: Streamline the distribution of tasks

through automated prioritization based on staff availability, preferences, due dates,

document status, and urgency—using configurable templates and dynamic supervisor

controls. This integration enhances the New HEIGHTS 360 system by merging document

inbox priorities and promoting adaptive, needs-based assignment of tasks.

 Enhance Task Tracking and Real-Time Dashboards: Upgrade dashboards and reporting

capabilities to provide real-time visibility into task status, worker productivity, and

operational bottlenecks. Automated reporting reduces manual workloads and enables

supervisors and management to monitor performance, identify trends, and ensure

compliance with deadlines across all district offices.

2.6.2 Medicaid Premium Payments

This project will enhance the New HEIGHTS eligibility system to support the administration of

monthly Medicaid premiums for households in the MAGI Expanded Children program with

income at or above 255% of the Federal Poverty Level.

 The solution will capture and clearly designate premium obligations as well as

exemptions for qualified population groups.

 Reporting and system interface updates will provide staff with up-to-date premium

payment information and support seamless data transfer to related systems.

 A new process will be created in New HEIGHTS to handle premium payments made by

individuals through third-party vendors, closing process gaps and improving

reconciliation.

 To further empower clients, NH EASY will be updated to align with these changes,

allowing families to check their premium payment status in real time and conveniently

access the payment vendor’s website to fulfill payment requirements directly.

3 PROJECT MANAGEMENT PLAN

The Key activities will be managed using a structured project management methodology

including:

 Adherence to the established New HEIGHTS project management and application

development standards and best practices

 Lifecycle management and (defect/change) tracking by project

 Risk/ issue status and tracking using JIRA.

 Weekly joint delivery and State team lead project status meetings and

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

 Weekly Project Management reporting and status meeting

4 ASSUMPTIONS

a) The New HEIGHTS maintenance contractor will provide DBA, operations cycle support,

change/configuration management, subject matter expertise, and post implementation

support for work associated with this Agreement.

b) The New HEIGHTS maintenance and State Operations staff will be available during and

after normal business hours to assist the Contractor’s enhancement team to successfully

run batch jobs in the Integration and Systems/acceptance test environments and for

implementation support.

c) State staff will complete systems and regression testing.

d) The State will develop and execute training plans, materials, and programs in support of

work associated with this Agreement.

e) Milestone deliverable dates of this agreement and the Project Plan shall be regarded as

estimates. The Contractor shall use diligent efforts to meet such dates and shall notify

the State promptly if significant delays are encountered in completing the services or

deliverables.

f) The Department of IT- DoIT and the DoIT Technical Service Group (TSG) will complete

installation and initial configuration of on-premises hardware/software to be deployed in

the DoIT data center.

g) The Department of IT- DoIT and the DoIT Technical Service Group (TSG) will install and

configure any state network-related requirements to connect to cloud hosting for AI-

related initiatives.

h) The State shall have all necessary authority to commit to the State with respect to the

subject matter of this Amendment, including approval of the requirements to address

any applicable policies, laws, and regulations and of business rules and content.

i) The State will provide necessary approval for using cloud platform to host AI tools for

Gen AI Projects listed in the contract.

j) The State will provide necessary approval for using cloud platform to host AI tools for

Gen AI Projects listed in the contract. The State acknowledges that the use of the Gen AI

Technology and any rights to use the output of such technology is subject to the State’s

license for such technology with the Gen AI vendor, and that the Contractor makes no

representations or warranties with respect to, and has no responsibility for, the Gen AI

technology or the output from the use thereof.

k) The State will procure services from a third-party vendor that can interface with New

HEIGHTS to receive and send information on Medicaid premiums and to collect

premiums from clients on behalf of the State.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

5 Assumptions specific to Medicaid Community

Engagement Work Requirements

The Contractor will deliver all required functionality and services related to Community

Engagement as required by the interim final rule (Sec. 71119 of H.R. 1) anticipated to be issued

by CMS on or around June 1, 2026, as well as any policies, guidance, or directives subsequently

issued by CMS through September 30, 2028 subject to the service credits and limitations set

forth below.

a) Service Credit for Future CMS Updates - Vendor shall provide service credits of up to

USD $1,000,000 in FFY27 and FFY28 each year for core technology changes to the

Eligibility and Enrollment system (New HEIGHTS and NH EASY) required solely to address

anticipated future updates issued by the Centers for Medicare & Medicaid Services

(“CMS”) relating to Medicaid community engagement policies.

b) No Increase to Maintenance and Operations Fees for CE Core Technology Changes -

Vendor shall not increase its maintenance and operations fees for E&E system changes

that are directly attributable to the core technology changes implemented by Vendor to

address the CE Requirements, provided that such changes are within the agreed scope.

c) NextGen Verification Hub (Separate Agreement; Commercial Terms) - Vendor shall

install Deloitte’s NextGen Verification Hub in Year 1 at no cost for installation. Year 1

begins when the system is operational in production upon successful completion of User

Acceptance Test and State’s approval for production deployment. The parties shall

discuss the applicable license fees for NextGen Verification Hub beginning in Year 2.

Vendor shall offer discounted data-source subscription pricing and discounted

integration fees through December 31, 2028 (or through contract year 2028, as

applicable), subject to: (i) availability and third-party data provider terms; and (ii)

execution of a separate licensing and/or subscription agreement between Vendor and

NH DHHS (or the applicable State agency) governing license rights, subscription scope,

and commercial terms. Vendor shall have no obligation to provide licenses or

subscriptions absent such executed agreement. This Nextgen Verification Hub solution is

expected to cost at least 30% less than the current contractual rates with the Federal

Data Services Hub (“FDSH”) for employment income verification based on the following

conditions and usage metrics:

i. FFY27 FDSH-CSI Baseline Estimate. The federal fiscal year (“FFY”) 2027 cost for

the FDSH Commercial Sources of Income (“CSI”) function is estimated at $3.6

million, based on 2025 transaction counts and adjusted (doubled) to account for

a six (6) month redetermination requirement to be compliant with H.R. 1.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

ii. Quarter Wages Data Availability. New Hampshire Employment Security

(“NHES”) makes available last-quarter wages information sufficient to support

timely redeterminations and acceptable to NH DHHS Medicaid policy.

iii. Approved Interface Sequence. The State approves the NextGen Verification Hub

configuration utilizing the following interface sequence: NHES, Truv (consumer-

consent-based employment verification service), and then FDSH-CSI.

iv. Truv Enablement. The State enables the interface with Truv for consent-based

income verification.

v. National Student Clearinghouse Integration. Integration with the National

Student Clearinghouse is included, with an estimated FFY27 transaction cost of

$1.22 per transaction.

vi. For FFY28, Vendor shall offer the State an annual subscription/license fee for the

NextGen Verification Hub in the amount of two hundred fifty thousand dollars

(US $250,000), representing a discount from Vendor’s then-current listed price

of five hundred thousand dollars (US $500,000) for similarly situated states of

comparable size to New Hampshire. This FFY28 discounted pricing is subject to

(i) availability and applicable third-party data provider terms, and (ii) execution

of a separate licensing and/or subscription agreement between Vendor and NH

DHHS (or the applicable State agency) governing license rights, subscription

scope, and commercial terms. For FFY 2029 and each FFY thereafter, the

Subscription/License Fees payable for the same Subscription scope (including

edition/tier, licensed modules, and quantities) shall not increase by more than

three percent (3%) compared to the Subscription/License Fees charged for the

immediately preceding FFY. Vendor shall have no obligation to provide any

licenses or subscriptions absent such executed agreement.

vii. The State reserves the right, in its sole discretion, to proceed using the NextGen

Verification Hub or the State’s current New HEIGHTS verification solutions, as

the State deems appropriate, including transitioning between such solutions

during the Term to meet program, operational, or business needs.

d) Medical Frailty Screening (No Evaluation Logic Using Claims/Encounter Data) -

Application updates for medical frailty-related screening questions include only the

capture and display of screening questions and responses, as well as create fields to

track as well as reports associated and do not include development of medical frailty

evaluation logic that requires additional MMIS/claims/encounter data or integrations

beyond those expressly included in scope.

e) Audits / CMS QA Extracts - Audit-related work assumes development of two to five (2-5)

CE-specific quality assurance review reports and/or extract files for CMS.

f) Caseworker Portal / Case Management Dashboarding - Any requirement to “display

dashboards highlighting CE status, compliance actions, and renewal timelines” shall be

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

satisfied through the analytics and reporting scope (e.g., reports and dashboards

delivered via existing enterprise reporting tools).

g) Data Analytics & Reporting Scope Boundaries – The scope assumes development of five

to seven (5-7) new reports/dashboards leveraging existing reporting

platforms/capabilities.

h) Data Exchange / Interfaces- Data exchange scope includes:(i) changes to existing

interfaces; (ii) implementation of one to three (1-3) new interfaces that include Federal

Education hub, Volunteerism and Medical frailty as applicable to the E&E systems and

within the current New HEIGHTS approved technical/security constraints.

i) Market Coordination (FFM/SBM Boundary) - Market coordination changes are limited

to updates within the New HEIGHTS system to include CE information in FFM/SBM

referral integrations (inbound and outbound).

j) Notices & Forms (Languages) - Notices and forms scope includes creation of new and/or

modification of existing notices and forms in the currently supported language set.

6 MILESTONES

The scope of work includes enhancement projects which require modifications to the New

HEIGHTS and NH EASY Applications. DHHS will work with the Contractor to manage the

functional requirements within the estimates provided in the table below. If the scope of an

individual project causes the Contractor to exceed the hours budgeted, the Department will

work with the Contractor to process scope adjustments, including adjustments across other

projects, for the Contractor to complete the cumulative scope of work within the defined

resources constraints (defined by the hours per project in the table below).

If resources are required beyond the exhibit below, the Department will request a change order

or prioritize New HEIGHTS Maintenance Contractor resources to support the additional effort.

Enhancement / Project Summary Hours

SNAP Grants – PTIG Grant 7,111

SNAP Grants – FFIG Grant 4,288

SNAP Grants – EVS Grant 399

Modernize Eligibility Services - Digital Communication: AI Chatbot 4,342

Modernize Eligibility Services - AI Document Upload & OCR to simplify

Application and Verifications

5,557

Modernize Eligibility Services - Third Party Employment Verifications 1.563

Making Eligibility Easier - MEE - Client Communication 7,108

Making Eligibility Easier - MEE - Documents & Verifications 8,673

Making Eligibility Easier - MEE - Operational Efficiency 13,916

Making Eligibility Easier - MEE - Self Service Enhancements 4,162

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

Making Eligibility Easier - MEE - MEA Redesign 3,357

Medicaid Community Engagement - CE Eligibility Status Determination 780

Medicaid Community Engagement - CE Ex Parte Renewal Enhancements 174

Medicaid Community Engagement - CE Report Change Enhancements 347

Medicaid Community Engagement - New HEIGHTS CE Enhancements 1,040

Medicaid Community Engagement - NH EASY CE Enhancements 1,387

Medicaid Community Engagement - CE Reporting Enhancements 2,254

Medicaid Community Engagement - CE Audits & Quality Control 174

Medicaid Community Engagement - CE Notices Enhancements 2,600

Medicaid Community Engagement - CE Outreach & Digital Campaign 2,427

Medicaid H.R.1 - Third-party Verifications 2,948

Medicaid H.R.1 - Alien Medicaid Eligibility 347

Medicaid H.R.1 - Eligibility Redeterminations 1,387

Medicaid H.R.1 - Removing deceased individuals from enrollment 174

Medicaid H.R.1 - Reducing duplicate enrollment 694

Medicaid H.R.1 - 100% Federal Poverty Line Verification 347

Medicaid Enhancements - Automate task management 5,201

Medicaid Enhancements - Medicaid Premium Payments 3,295

7 DELIVERABLES

The State will approve all Deliverables according to the review process described below.

a) Each Deliverable that conforms in all material respects with the applicable specifications

agreed by the parties in writing (“Specifications”) will be approved by the State, without

condition. Within ten (10) working days from its receipt of a Deliverable, the State will

provide the Contractor with (i) written approval of such Deliverable or (ii) a written

statement of conditional approval (in which case the State will proceed to pay the Contractor

for the Deliverable) or rejection, which identifies in reasonable detail the deficiencies

preventing approval without condition (the “Deficiencies”). The review process begins with

receipt of the Deliverable by the State. The receipt date is the first working day after the

delivery date to the State.

b) Within five (5) working days of the Contractor’s receipt of a notice of Deficiencies, it will

clarify with the State the reasons for conditional approval or rejection. The Contractor will

have 30 working days from the end of the clarification period to complete corrective actions

for such Deliverable to conform to the applicable Specifications. Within five (5) working days

of the State’s receipt thereof, it will complete its review of the corrected Deliverable and

notify the Contractor in writing of acceptance, conditional acceptance, or rejection.

c) Notwithstanding the foregoing provisions of this Section, approval of a Deliverable (including

a Deliverable that was previously conditionally approved or rejected) will be deemed given

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

STATE OF NEW HAMPSHIRE

Department of Health and Human Services (DHHS)

New HEIGHTS Maintenance Contract – Amendment #6, Attachment A-1

Deloitte Consulting LLP A-S-1.3 Contractor Initials__________

RFP-2023-DEHS-01-NEWHE-01-A06 Date____________

DoIT #2020-095

by the State without condition if the State has not delivered to the Contractor a notice of

Deficiencies for such Deliverable during the period for State review thereof as set forth in

this Section, or if the State uses the Deliverable in Production.

d) The Contractor shall be entitled to rely on Deliverable approval for the purpose of

subsequent stages of the Contractor's performance.

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

1 Maintenance and Enhancements - October 202210/31/2022 $ 625,012.30 $ 625,012.30 $ 625,012.30 Original

2 Maintenance and Enhancements - November 202211/30/2022 $ 625,012.30 $ 1,250,024.60 $ 1,250,024.60 Original

3 Maintenance and Enhancements - December 202212/31/2022 $ 625,012.20 $ 1,875,036.80 $ 1,875,036.80 Original

4 Maintenance and Enhancements - January 20231/31/2023 $ 625,012.30 $ 2,500,049.10 $ 2,500,049.10 Original

5 Maintenance and Enhancements - February 20232/28/2023 $ 625,012.30 $ 3,125,061.40 $ 3,125,061.40 Original

6 Appeal & Fair Hearing Management - File an Appeal -

Requirements & Design 3/17/2023 $ 10,162.43 $ 3,135,223.83 $ 3,135,223.83 A1

7 Appeal & Fair Hearing Management - Appeal Dashboard -

Requirements & Design 3/17/2023 $ 44,737.01 $ 3,179,960.84 $ 3,179,960.84 A1

8 Appeal & Fair Hearing Management - e-Packet -

Requirements & Design 3/17/2023 $ 23,740.71 $ 3,203,701.55 $ 3,203,701.55 A1

9 Appeal & Fair Hearing Management - Generate Notices -

Requirements & Design 3/17/2023 $ 33,859.86 $ 3,237,561.41 $ 3,237,561.41 A1

10P-EBT - Summer P-EBT - Requirements & Design3/17/2023 $ 31,001.00 $ 3,268,562.41 $ 3,268,562.41 A1

11Appeal & Fair Hearing Management - File an Appeal -

Construction & Unit 3/31/2023 $ 47,424.65 $ 3,315,987.06 $ 3,315,987.06 A1

12Appeal & Fair Hearing Management - Appeal Dashboard -

Construction & Unit 3/31/2023 $ 208,772.69 $ 3,524,759.75 $ 3,524,759.75 A1

13Appeal & Fair Hearing Management - e-Packet -

Construction & Unit 3/31/2023 $ 110,789.98 $ 3,635,549.73 $ 3,635,549.73 A1

14Appeal & Fair Hearing Management - Generate Notices -

Construction & Unit 3/31/2023 $ 158,012.68 $ 3,793,562.41 $ 3,793,562.41 A1

15DD/ABD Rate Changes and Conversion - PA Changes and

Conversion - Requirements & Design 3/31/2023 $ 95,549.13 $ 3,889,111.54 $ 3,889,111.54 A1

16P-EBT - Summer P-EBT - Construction & Unit 3/31/2023 $ 144,671.00 $ 4,033,782.54 $ 4,033,782.54 A1

17Maintenance and Enhancements - March 20233/31/2023 $ 625,012.20 $ 4,658,794.74 $ 4,658,794.74 Original

18Appeal & Fair Hearing Management - File an Appeal -

Systems Testing 4/14/2023 $ 6,774.95 $ 4,665,569.69 $ 4,665,569.69 A1

19Appeal & Fair Hearing Management - Appeal Dashboard -

Systems Testing 4/14/2023 $ 29,824.67 $ 4,695,394.36 $ 4,695,394.36 A1

20Appeal & Fair Hearing Management - e-Packet - Systems

Testing 4/14/2023 $ 15,827.14 $ 4,711,221.50 $ 4,711,221.50 A1

21Appeal & Fair Hearing Management - Generate Notices -

Systems Testing 4/14/2023 $ 22,573.24 $ 4,733,794.74 $ 4,733,794.74 A1

22DD/ABD Rate Changes and Conversion - PA Changes and

Conversion - Construction & Unit 4/14/2023 $ 445,895.94 $ 5,179,690.68 $ 5,179,690.68 A1

23P-EBT - Summer P-EBT - Systems Testing 4/14/2023 $ 20,667.00 $ 5,200,357.68 $ 5,200,357.68 A1

24Appeal & Fair Hearing Management - File an Appeal -

Implementation 4/28/2023 $ 3,387.47 $ 5,203,745.15 $ 5,203,745.15 A1

25Appeal & Fair Hearing Management - Appeal Dashboard -

Implementation 4/28/2023 $ 14,912.33 $ 5,218,657.48 $ 5,218,657.48 A1

26Appeal & Fair Hearing Management - e-Packet -

Implementation 4/28/2023 $ 7,913.57 $ 5,226,571.05 $ 5,226,571.05 A1

27Appeal & Fair Hearing Management - Generate Notices -

Implementation 4/28/2023 $ 10,536.62 $ 5,237,107.67 $ 5,237,107.67 A1

28P-EBT - Summer P-EBT - Implementation 4/28/2023 $ 10,334.00 $ 5,247,441.67 $ 5,247,441.67 A1

29COVID - COVID Ongoing Support - Period-1 4/30/2023 $ 103,235.35 $ 5,350,677.02 $ 5,350,677.02 A1

30Bridges DI - Maintenance & Support - Period 14/30/2023 $ 22,321.85 $ 5,372,998.87 $ 5,372,998.87 A1

31Maintenance and Enhancements - April 2023 4/30/2023 $ 625,012.30 $ 5,998,011.17 $ 5,998,011.17 Original

32DD/ABD Rate Changes and Conversion - PA Changes and

Conversion - Systems Testing 5/12/2023 $ 63,699.42 $ 6,061,710.59 $ 6,061,710.59 A1

33DD/ABD Rate Changes and Conversion - PA Changes and

Conversion - Implementation 5/26/2023 $ 31,840.51 $ 6,093,551.10 $ 6,093,551.10 A1

34COVID - COVID Ongoing Support - Period-2 5/31/2023 $ 103,235.35 $ 6,196,786.45 $ 6,196,786.45 A1

35Maintenance and Enhancements - May 2023 5/31/2023 $ 625,012.30 $ 6,821,798.75 $ 6,821,798.75 Original

36

DD/ABD DAADs Payment Maintenance - Track DAADs

Payments and Send data to MMIS - Requirements &

Design

6/2/2023 $ 36,294.38 $ 6,858,093.13 $ 6,858,093.13 A1

37PTIG - Persona-Driven Analytics - Requirements &

Design 6/5/2023 $ 11,167.50 $ 6,869,260.63 $ 6,869,260.63 A1

38PTIG - Persona-Driven Survey/Interviews with SNAP

Recipients - Requirements & Design 6/5/2023 $ 22,335.00 $ 6,891,595.63 $ 6,891,595.63 A1

39DD/ABD DAADs Payment Maintenance - Track DAADs

Payments and Send data to MMIS - Construction & Unit6/30/2023 $ 169,373.75 $ 7,060,969.38 $ 7,060,969.38 A1

40COVID - COVID Ongoing Support - Period-3 6/30/2023 $ 103,235.35 $ 7,164,204.73 $ 7,164,204.73 A1

41Bridges DI - Maintenance & Support - Period 26/30/2023 $ 22,321.83 $ 7,186,526.56 $ 7,186,526.56 A1

42Maintenance and Enhancements - June 2023 6/30/2023 $ 625,012.20 $ 7,811,538.76 $ 7,811,538.76 Original

43TANF New Category - Online and Eligibility Changes -

Requirements & Design 7/5/2023 $ 45,831.42 $ 45,831.42 $ 7,857,370.18 A1

44TANF New Category - Batch Changes - Requirements &

Design 7/5/2023 $ 70,779.62 $ 116,611.04 $ 7,928,149.80 A1

45TANF New Category - Interfaces and Reports -

Requirements & Design 7/5/2023 $ 33,301.49 $ 149,912.53 $ 7,961,451.29 A1

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 1 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

46 PTIG - Persona-Driven Analytics - Construction & Unit 7/14/2023 $ 52,115.00 $ 202,027.53 $ 8,013,566.29 A1

47PTIG - Persona-Driven Survey/Interviews with SNAP

Recipients - Construction & Unit 7/14/2023 $ 104,230.00 $ 306,257.53 $ 8,117,796.29 A1

48TANF New Category - Online and Eligibility Changes -

Construction & Unit 7/26/2023 $ 213,879.96 $ 520,137.49 $ 8,331,676.25 A1

49TANF New Category - Batch Changes - Construction &

Unit 7/26/2023 $ 330,304.87 $ 850,442.36 $ 8,661,981.12 A1

50TANF New Category - Interfaces and Reports -

Construction & Unit 7/26/2023 $ 155,406.93 $ 1,005,849.29 $ 8,817,388.05 A1

51COVID - COVID Ongoing Support - Period-4 7/31/2023 $ 106,354.83 $ 1,112,204.12 $ 8,923,742.88 A1

52Maintenance and Enhancements - July 2023 7/31/2023 $ 646,852.27 $ 1,759,056.39 $ 9,570,595.15 Original

53DD/ABD DAADs Payment Maintenance - Track DAADs

Payments and Send data to MMIS - Systems Testing8/11/2023 $ 24,196.25 $ 1,783,252.64 $ 9,594,791.40 A1

54PTIG - Persona-Driven Analytics - Systems Testing8/18/2023 $ 7,445.00 $ 1,790,697.64 $ 9,602,236.40 A1

55PTIG - Persona-Driven Survey/Interviews with SNAP

Recipients - Systems Testing 8/18/2023 $ 14,890.00 $ 1,805,587.64 $ 9,617,126.40 A1

56DD/ABD DAADs Payment Maintenance - Track DAADs

Payments and Send data to MMIS - Implementation8/25/2023 $ 12,089.62 $ 1,817,677.26 $ 9,629,216.02 A1

57

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements -

Requirements & Design

8/25/2023 $ 45,000.00 $ 1,862,677.26 $ 9,674,216.02 A2

58

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements -

Construction & Unit

8/25/2023 $ 210,000.00 $ 2,072,677.26 $ 9,884,216.02 A2

59P-EBT - P-EBT School Year 2022-2023 - Requirements &

Design 8/25/2023 $ 17,925.00 $ 2,090,602.26 $ 9,902,141.02 A2

60P-EBT - P-EBT School Year 2022-2023 - Construction &

Unit 8/25/2023 $ 83,649.00 $ 2,174,251.26 $ 9,985,790.02 A2

61APS Case Management - APS Modernization - HCD -

Requirements & Design 8/25/2023 $ 43,106.00 $ 2,217,357.26 $ 10,028,896.02 A2

62APS Case Management - APS Modernization - HCD -

Construction & Unit 8/25/2023 $ 201,159.00 $ 2,418,516.26 $ 10,230,055.02 A2

63COVID - COVID Ongoing Support - Period-5 8/31/2023 $ 53,177.64 $ 2,471,693.90 $ 10,283,232.66 A1

64Bridges DI - Maintenance & Support - Period 38/31/2023 $ 22,321.83 $ 2,494,015.73 $ 10,305,554.49 A1

65Maintenance and Enhancements - August 20238/31/2023 $ 646,852.27 $ 3,140,868.00 $ 10,952,406.76 Original

66PTIG - Persona-Driven Analytics - Implementation9/1/2023 $ 3,722.50 $ 3,144,590.50 $ 10,956,129.26 A1

67PTIG - Persona-Driven Survey/Interviews with SNAP

Recipients - Implementation 9/1/2023 $ 7,445.00 $ 3,152,035.50 $ 10,963,574.26 A1

68

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements - Systems

Testing

9/8/2023 $ 30,000.00 $ 3,182,035.50 $ 10,993,574.26 A2

69 P-EBT - P-EBT School Year 2022-2023 - Systems Testing 9/8/2023 $ 11,950.00 $ 3,193,985.50 $ 11,005,524.26 A2

70APS Case Management - APS Modernization - HCD -

Systems Testing 9/8/2023 $ 28,737.00 $ 3,222,722.50 $ 11,034,261.26 A2

71TANF New Category - Online and Eligibility Changes -

Systems Testing 9/13/2023 $ 30,554.28 $ 3,253,276.78 $ 11,064,815.54 A1

72 TANF New Category - Batch Changes - Systems Testing 9/13/2023 $ 47,186.41 $ 3,300,463.19 $ 11,112,001.95 A1

73TANF New Category - Interfaces and Reports - Systems

Testing 9/13/2023 $ 22,200.99 $ 3,322,664.18 $ 11,134,202.94 A1

74

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements -

Implementation

9/15/2023 $ 15,000.00 $ 3,337,664.18 $ 11,149,202.94 A2

75 P-EBT - P-EBT School Year 2022-2023 - Implementation 9/15/2023 $ 5,975.00 $ 3,343,639.18 $ 11,155,177.94 A2

76APS Case Management - APS Modernization - HCD -

Implementation 9/15/2023 $ 14,368.00 $ 3,358,007.18 $ 11,169,545.94 A2

77TANF New Category - Online and Eligibility Changes -

Implementation 9/27/2023 $ 15,277.34 $ 3,373,284.52 $ 11,184,823.28 A1

78 TANF New Category - Batch Changes - Implementation 9/27/2023 $ 23,593.20 $ 3,396,877.72 $ 11,208,416.48 A1

79TANF New Category - Interfaces and Reports -

Implementation 9/27/2023 $ 11,100.49 $ 3,407,978.21 $ 11,219,516.97 A1

80 CFI Enhancements - ISA for CFI - Requirements & Design 9/29/2023 $ 87,106.50 $ 3,495,084.71 $ 11,306,623.47 A1

81COVID - COVID Ongoing Support - Period-6 9/30/2023 $ 53,177.64 $ 3,548,262.35 $ 11,359,801.11 A1

82Maintenance and Enhancements - September 20239/30/2023 $ 646,852.26 $ 4,195,114.61 $ 12,006,653.37 Original

83

Medicaid Policy, Administration & Operational Efficiency

- NHEASY Document Upload Changes - Requirements &

Design

10/6/2023 $ 47,861.00 $ 4,242,975.61 $ 47,861.00 A2

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 2 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

84P-EBT - P-EBT summer 2023 - School Age - Requirements

& Design 10/6/2023 $ 37,500.00 $ 4,280,475.61 $ 85,361.00 A2

85P-EBT - P-EBT summer 2023 - School Age - Construction

& Unit 10/6/2023 $ 175,000.00 $ 4,455,475.61 $ 260,361.00 A2

86

Medicaid Policy, Administration & Operational Efficiency

- NHEASY Document Upload Changes - Construction &

Unit

10/13/2023 $ 223,350.00 $ 4,678,825.61 $ 483,711.00 A2

87 CFI Enhancements - ISA for CFI - Construction & Unit 10/20/2023 $ 406,497.00 $ 5,085,322.61 $ 890,208.00 A1

88PTIG - Persona-Driven Digital Adoption and Outreach

Solution(s) - Requirements & Design 10/27/2023 $ 67,747.50 $ 5,153,070.11 $ 957,955.50 A1

89APS Intake - Intake - Requirements & Design 10/27/2023 $ 105,510.54 $ 5,258,580.65 $ 1,063,466.04 A1

90APS Investigation & Assessment - Investigation -

Requirements & Design 10/27/2023 $ 88,870.97 $ 5,347,451.62 $ 1,152,337.01 A1

91APS Investigation & Assessment - Risk Assessment -

Requirements & Design 10/27/2023 $ 90,211.07 $ 5,437,662.69 $ 1,242,548.08 A1

92APS Case Management - Case Management -

Requirements & Design 10/27/2023 $ 103,478.06 $ 5,541,140.75 $ 1,346,026.14 A1

93APS Case Management - In-App Reports - Requirements

& Design 10/27/2023 $ 84,180.62 $ 5,625,321.37 $ 1,430,206.76 A1

94APS Case Management - Claims Management -

Requirements & Design 10/27/2023 $ 68,702.46 $ 5,694,023.83 $ 1,498,909.22 A1

95APS Case Management - Conversion - Requirements &

Design 10/27/2023 $ 69,595.86 $ 5,763,619.69 $ 1,568,505.08 A1

96APS Interfaces & Provider - Interfaces - Requirements &

Design 10/27/2023 $ 5,539.08 $ 5,769,158.77 $ 1,574,044.16 A1

97APS Interfaces & Provider - Provider Management -

Requirements & Design 10/27/2023 $ 66,022.26 $ 5,835,181.03 $ 1,640,066.42 A1

98System of Care for Healthy Aging - Enrolled Provider

Tracking - Requirements & Design 10/27/2023 $ 34,842.00 $ 5,870,023.03 $ 1,674,908.42 A2

99System of Care for Healthy Aging - CFI Complaints

Tracking - Requirements & Design 10/27/2023 $ 23,228.00 $ 5,893,251.03 $ 1,698,136.42 A2

100System of Care for Healthy Aging - Financial Eligibility

Changes - Requirements & Design 10/27/2023 $ 23,228.00 $ 5,916,479.03 $ 1,721,364.42 A2

101

System of Care for Healthy Aging - Allowing Powers of

Attorney and Guardians to Serve as Care Providers -

Requirements & Design

10/27/2023 $ 75,000.00 $ 5,991,479.03 $ 1,796,364.42 A2

102COVID - COVID Ongoing Support - Period-7 10/31/2023 $ 53,177.64 $ 6,044,656.67 $ 1,849,542.06 A1

103Bridges DI - Maintenance & Support - Period 410/31/2023 $ 22,321.83 $ 6,066,978.50 $ 1,871,863.89 A1

104Maintenance and Enhancements - October 202310/31/2023 $ 646,852.27 $ 6,713,830.77 $ 2,518,716.16 Original

105Security - MARS 2.2 Assessment - System Security Plan

Workbooks 11/3/2023 $ 90,000.00 $ 6,803,830.77 $ 2,608,716.16 A2

106Security - MARS 2.2 Assessment - Privacy Impact

Assessment (PIA) 11/10/2023 $ 80,000.00 $ 6,883,830.77 $ 2,688,716.16 A2

107P-EBT - P-EBT summer 2023 - School Age - Systems

Testing 11/10/2023 $ 25,000.00 $ 6,908,830.77 $ 2,713,716.16 A2

108Security - MARS 2.2 Assessment - System Security Plan

Document (SSP) 11/17/2023 $ 140,000.00 $ 7,048,830.77 $ 2,853,716.16 A2

109Medicaid Policy, Administration & Operational Efficiency

- NHEASY Document Upload Changes - Systems Testing11/24/2023 $ 31,907.00 $ 7,080,737.77 $ 2,885,623.16 A2

110P-EBT - P-EBT summer 2023 - School Age -

Implementation 11/24/2023 $ 12,500.00 $ 7,093,237.77 $ 2,898,123.16 A2

111COVID - COVID Ongoing Support - Period-8 11/30/2023 $ 53,177.64 $ 7,146,415.41 $ 2,951,300.80 A1

112Maintenance and Enhancements - November 202311/30/2023 $ 646,852.27 $ 7,793,267.68 $ 3,598,153.07 Original

113PTIG - Persona-Driven Digital Adoption and Outreach

Solution(s) - Construction & Unit 12/1/2023 $ 316,155.00 $ 8,109,422.68 $ 3,914,308.07 A1

114Early Supports and Services - ESS Intake & Family Portal -

Requirements & Design 12/1/2023 $ 47,439.54 $ 8,156,862.22 $ 3,961,747.61 A1

115Early Supports and Services - IFSP & Signatures -

Requirements & Design 12/1/2023 $ 54,921.77 $ 8,211,783.99 $ 4,016,669.38 A1

116Early Supports and Services - Dashboards & ESS -

Requirements & Design 12/1/2023 $ 67,764.39 $ 8,279,548.38 $ 4,084,433.77 A1

117Early Supports and Services - Reports & Interfaces -

Requirements & Design 12/1/2023 $ 47,439.54 $ 8,326,987.92 $ 4,131,873.31 A1

118CFI Enhancements - ISA for CFI - Systems Testing12/1/2023 $ 58,071.00 $ 8,385,058.92 $ 4,189,944.31 A1

119CFI Enhancements - CFI Waiver Exception -

Requirements & Design 12/1/2023 $ 71,472.00 $ 8,456,530.92 $ 4,261,416.31 A1

120Security - MARS 2.2 Assessment - Plan of Action and

Milestones (POAM) 12/1/2023 $ 70,000.00 $ 8,526,530.92 $ 4,331,416.31 A2

121Security - MARS 2.2 Assessment - Security and Privacy

Assessment Report (SAR) 12/8/2023 $ 90,000.00 $ 8,616,530.92 $ 4,421,416.31 A2

122Medicaid Policy, Administration & Operational Efficiency

- NHEASY Document Upload Changes - Implementation12/15/2023 $ 15,954.00 $ 8,632,484.92 $ 4,437,370.31 A2

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 3 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

123Security - MARS 2.2 Assessment - Security and Privacy

Assessor Workbook (SAW) 12/15/2023 $ 80,000.00 $ 8,712,484.92 $ 4,517,370.31 A2

124Security - MARS 2.2 Assessment - Application Penn Test

Report 12/15/2023 $ 60,000.00 $ 8,772,484.92 $ 4,577,370.31 A2

125Early Supports and Services - ESS Intake & Family Portal -

Construction & Unit 12/29/2023 $ 221,384.52 $ 8,993,869.44 $ 4,798,754.83 A1

126Early Supports and Services - IFSP & Signatures -

Construction & Unit 12/29/2023 $ 256,301.57 $ 9,250,171.01 $ 5,055,056.40 A1

127Early Supports and Services - Dashboards & ESS -

Construction & Unit 12/29/2023 $ 316,233.82 $ 9,566,404.83 $ 5,371,290.22 A1

128Early Supports and Services - Reports & Interfaces -

Construction & Unit 12/29/2023 $ 221,384.52 $ 9,787,789.35 $ 5,592,674.74 A1

129CFI Enhancements - ISA for CFI - Implementation12/29/2023 $ 29,035.50 $ 9,816,824.85 $ 5,621,710.24 A1

130CFI Enhancements - CFI Waiver Exception - Construction

& Unit 12/29/2023 $ 333,536.00 $ 10,150,360.85 $ 5,955,246.24 A1

131COVID - COVID Ongoing Support - Period-9 12/31/2023 $ 53,177.64 $ 10,203,538.49 $ 6,008,423.88 A1

132Bridges DI - Maintenance & Support - Period 512/31/2023 $ 22,321.83 $ 10,225,860.32 $ 6,030,745.71 A1

133Maintenance and Enhancements - December 202312/31/2023 $ 646,852.26 $ 10,872,712.58 $ 6,677,597.97 Original

134Security - MARS 2.2 Assessment - Interconnection

Security Agreement (ISA) 1/26/2024 $ 50,000.00 $ 10,922,712.58 $ 6,727,597.97 A2

135System of Care for Healthy Aging - CFI Dashboard

Enhancement - Requirements & Design 1/26/2024 $ 31,269.00 $ 10,953,981.58 $ 6,758,866.97 A2

136System of Care for Healthy Aging - CFI Process for

Service Plan (ISA) - Requirements & Design 1/26/2024 $ 90,000.00 $ 11,043,981.58 $ 6,848,866.97 A2

137Child Care Enhancements - Child Care Scholarship

Program Changes - Requirements & Design 1/26/2024 $ 43,834.00 $ 11,087,815.58 $ 6,892,700.97 A2

138COVID - COVID Ongoing Support - Period-10 1/31/2024 $ 53,177.64 $ 11,140,993.22 $ 6,945,878.61 A1

139Maintenance and Enhancements - January 20241/31/2024 $ 646,852.27 $ 11,787,845.49 $ 7,592,730.88 Original

140PTIG - Persona-Driven Digital Adoption and Outreach

Solution(s) - Systems Testing 2/2/2024 $ 45,165.00 $ 11,833,010.49 $ 7,637,895.88 A1

141PTIG - Persona-Driven Digital Adoption and Outreach

Solution(s) - Implementation 2/23/2024 $ 21,907.50 $ 11,854,917.99 $ 7,659,803.38 A1

142

Medicaid Policy, Administration & Operational Efficiency

- LTSS Enhancements for MEA Processing -

Requirements & Design

2/23/2024 $ 108,330.00 $ 11,963,247.99 $ 7,768,133.38 A2

143System of Care for Healthy Aging - CFI Dashboard

Enhancement - Construction & Unit 2/23/2024 $ 145,922.00 $ 12,109,169.99 $ 7,914,055.38 A2

144System of Care for Healthy Aging - CFI Process for

Service Plan (ISA) - Construction & Unit 2/23/2024 $ 420,000.00 $ 12,529,169.99 $ 8,334,055.38 A2

145Child Care Enhancements - Child Care Scholarship

Program Changes - Construction & Unit 2/23/2024 $ 204,559.00 $ 12,733,728.99 $ 8,538,614.38 A2

146COVID - COVID Ongoing Support - Period-11 2/28/2024 $ 53,177.64 $ 12,786,906.63 $ 8,591,792.02 A1

147Bridges DI - Maintenance & Support - Period 62/28/2024 $ 22,321.83 $ 12,809,228.46 $ 8,614,113.85 A1

148APS Change Management - Training - Requirements &

Design 2/29/2024 $ 23,228.40 $ 12,832,456.86 $ 8,637,342.25 A1

149System of Care for Healthy Aging - Training & Change

Management-1 - Requirements & Design 2/29/2024 $ 54,073.50 $ 12,886,530.36 $ 8,691,415.75 A2

150Maintenance and Enhancements - February 20242/29/2024 $ 646,852.27 $ 13,533,382.63 $ 9,338,268.02 Original

151APS Intake - Intake - Construction & Unit 3/1/2024 $ 492,382.52 $ 14,025,765.15 $ 9,830,650.54 A1

152APS Investigation & Assessment - Investigation -

Construction & Unit 3/1/2024 $ 414,731.17 $ 14,440,496.32 $ 10,245,381.71 A1

153APS Investigation & Assessment - Risk Assessment -

Construction & Unit 3/1/2024 $ 420,984.97 $ 14,861,481.29 $ 10,666,366.68 A1

154APS Case Management - Case Management -

Construction & Unit 3/1/2024 $ 482,897.59 $ 15,344,378.88 $ 11,149,264.27 A1

155APS Case Management - In-App Reports - Construction

& Unit 3/1/2024 $ 392,842.87 $ 15,737,221.75 $ 11,542,107.14 A1

156APS Case Management - Claims Management -

Construction & Unit 3/1/2024 $ 320,611.48 $ 16,057,833.23 $ 11,862,718.62 A1

157APS Case Management - Conversion - Construction &

Unit 3/1/2024 $ 324,780.68 $ 16,382,613.91 $ 12,187,499.30 A1

158APS Interfaces & Provider - Interfaces - Construction &

Unit 3/1/2024 $ 25,849.04 $ 16,408,462.95 $ 12,213,348.34 A1

159APS Interfaces & Provider - Provider Management -

Construction & Unit 3/1/2024 $ 308,103.88 $ 16,716,566.83 $ 12,521,452.22 A1

160APS Security - Accessibility Testing & Security Review -

Accessibility Testing - 1 3/1/2024 $ 40,977.28 $ 16,757,544.11 $ 12,562,429.50 A1

161APS Security - Accessibility Testing & Security Review -

Security Review - 1 3/1/2024 $ 163,909.12 $ 16,921,453.23 $ 12,726,338.62 A1

162System of Care for Healthy Aging - Enrolled Provider

Tracking - Construction & Unit 3/1/2024 $ 162,596.00 $ 17,084,049.23 $ 12,888,934.62 A2

163System of Care for Healthy Aging - CFI Complaints

Tracking - Construction & Unit 3/1/2024 $ 108,399.00 $ 17,192,448.23 $ 12,997,333.62 A2

164System of Care for Healthy Aging - Financial Eligibility

Changes - Construction & Unit 3/1/2024 $ 108,399.00 $ 17,300,847.23 $ 13,105,732.62 A2

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 4 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

165

System of Care for Healthy Aging - Allowing Powers of

Attorney and Guardians to Serve as Care Providers -

Construction & Unit

3/1/2024 $ 350,000.00 $ 17,650,847.23 $ 13,455,732.62 A2

166Early Supports and Services - ESS Intake & Family Portal -

Systems Testing 3/8/2024 $ 31,626.36 $ 17,682,473.59 $ 13,487,358.98 A1

167Early Supports and Services - IFSP & Signatures - Systems

Testing 3/8/2024 $ 36,614.51 $ 17,719,088.10 $ 13,523,973.49 A1

168Early Supports and Services - Dashboards & ESS -

Systems Testing 3/8/2024 $ 45,176.26 $ 17,764,264.36 $ 13,569,149.75 A1

169Early Supports and Services - Reports & Interfaces -

Systems Testing 3/8/2024 $ 31,626.36 $ 17,795,890.72 $ 13,600,776.11 A1

170CFI Enhancements - CFI Waiver Exception - Systems

Testing 3/8/2024 $ 47,648.00 $ 17,843,538.72 $ 13,648,424.11 A1

171Security - MARS 2.2 Assessment - CMS Approval of ATC

Package 3/23/2024 $ 66,000.00 $ 17,909,538.72 $ 13,714,424.11 A2

172Early Supports and Services - ESS Intake & Family Portal -

Implementation 3/29/2024 $ 15,813.18 $ 17,925,351.90 $ 13,730,237.29 A1

173Early Supports and Services - IFSP & Signatures -

Implementation 3/29/2024 $ 18,307.25 $ 17,943,659.15 $ 13,748,544.54 A1

174Early Supports and Services - Dashboards & ESS -

Implementation 3/29/2024 $ 22,588.13 $ 17,966,247.28 $ 13,771,132.67 A1

175Early Supports and Services - Reports & Interfaces -

Implementation 3/29/2024 $ 15,804.28 $ 17,982,051.56 $ 13,786,936.95 A1

176CFI Enhancements - CFI Waiver Exception -

Implementation 3/29/2024 $ 23,824.00 $ 18,005,875.56 $ 13,810,760.95 A1

177CFI Enhancements - CFI Enhancements - Requirements

& Design 3/29/2024 $ 51,425.00 $ 18,057,300.56 $ 13,862,185.95 A1

178

Medicaid Policy, Administration & Operational Efficiency

- CMS Report Changes for Pending Cases after 3 Months -

Requirements & Design

3/29/2024 $ 7,985.00 $ 18,065,285.56 $ 13,870,170.95 A3

179APS Change Management - Training - Construction &

Unit 3/31/2024 $ 108,399.20 $ 18,173,684.76 $ 13,978,570.15 A1

180APS Change Management - Quality Assurance - Testing

Support -1 3/31/2024 $ 70,169.13 $ 18,243,853.89 $ 14,048,739.28 A1

181COVID - COVID Ongoing Support - Period-12 3/31/2024 $ 53,177.64 $ 18,297,031.53 $ 14,101,916.92 A1

182System of Care for Healthy Aging - Training & Change

Management-1 - Construction & Unit 3/31/2024 $ 252,343.00 $ 18,549,374.53 $ 14,354,259.92 A2

183Maintenance and Enhancements - March 20243/31/2024 $ 646,852.26 $ 19,196,226.79 $ 15,001,112.18 Original

184Security - Quarterly Code Scan - Quarterly Code Scan -

Period -1 3/31/2024 $ 10,112.00 $ 19,206,338.79 $ 15,011,224.18 A3

185System of Care for Healthy Aging - NH EASY for

ServiceLink - Requirements & Design 4/5/2024 $ 46,456.00 $ 19,252,794.79 $ 15,057,680.18 A2

186

Medicaid Policy, Administration & Operational Efficiency

- Automate Closure at 60 Days for Waiver Service Due to

fail Due to Rede - Requirements & Design

4/5/2024 $ 4,004.00 $ 19,256,798.79 $ 15,061,684.18 A3

187

Medicaid Policy, Administration & Operational Efficiency

- CMS Report Changes for Pending Cases after 3 Months -

Construction & Unit

4/5/2024 $ 37,261.00 $ 19,294,059.79 $ 15,098,945.18 A3

188

Medicaid Policy, Administration & Operational Efficiency

- Medicaid Policy Changes for Children with TPL -

Requirements & Design

4/5/2024 $ 11,965.00 $ 19,306,024.79 $ 15,110,910.18 A3

189

Medicaid Policy, Administration & Operational Efficiency

- SLMB135/Medicaid Choice of Program - Requirements

& Design

4/5/2024 $ 4,004.00 $ 19,310,028.79 $ 15,114,914.18 A3

190

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements for LTC -

Requirements & Design

4/5/2024 $ 43,949.00 $ 19,353,977.79 $ 15,158,863.18 A3

191Medicaid Waiver Support - Long Term Care UX

Assessment - Requirements & Design 4/5/2024 $ 51,082.00 $ 19,405,059.79 $ 15,209,945.18 A3

192NH EASY Self-Service Enhancements - Tracking

Verification Details - Requirements & Design 4/5/2024 $ 35,896.00 $ 19,440,955.79 $ 15,245,841.18 A3

193System of Care for Healthy Aging - CFI Dashboard

Enhancement - Systems Testing 4/12/2024 $ 20,846.00 $ 19,461,801.79 $ 15,266,687.18 A2

194System of Care for Healthy Aging - CFI Process for

Service Plan (ISA) - Systems Testing 4/12/2024 $ 60,000.00 $ 19,521,801.79 $ 15,326,687.18 A2

195Child Care Enhancements - Child Care Scholarship

Program Changes - Systems Testing 4/12/2024 $ 29,223.00 $ 19,551,024.79 $ 15,355,910.18 A2

196

Medicaid Policy, Administration & Operational Efficiency

- CMS Report Changes for Pending Cases after 3 Months -

Systems Testing

4/12/2024 $ 5,323.00 $ 19,556,347.79 $ 15,361,233.18 A3

197System of Care for Healthy Aging - NH EASY for

ServiceLink - Construction & Unit 4/19/2024 $ 216,794.00 $ 19,773,141.79 $ 15,578,027.18 A2

198CFI Enhancements - CFI Enhancements - Construction &

Unit 4/26/2024 $ 239,947.00 $ 20,013,088.79 $ 15,817,974.18 A1

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 5 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

199

Medicaid Policy, Administration & Operational Efficiency

- LTSS Enhancements for MEA Processing - Construction

& Unit

4/26/2024 $ 505,540.00 $ 20,518,628.79 $ 16,323,514.18 A2

200System of Care for Healthy Aging - CFI Dashboard

Enhancement - Implementation 4/26/2024 $ 10,423.00 $ 20,529,051.79 $ 16,333,937.18 A2

201System of Care for Healthy Aging - CFI Process for

Service Plan (ISA) - Implementation 4/26/2024 $ 30,000.00 $ 20,559,051.79 $ 16,363,937.18 A2

202Child Care Enhancements - Child Care Scholarship

Program Changes - Implementation 4/26/2024 $ 14,611.00 $ 20,573,662.79 $ 16,378,548.18 A2

203

Medicaid Policy, Administration & Operational Efficiency

- CMS Report Changes for Pending Cases after 3 Months -

Implementation

4/26/2024 $ 2,660.80 $ 20,576,323.59 $ 16,381,208.98 A3

204 APS Change Management - Training - Systems Testing 4/30/2024 $ 15,485.60 $ 20,591,809.19 $ 16,396,694.58 A1

205APS Change Management - Quality Assurance - Testing

Support -2 4/30/2024 $ 70,169.12 $ 20,661,978.31 $ 16,466,863.70 A1

206System of Care for Healthy Aging - Training & Change

Management-1 - Systems Testing 4/30/2024 $ 36,049.00 $ 20,698,027.31 $ 16,502,912.70 A2

207Maintenance and Enhancements - April 2024 4/30/2024 $ 646,852.27 $ 21,344,879.58 $ 17,149,764.97 Original

208Public Health Emergency - COVID Ongoing Support -

Month-04-2024 4/30/2024 $ 26,691.60 $ 21,371,571.18 $ 17,176,456.57 A3

209Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-1 4/30/2024 $ 5,372.00 $ 21,376,943.18 $ 17,181,828.57 A3

210

Medicaid Policy, Administration & Operational Efficiency

- Automate Closure at 60 Days for Waiver Service Due to

fail Due to Rede - Construction & Unit

5/3/2024 $ 18,684.00 $ 21,395,627.18 $ 17,200,512.57 A3

211

Medicaid Policy, Administration & Operational Efficiency

- Medicaid Policy Changes for Children with TPL -

Construction & Unit

5/3/2024 $ 55,838.00 $ 21,451,465.18 $ 17,256,350.57 A3

212

Medicaid Policy, Administration & Operational Efficiency

- SLMB135/Medicaid Choice of Program - Construction

& Unit

5/3/2024 $ 18,684.00 $ 21,470,149.18 $ 17,275,034.57 A3

213

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements for LTC -

Construction & Unit

5/3/2024 $ 205,096.00 $ 21,675,245.18 $ 17,480,130.57 A3

214Medicaid Waiver Support - Long Term Care UX

Assessment - Construction & Unit 5/3/2024 $ 238,384.00 $ 21,913,629.18 $ 17,718,514.57 A3

215NH EASY Self-Service Enhancements - Tracking

Verification Details - Construction & Unit 5/3/2024 $ 167,513.00 $ 22,081,142.18 $ 17,886,027.57 A3

216System of Care for Healthy Aging - Presumptive

Eligibility - Requirements & Design 5/24/2024 $ 94,500.00 $ 22,175,642.18 $ 17,980,527.57 A2

217System of Care for Healthy Aging - NH EASY Tutorials -

Requirements & Design 5/24/2024 $ 44,670.00 $ 22,220,312.18 $ 18,025,197.57 A2

218 APS Change Management - Training - Implementation 5/31/2024 $ 7,742.80 $ 22,228,054.98 $ 18,032,940.37 A1

219APS Change Management - Quality Assurance - Testing

Support -3 5/31/2024 $ 70,169.13 $ 22,298,224.11 $ 18,103,109.50 A1

220Maintenance and Enhancements - May 2024 5/31/2024 $ 646,852.27 $ 22,945,076.38 $ 18,749,961.77 Original

221Public Health Emergency - COVID Ongoing Support -

Month-05-2024 5/31/2024 $ 26,691.60 $ 22,971,767.98 $ 18,776,653.37 A3

222Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-2 5/31/2024 $ 5,372.00 $ 22,977,139.98 $ 18,782,025.37 A3

223APS Case Management - APS Online Reporting -

Requirements & Design 6/7/2024 $ 23,333.00 $ 23,000,472.98 $ 18,805,358.37 A3

224APS Case Management - APS Contract Services Interface -

Requirements & Design 6/7/2024 $ 47,861.00 $ 23,048,333.98 $ 18,853,219.37 A3

225APS Case Management - APSW Access to CFI

Information - Requirements & Design 6/7/2024 $ 11,965.00 $ 23,060,298.98 $ 18,865,184.37 A3

226APS Intake - Intake - Systems Testing 6/14/2024 $ 70,340.36 $ 23,130,639.34 $ 18,935,524.73 A1

227APS Investigation & Assessment - Investigation -

Systems Testing 6/14/2024 $ 59,247.31 $ 23,189,886.65 $ 18,994,772.04 A1

228APS Investigation & Assessment - Risk Assessment -

Systems Testing 6/14/2024 $ 60,140.71 $ 23,250,027.36 $ 19,054,912.75 A1

229APS Case Management - Case Management - Systems

Testing 6/14/2024 $ 68,985.37 $ 23,319,012.73 $ 19,123,898.12 A1

230APS Case Management - In-App Reports - Systems

Testing 6/14/2024 $ 56,120.41 $ 23,375,133.14 $ 19,180,018.53 A1

231APS Case Management - Claims Management - Systems

Testing 6/14/2024 $ 45,801.64 $ 23,420,934.78 $ 19,225,820.17 A1

232 APS Case Management - Conversion - Systems Testing 6/14/2024 $ 46,397.24 $ 23,467,332.02 $ 19,272,217.41 A1

233 APS Interfaces & Provider - Interfaces - Systems Testing 6/14/2024 $ 3,692.72 $ 23,471,024.74 $ 19,275,910.13 A1

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 6 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

234APS Interfaces & Provider - Provider Management -

Systems Testing 6/14/2024 $ 44,014.84 $ 23,515,039.58 $ 19,319,924.97 A1

235APS Security - Accessibility Testing & Security Review -

Accessibility Testing - 2 6/14/2024 $ 40,977.28 $ 23,556,016.86 $ 19,360,902.25 A1

236APS Security - Accessibility Testing & Security Review -

Security Review - 2 6/14/2024 $ 163,909.12 $ 23,719,925.98 $ 19,524,811.37 A1

237 CFI Enhancements - CFI Enhancements - Systems Testing 6/14/2024 $ 34,289.00 $ 23,754,214.98 $ 19,559,100.37 A1

238

Medicaid Policy, Administration & Operational Efficiency

- LTSS Enhancements for MEA Processing - Systems

Testing

6/14/2024 $ 72,220.00 $ 23,826,434.98 $ 19,631,320.37 A2

239System of Care for Healthy Aging - NH EASY for

ServiceLink - Systems Testing 6/14/2024 $ 30,971.00 $ 23,857,405.98 $ 19,662,291.37 A2

240System of Care for Healthy Aging - Presumptive

Eligibility - Construction & Unit 6/14/2024 $ 441,000.00 $ 24,298,405.98 $ 20,103,291.37 A2

241System of Care for Healthy Aging - Enrolled Provider

Tracking - Systems Testing 6/14/2024 $ 23,228.00 $ 24,321,633.98 $ 20,126,519.37 A2

242System of Care for Healthy Aging - NH EASY Tutorials -

Construction & Unit 6/14/2024 $ 208,460.00 $ 24,530,093.98 $ 20,334,979.37 A2

243System of Care for Healthy Aging - CFI Complaints

Tracking - Systems Testing 6/14/2024 $ 15,486.00 $ 24,545,579.98 $ 20,350,465.37 A2

244System of Care for Healthy Aging - Financial Eligibility

Changes - Systems Testing 6/14/2024 $ 15,486.00 $ 24,561,065.98 $ 20,365,951.37 A2

245

System of Care for Healthy Aging - Allowing Powers of

Attorney and Guardians to Serve as Care Providers -

Systems Testing

6/14/2024 $ 50,000.00 $ 24,611,065.98 $ 20,415,951.37 A2

246

Medicaid Policy, Administration & Operational Efficiency

- Automate Closure at 60 Days for Waiver Service Due to

fail Due to Rede - Systems Testing

6/14/2024 $ 2,669.00 $ 24,613,734.98 $ 20,418,620.37 A3

247

Medicaid Policy, Administration & Operational Efficiency

- Medicaid Policy Changes for Children with TPL -

Systems Testing

6/14/2024 $ 7,977.00 $ 24,621,711.98 $ 20,426,597.37 A3

248

Medicaid Policy, Administration & Operational Efficiency

- SLMB135/Medicaid Choice of Program - Systems

Testing

6/14/2024 $ 2,669.00 $ 24,624,380.98 $ 20,429,266.37 A3

249

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements for LTC -

Systems Testing

6/14/2024 $ 29,299.00 $ 24,653,679.98 $ 20,458,565.37 A3

250Medicaid Waiver Support - Long Term Care UX

Assessment - Systems Testing 6/14/2024 $ 34,055.00 $ 24,687,734.98 $ 20,492,620.37 A3

251NH EASY Self-Service Enhancements - Tracking

Verification Details - Systems Testing 6/14/2024 $ 23,930.00 $ 24,711,664.98 $ 20,516,550.37 A3

252APS Intake - Intake - Implementation 6/28/2024 $ 35,170.18 $ 24,746,835.16 $ 20,551,720.55 A1

253APS Investigation & Assessment - Investigation -

Implementation 6/28/2024 $ 29,623.65 $ 24,776,458.81 $ 20,581,344.20 A1

254APS Investigation & Assessment - Risk Assessment -

Implementation 6/28/2024 $ 30,070.35 $ 24,806,529.16 $ 20,611,414.55 A1

255APS Case Management - Case Management -

Implementation 6/28/2024 $ 34,492.68 $ 24,841,021.84 $ 20,645,907.23 A1

256APS Case Management - In-App Reports -

Implementation 6/28/2024 $ 28,060.20 $ 24,869,082.04 $ 20,673,967.43 A1

257APS Case Management - Claims Management -

Implementation 6/28/2024 $ 22,900.82 $ 24,891,982.86 $ 20,696,868.25 A1

258 APS Case Management - Conversion - Implementation 6/28/2024 $ 23,198.62 $ 24,915,181.48 $ 20,720,066.87 A1

259 APS Interfaces & Provider - Interfaces - Implementation 6/28/2024 $ 1,846.36 $ 24,917,027.84 $ 20,721,913.23 A1

260APS Interfaces & Provider - Provider Management -

Implementation 6/28/2024 $ 22,007.42 $ 24,939,035.26 $ 20,743,920.65 A1

261 CFI Enhancements - CFI Enhancements - Implementation 6/28/2024 $ 17,149.00 $ 24,956,184.26 $ 20,761,069.65 A1

262

Medicaid Policy, Administration & Operational Efficiency

- LTSS Enhancements for MEA Processing -

Implementation

6/28/2024 $ 36,110.00 $ 24,992,294.26 $ 20,797,179.65 A2

263System of Care for Healthy Aging - NH EASY for

ServiceLink - Implementation 6/28/2024 $ 15,485.00 $ 25,007,779.26 $ 20,812,664.65 A2

264System of Care for Healthy Aging - Enrolled Provider

Tracking - Implementation 6/28/2024 $ 11,614.00 $ 25,019,393.26 $ 20,824,278.65 A2

265System of Care for Healthy Aging - CFI Complaints

Tracking - Implementation 6/28/2024 $ 7,743.00 $ 25,027,136.26 $ 20,832,021.65 A2

266System of Care for Healthy Aging - Financial Eligibility

Changes - Implementation 6/28/2024 $ 7,743.00 $ 25,034,879.26 $ 20,839,764.65 A2

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 7 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

267

System of Care for Healthy Aging - Allowing Powers of

Attorney and Guardians to Serve as Care Providers -

Implementation

6/28/2024 $ 25,000.00 $ 25,059,879.26 $ 20,864,764.65 A2

268

Medicaid Policy, Administration & Operational Efficiency

- Automate Closure at 60 Days for Waiver Service Due to

fail Due to Rede - Implementation

6/28/2024 $ 1,334.60 $ 25,061,213.86 $ 20,866,099.25 A3

269

Medicaid Policy, Administration & Operational Efficiency

- Medicaid Policy Changes for Children with TPL -

Implementation

6/28/2024 $ 3,988.00 $ 25,065,201.86 $ 20,870,087.25 A3

270

Medicaid Policy, Administration & Operational Efficiency

- SLMB135/Medicaid Choice of Program -

Implementation

6/28/2024 $ 1,334.60 $ 25,066,536.46 $ 20,871,421.85 A3

271

Medicaid Policy, Administration & Operational Efficiency

- Rede Tracking Dashboard Enhancements for LTC -

Implementation

6/28/2024 $ 14,650.00 $ 25,081,186.46 $ 20,886,071.85 A3

272Medicaid Waiver Support - Long Term Care UX

Assessment - Implementation 6/28/2024 $ 17,027.00 $ 25,098,213.46 $ 20,903,098.85 A3

273NH EASY Self-Service Enhancements - Tracking

Verification Details - Implementation 6/28/2024 $ 11,965.00 $ 25,110,178.46 $ 20,915,063.85 A3

274APS Change Management - Quality Assurance - Testing

Support - 4 6/30/2024 $ 70,097.82 $ 25,180,276.28 $ 20,985,161.67 A1

275System of Care for Healthy Aging - Training & Change

Management-1 - Implementation 6/30/2024 $ 18,024.50 $ 25,198,300.78 $ 21,003,186.17 A2

276Maintenance and Enhancements - June 2024 6/30/2024 $ 646,852.26 $ 25,845,153.04 $ 21,650,038.43 Original

277Public Health Emergency - COVID Ongoing Support -

Month-06-2024 6/30/2024 $ 26,691.60 $ 25,871,844.64 $ 21,676,730.03 A3

278Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-3 6/30/2024 $ 5,372.00 $ 25,877,216.64 $ 21,682,102.03 A3

279Security - Quarterly Code Scan - Quarterly Code Scan -

Period -2 6/30/2024 $ 10,112.00 $ 25,887,328.64 $ 21,692,214.03 A3

280

Medicaid Policy, Administration & Operational Efficiency

- Streamlining MSP Eligibility Determination - Phase 1 -

Requirements & Design

7/5/2024 $ 36,972.00 $ 36,972.00 $ 21,729,186.03 A3

281

Medicaid Policy, Administration & Operational Efficiency

- Automate Ex Parte Renewals for Categorical Limits -

Requirements & Design

7/5/2024 $ 36,972.00 $ 73,944.00 $ 21,766,158.03 A3

282

Medicaid Policy, Administration & Operational Efficiency

- Allowing Clients to Request for Conti. Elig. Within 90

Days of Closure - Requirements & Design

7/5/2024 $ 16,448.00 $ 90,392.00 $ 21,782,606.03 A3

283Medicaid Policy, Administration & Operational Efficiency

- Increase Enrollment in MSP - Requirements & Design7/5/2024 $ 12,324.00 $ 102,716.00 $ 21,794,930.03 A3

284APS Case Management - APS Online Reporting -

Construction & Unit 7/5/2024 $ 108,883.00 $ 211,599.00 $ 21,903,813.03 A3

285APS Case Management - APS Contract Services Interface -

Construction & Unit 7/5/2024 $ 223,350.00 $ 434,949.00 $ 22,127,163.03 A3

286APS Case Management - APSW Access to CFI

Information - Construction & Unit 7/5/2024 $ 55,838.00 $ 490,787.00 $ 22,183,001.03 A3

287Maintenance and Enhancements - July 2024 7/31/2024 $ 669,517.33 $ 1,160,304.33 $ 22,852,518.36 Original

288Public Health Emergency - COVID Ongoing Support -

Month-07-2024 7/31/2024 $ 27,492.00 $ 1,187,796.33 $ 22,880,010.36 A3

289Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-4 7/31/2024 $ 5,372.00 $ 1,193,168.33 $ 22,885,382.36 A3

290

Medicaid Policy, Administration & Operational Efficiency

- Streamlining MSP Eligibility Determination - Phase 1 -

Construction & Unit

8/2/2024 $ 172,536.00 $ 1,365,704.33 $ 23,057,918.36 A3

291

Medicaid Policy, Administration & Operational Efficiency

- Automate Ex Parte Renewals for Categorical Limits -

Construction & Unit

8/2/2024 $ 172,536.00 $ 1,538,240.33 $ 23,230,454.36 A3

292

Medicaid Policy, Administration & Operational Efficiency

- Allowing Clients to Request for Conti. Elig. Within 90

Days of Closure - Construction & Unit

8/2/2024 $ 76,756.00 $ 1,614,996.33 $ 23,307,210.36 A3

293Medicaid Policy, Administration & Operational Efficiency

- Increase Enrollment in MSP - Construction & Unit8/2/2024 $ 57,512.00 $ 1,672,508.33 $ 23,364,722.36 A3

294System of Care for Healthy Aging - Presumptive

Eligibility - Systems Testing 8/16/2024 $ 63,000.00 $ 1,735,508.33 $ 23,427,722.36 A2

295System of Care for Healthy Aging - NH EASY Tutorials -

Systems Testing 8/16/2024 $ 29,780.00 $ 1,765,288.33 $ 23,457,502.36 A2

296APS Case Management - APS Online Reporting - Systems

Testing 8/16/2024 $ 15,554.00 $ 1,780,842.33 $ 23,473,056.36 A3

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 8 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

297APS Case Management - APS Contract Services Interface -

Systems Testing 8/16/2024 $ 31,907.00 $ 1,812,749.33 $ 23,504,963.36 A3

298APS Case Management - APSW Access to CFI

Information - Systems Testing 8/16/2024 $ 7,977.00 $ 1,820,726.33 $ 23,512,940.36 A3

299System of Care for Healthy Aging - Presumptive

Eligibility - Implementation 8/30/2024 $ 31,500.00 $ 1,852,226.33 $ 23,544,440.36 A2

300System of Care for Healthy Aging - NH EASY Tutorials -

Implementation 8/30/2024 $ 14,890.00 $ 1,867,116.33 $ 23,559,330.36 A2

301APS Case Management - APS Online Reporting -

Implementation 8/30/2024 $ 7,777.60 $ 1,874,893.93 $ 23,567,107.96 A3

302APS Case Management - APS Contract Services Interface -

Implementation 8/30/2024 $ 15,954.00 $ 1,890,847.93 $ 23,583,061.96 A3

303APS Case Management - APSW Access to CFI

Information - Implementation 8/30/2024 $ 3,988.00 $ 1,894,835.93 $ 23,587,049.96 A3

304System of Care for Healthy Aging - Training & Change

Management-2 - Requirements & Design 8/31/2024 $ 54,073.50 $ 1,948,909.43 $ 23,641,123.46 A2

305Maintenance and Enhancements - August 20248/31/2024 $ 669,517.33 $ 2,618,426.76 $ 24,310,640.79 Original

306Public Health Emergency - COVID Ongoing Support -

Month-08-2024 8/31/2024 $ 27,492.00 $ 2,645,918.76 $ 24,338,132.79 A3

307Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-5 8/31/2024 $ 5,372.00 $ 2,651,290.76 $ 24,343,504.79 A3

308

Medicaid Policy, Administration & Operational Efficiency

- Streamlining MSP Eligibility Determination - Phase 1 -

Systems Testing

9/13/2024 $ 24,648.00 $ 2,675,938.76 $ 24,368,152.79 A3

309

Medicaid Policy, Administration & Operational Efficiency

- Automate Ex Parte Renewals for Categorical Limits -

Systems Testing

9/13/2024 $ 24,648.00 $ 2,700,586.76 $ 24,392,800.79 A3

310

Medicaid Policy, Administration & Operational Efficiency

- Allowing Clients to Request for Conti. Elig. Within 90

Days of Closure - Systems Testing

9/13/2024 $ 10,965.00 $ 2,711,551.76 $ 24,403,765.79 A3

311Medicaid Policy, Administration & Operational Efficiency

- Increase Enrollment in MSP - Systems Testing9/13/2024 $ 8,216.00 $ 2,719,767.76 $ 24,411,981.79 A3

312

Medicaid Policy, Administration & Operational Efficiency

- Streamlining MSP Eligibility Determination - Phase 1 -

Implementation

9/27/2024 $ 12,324.00 $ 2,732,091.76 $ 24,424,305.79 A3

313

Medicaid Policy, Administration & Operational Efficiency

- Automate Ex Parte Renewals for Categorical Limits -

Implementation

9/27/2024 $ 12,324.00 $ 2,744,415.76 $ 24,436,629.79 A3

314

Medicaid Policy, Administration & Operational Efficiency

- Allowing Clients to Request for Conti. Elig. Within 90

Days of Closure - Implementation

9/27/2024 $ 5,483.00 $ 2,749,898.76 $ 24,442,112.79 A3

315Medicaid Policy, Administration & Operational Efficiency

- Increase Enrollment in MSP - Implementation9/27/2024 $ 4,108.00 $ 2,754,006.76 $ 24,446,220.79 A3

316System of Care for Healthy Aging - Training & Change

Management-2 - Construction & Unit 9/30/2024 $ 252,343.00 $ 3,006,349.76 $ 24,698,563.79 A2

317Maintenance and Enhancements - September 20249/30/2024 $ 669,517.34 $ 3,675,867.10 $ 25,368,081.13 Original

318Public Health Emergency - COVID Ongoing Support -

Month-09-2024 9/30/2024 $ 27,492.00 $ 3,703,359.10 $ 25,395,573.13 A3

319Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-6 9/30/2024 $ 5,372.00 $ 3,708,731.10 $ 25,400,945.13 A3

320Security - Quarterly Code Scan - Quarterly Code Scan -

Period -3 9/30/2024 $ 10,112.00 $ 3,718,843.10 $ 25,411,057.13 A3

321

Medicaid Policy, Administration & Operational Efficiency

- E-14 Authority Discontinuation - Requirements &

Design

10/1/2024 $ 6,162.00 $ 3,725,005.10 $ 6,162.00 A3

322

Medicaid Policy, Administration & Operational Efficiency

- Changes to 120 Reconsideration - Requirements &

Design

10/1/2024 $ 2,062.00 $ 3,727,067.10 $ 8,224.00 A3

323

Medicaid Policy, Administration & Operational Efficiency

- Continuous 12 Month Eligibility for Children -

Requirements & Design

10/1/2024 $ 4,004.00 $ 3,731,071.10 $ 12,228.00 A3

324Medicaid Waiver Support - Money Follows the Person

(MFP) - Requirements & Design 10/1/2024 $ 28,819.00 $ 3,759,890.10 $ 41,047.00 A3

325Summer EBT - Summer EBT School Year 2024 -

Requirements & Design 10/1/2024 $ 16,567.00 $ 3,776,457.10 $ 57,614.00 A3

326Medicaid Policy, Administration & Operational Efficiency

- E-14 Authority Discontinuation - Construction & Unit10/25/2024 $ 28,756.00 $ 3,805,213.10 $ 86,370.00 A3

327Medicaid Policy, Administration & Operational Efficiency

- Changes to 120 Reconsideration - Construction & Unit10/25/2024 $ 9,622.00 $ 3,814,835.10 $ 95,992.00 A3

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 9 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

328

Medicaid Policy, Administration & Operational Efficiency

- Continuous 12 Month Eligibility for Children -

Construction & Unit

10/25/2024 $ 18,684.00 $ 3,833,519.10 $ 114,676.00 A3

329Medicaid Waiver Support - Money Follows the Person

(MFP) - Construction & Unit 10/25/2024 $ 134,490.00 $ 3,968,009.10 $ 249,166.00 A3

330Summer EBT - Summer EBT School Year 2024 -

Construction & Unit 10/25/2024 $ 77,314.00 $ 4,045,323.10 $ 326,480.00 A3

331Maintenance and Enhancements - October 202410/31/2024 $ 669,517.33 $ 4,714,840.43 $ 995,997.33 Original

332Public Health Emergency - COVID Ongoing Support -

Month-10-2024 10/31/2024 $ 27,492.00 $ 4,742,332.43 $ 1,023,489.33 A3

333Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-7 10/31/2024 $ 5,372.00 $ 4,747,704.43 $ 1,028,861.33 A3

334Medicaid Policy, Administration & Operational Efficiency

- E-14 Authority Discontinuation - Systems Testing11/29/2024 $ 4,108.00 $ 4,751,812.43 $ 1,032,969.33 A3

335Medicaid Policy, Administration & Operational Efficiency

- Changes to 120 Reconsideration - Systems Testing11/29/2024 $ 1,375.00 $ 4,753,187.43 $ 1,034,344.33 A3

336

Medicaid Policy, Administration & Operational Efficiency

- Continuous 12 Month Eligibility for Children - Systems

Testing

11/29/2024 $ 2,669.00 $ 4,755,856.43 $ 1,037,013.33 A3

337Medicaid Waiver Support - Money Follows the Person

(MFP) - Systems Testing 11/29/2024 $ 19,213.00 $ 4,775,069.43 $ 1,056,226.33 A3

338Summer EBT - Summer EBT School Year 2024 - Systems

Testing 11/29/2024 $ 11,045.00 $ 4,786,114.43 $ 1,067,271.33 A3

339

Medicaid Policy, Administration & Operational Efficiency

- Community Reentry for Youth and Adult -

Requirements & Design

11/29/2024 $ 78,067.00 $ 4,864,181.43 $ 1,145,338.33 A4

340System of Care for Healthy Aging - Training & Change

Management-2 - Systems Testing 11/30/2024 $ 36,049.00 $ 4,900,230.43 $ 1,181,387.33 A2

341Maintenance and Enhancements - November 202411/30/2024 $ 669,517.33 $ 5,569,747.76 $ 1,850,904.66 Original

342Public Health Emergency - COVID Ongoing Support -

Month-11-2024 11/30/2024 $ 27,492.00 $ 5,597,239.76 $ 1,878,396.66 A3

343Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-8 11/30/2024 $ 5,372.00 $ 5,602,611.76 $ 1,883,768.66 A3

344Medicaid Policy, Administration & Operational Efficiency

- E-14 Authority Discontinuation - Implementation12/13/2024 $ 2,054.00 $ 5,604,665.76 $ 1,885,822.66 A3

345Medicaid Policy, Administration & Operational Efficiency

- Changes to 120 Reconsideration - Implementation12/13/2024 $ 687.00 $ 5,605,352.76 $ 1,886,509.66 A3

346

Medicaid Policy, Administration & Operational Efficiency

- Continuous 12 Month Eligibility for Children -

Implementation

12/13/2024 $ 1,334.60 $ 5,606,687.36 $ 1,887,844.26 A3

347Medicaid Waiver Support - Money Follows the Person

(MFP) - Implementation 12/13/2024 $ 9,606.00 $ 5,616,293.36 $ 1,897,450.26 A3

348Summer EBT - Summer EBT School Year 2024 -

Implementation 12/13/2024 $ 5,522.00 $ 5,621,815.36 $ 1,902,972.26 A3

349

Medicaid Policy, Administration & Operational Efficiency

- Community Reentry for Youth and Adult - Construction

& Unit

12/13/2024 $ 364,300.00 $ 5,986,115.36 $ 2,267,272.26 A4

350System of Care for Healthy Aging - Training & Change

Management-2 - Implementation 12/31/2024 $ 18,024.50 $ 6,004,139.86 $ 2,285,296.76 A2

351Maintenance and Enhancements - December 202412/31/2024 $ 669,517.34 $ 6,673,657.20 $ 2,954,814.10 Original

352Public Health Emergency - COVID Ongoing Support -

Month-12-2024 12/31/2024 $ 27,492.00 $ 6,701,149.20 $ 2,982,306.10 A3

353Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-9 12/31/2024 $ 5,372.00 $ 6,706,521.20 $ 2,987,678.10 A3

354Security - Quarterly Code Scan - Quarterly Code Scan -

Period -4 12/31/2024 $ 10,112.00 $ 6,716,633.20 $ 2,997,790.10 A3

355Security - Annual Penetration Test - Annual Penetration

Testing 12/31/2024 $ 20,540.00 $ 6,737,173.20 $ 3,018,330.10 A3

356APS Case Management - Automate the BEAS State

Registry - Requirements & Design 1/3/2025 $ 37,019.00 $ 6,774,192.20 $ 3,055,349.10 A4

357SNAP Enhancements - Elderly Simplified Application -

Requirements & Design 1/3/2025 $ 11,250.00 $ 6,785,442.20 $ 3,066,599.10 A4

358

Medicaid Policy, Administration & Operational Efficiency

- Community Reentry for Youth and Adult - Systems

Testing

1/17/2025 $ 52,045.00 $ 6,837,487.20 $ 3,118,644.10 A4

359

TANF Credential Tracking and Post-TANF Tracking -

Credential Tracking Mechanism - Requirements &

Design

1/17/2025 $ 24,648.00 $ 6,862,135.20 $ 3,143,292.10 A4

360TANF Enhancements for driver flow - Case Review and

QC Changes - Requirements & Design 1/17/2025 $ 14,406.00 $ 6,876,541.20 $ 3,157,698.10 A4

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 10 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

361TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -1 -

Requirements & Design 1/17/2025 $ 28,440.00 $ 6,904,981.20 $ 3,186,138.10 A4

362 TANF AI - TANF Policy Engine - Requirements & Design 1/17/2025 $ 77,357.00 $ 6,982,338.20 $ 3,263,495.10 A4

363Maintenance and Enhancements - January 20251/31/2025 $ 669,517.33 $ 7,651,855.53 $ 3,933,012.43 Original

364Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-10 1/31/2025 $ 5,372.00 $ 7,657,227.53 $ 3,938,384.43 A3

365

Medicaid Policy, Administration & Operational Efficiency

- Community Reentry for Youth and Adult -

Implementation

1/31/2025 $ 25,980.00 $ 7,683,207.53 $ 3,964,364.43 A4

366APS Case Management - Automate the BEAS State

Registry - Construction & Unit 1/31/2025 $ 172,757.00 $ 7,855,964.53 $ 4,137,121.43 A4

367Security - MARS 2.2 Self Assessment -1 - Privacy Impact

Assessment (PIA) 2/7/2025 $ 80,000.00 $ 7,935,964.53 $ 4,217,121.43 A2

368SNAP Enhancements - Elderly Simplified Application -

Construction & Unit 2/7/2025 $ 52,500.00 $ 7,988,464.53 $ 4,269,621.43 A4

369Security - MARS 2.2 Self Assessment -1 - Year 1 Self-

Assessment Report 2/14/2025 $ 80,000.00 $ 8,068,464.53 $ 4,349,621.43 A2

370TANF Credential Tracking and Post-TANF Tracking -

Credential Tracking Mechanism - Construction & Unit2/14/2025 $ 115,022.00 $ 8,183,486.53 $ 4,464,643.43 A4

371TANF Enhancements for driver flow - Case Review and

QC Changes - Construction & Unit 2/14/2025 $ 67,100.00 $ 8,250,586.53 $ 4,531,743.43 A4

372TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -1 -

Construction & Unit 2/14/2025 $ 132,720.00 $ 8,383,306.53 $ 4,664,463.43 A4

373TANF AI - TANF Policy Engine - Construction & Unit2/14/2025 $ 360,998.00 $ 8,744,304.53 $ 5,025,461.43 A4

374Security - MARS 2.2 Self Assessment -1 - Information

Security Assessment Report (ISRA) 2/21/2025 $ 20,000.00 $ 8,764,304.53 $ 5,045,461.43 A2

375

System of Care for Healthy Aging - Online Portal for

Providers, Case Managers and Navigators -

Requirements & Design

2/28/2025 $ 93,000.00 $ 8,857,304.53 $ 5,138,461.43 A2

376System of Care for Healthy Aging - Track HCBC Waiver

Services Data - Requirements & Design 2/28/2025 $ 72,000.00 $ 8,929,304.53 $ 5,210,461.43 A2

377Maintenance and Enhancements - February 20252/28/2025 $ 669,517.33 $ 9,598,821.86 $ 5,879,978.76 Original

378Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-11 2/28/2025 $ 5,372.00 $ 9,604,193.86 $ 5,885,350.76 A3

379Summer EBT - NH EASY - Summer EBT Client Portal -

Requirements & Design 2/28/2025 $ 41,072.00 $ 9,645,265.86 $ 5,926,422.76 A4

380Summer EBT - New HEIGHTS Admin Portal for State

Staff - Requirements & Design 2/28/2025 $ 32,872.00 $ 9,678,137.86 $ 5,959,294.76 A4

381Summer EBT - Benefit Issuance Process - Requirements

& Design 2/28/2025 $ 32,872.00 $ 9,711,009.86 $ 5,992,166.76 A4

382Summer EBT - Letters & Reports - Requirements &

Design 2/28/2025 $ 49,296.00 $ 9,760,305.86 $ 6,041,462.76 A4

383Summer EBT - Interfaces & Recovery - Requirements &

Design 2/28/2025 $ 41,096.00 $ 9,801,401.86 $ 6,082,558.76 A4

384TANF Document Imaging - Document Imaging

Enhancement - Phase 1 - Requirements & Design2/28/2025 $ 91,008.00 $ 9,892,409.86 $ 6,173,566.76 A4

385Medicaid Waiver Support - HCBS Enhancements Phase -

1 - Requirements & Design 3/7/2025 $ 105,000.00 $ 9,997,409.86 $ 6,278,566.76 A4

386APS Case Management - Automate the BEAS State

Registry - Systems Testing 3/14/2025 $ 24,680.00 $ 10,022,089.86 $ 6,303,246.76 A4

387SNAP Enhancements - Elderly Simplified Application -

Systems Testing 3/14/2025 $ 7,550.00 $ 10,029,639.86 $ 6,310,796.76 A4

388TANF Credential Tracking and Post-TANF Tracking -

Credential Tracking Mechanism - Systems Testing3/14/2025 $ 16,432.00 $ 10,046,071.86 $ 6,327,228.76 A4

389TANF Enhancements for driver flow - Case Review and

QC Changes - Systems Testing 3/14/2025 $ 9,600.00 $ 10,055,671.86 $ 6,336,828.76 A4

390TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -1 -

Systems Testing 3/14/2025 $ 18,960.00 $ 10,074,631.86 $ 6,355,788.76 A4

391TANF AI - TANF Policy Engine - Systems Testing3/14/2025 $ 51,571.00 $ 10,126,202.86 $ 6,407,359.76 A4

392APS Case Management - Automate the BEAS State

Registry - Implementation 3/28/2025 $ 12,340.00 $ 10,138,542.86 $ 6,419,699.76 A4

393SNAP Enhancements - Elderly Simplified Application -

Implementation 3/28/2025 $ 3,700.00 $ 10,142,242.86 $ 6,423,399.76 A4

394TANF Credential Tracking and Post-TANF Tracking -

Credential Tracking Mechanism - Implementation3/28/2025 $ 8,218.00 $ 10,150,460.86 $ 6,431,617.76 A4

395TANF Enhancements for driver flow - Case Review and

QC Changes - Implementation 3/28/2025 $ 4,800.00 $ 10,155,260.86 $ 6,436,417.76 A4

396TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -1 -

Implementation 3/28/2025 $ 9,480.00 $ 10,164,740.86 $ 6,445,897.76 A4

397TANF AI - TANF Policy Engine - Implementation3/28/2025 $ 25,786.00 $ 10,190,526.86 $ 6,471,683.76 A4

398Maintenance and Enhancements - March 20253/31/2025 $ 669,517.34 $ 10,860,044.20 $ 7,141,201.10 Original

399Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-12 3/31/2025 $ 5,372.00 $ 10,865,416.20 $ 7,146,573.10 A3

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 11 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

400

System of Care for Healthy Aging - Online Portal for

Providers, Case Managers and Navigators - Construction

& Unit

4/4/2025 $ 434,000.00 $ 11,299,416.20 $ 7,580,573.10 A2

401System of Care for Healthy Aging - Track HCBC Waiver

Services Data - Construction & Unit 4/4/2025 $ 336,000.00 $ 11,635,416.20 $ 7,916,573.10 A2

402

Medicaid Policy, Administration & Operational Efficiency

- Migrating VCI Process Out of FDSH - Requirements &

Design

4/4/2025 $ 16,448.00 $ 11,651,864.20 $ 7,933,021.10 A3

403Medicaid Waiver Support - 1915i Supportive Housing

Benefit Package - Requirements & Design 4/4/2025 $ 24,672.00 $ 11,676,536.20 $ 7,957,693.10 A4

404Summer EBT - NH EASY - Summer EBT Client Portal -

Construction & Unit 4/4/2025 $ 191,670.00 $ 11,868,206.20 $ 8,149,363.10 A4

405Summer EBT - New HEIGHTS Admin Portal for State

Staff - Construction & Unit 4/4/2025 $ 153,402.00 $ 12,021,608.20 $ 8,302,765.10 A4

406Summer EBT - Benefit Issuance Process - Construction

& Unit 4/4/2025 $ 153,402.00 $ 12,175,010.20 $ 8,456,167.10 A4

407 Summer EBT - Letters & Reports - Construction & Unit 4/4/2025 $ 230,048.00 $ 12,405,058.20 $ 8,686,215.10 A4

408Summer EBT - Interfaces & Recovery - Construction &

Unit 4/4/2025 $ 191,780.00 $ 12,596,838.20 $ 8,877,995.10 A4

409TANF Document Imaging - Document Imaging

Enhancement - Phase 1 - Construction & Unit 4/4/2025 $ 424,704.00 $ 13,021,542.20 $ 9,302,699.10 A4

410Medicaid Waiver Support - HCBS Enhancements Phase -

2 - Requirements & Design 4/4/2025 $ 90,009.00 $ 13,111,551.20 $ 9,392,708.10 A4

411TANF Credential Tracking and Post-TANF Tracking - Post-

TANF Program Tracking System - Requirements & Design4/18/2025 $ 32,875.00 $ 13,144,426.20 $ 9,425,583.10 A4

412TANF Enhancements for driver flow - TANF Process

Improvements - 1 - Requirements & Design 4/18/2025 $ 45,200.00 $ 13,189,626.20 $ 9,470,783.10 A4

413TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -2 -

Requirements & Design 4/18/2025 $ 33,180.00 $ 13,222,806.20 $ 9,503,963.10 A4

414Medicaid Waiver Support - 1915i Supportive Housing

Benefit Package - Construction & Unit 4/25/2025 $ 115,135.00 $ 13,337,941.20 $ 9,619,098.10 A4

415Medicaid Waiver Support - HCBS Enhancements Phase -

1 - Construction & Unit 4/25/2025 $ 490,000.00 $ 13,827,941.20 $ 10,109,098.10 A4

416Medicaid Waiver Support - HCBS Enhancements Phase -

2 - Construction & Unit 4/25/2025 $ 420,042.00 $ 14,247,983.20 $ 10,529,140.10 A4

417Maintenance and Enhancements - April 2025 4/30/2025 $ 669,517.33 $ 14,917,500.53 $ 11,198,657.43 Original

418

Medicaid Policy, Administration & Operational Efficiency

- Migrating VCI Process Out of FDSH - Construction &

Unit

5/2/2025 $ 76,756.00 $ 14,994,256.53 $ 11,275,413.43 A3

419TANF Credential Tracking and Post-TANF Tracking - Post-

TANF Program Tracking System - Construction & Unit5/9/2025 $ 153,380.00 $ 15,147,636.53 $ 11,428,793.43 A4

420TANF Enhancements for driver flow - TANF Process

Improvements - 1 - Construction & Unit 5/9/2025 $ 210,900.00 $ 15,358,536.53 $ 11,639,693.43 A4

421TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -2 -

Construction & Unit 5/9/2025 $ 154,840.00 $ 15,513,376.53 $ 11,794,533.43 A4

422Summer EBT - NH EASY - Summer EBT Client Portal -

Systems Testing 5/16/2025 $ 27,381.00 $ 15,540,757.53 $ 11,821,914.43 A4

423Summer EBT - New HEIGHTS Admin Portal for State

Staff - Systems Testing 5/16/2025 $ 21,915.00 $ 15,562,672.53 $ 11,843,829.43 A4

424Summer EBT - Benefit Issuance Process - Systems

Testing 5/16/2025 $ 21,915.00 $ 15,584,587.53 $ 11,865,744.43 A4

425Summer EBT - Letters & Reports - Systems Testing5/16/2025 $ 32,864.00 $ 15,617,451.53 $ 11,898,608.43 A4

426 Summer EBT - Interfaces & Recovery - Systems Testing 5/16/2025 $ 27,397.00 $ 15,644,848.53 $ 11,926,005.43 A4

427Summer EBT - NH EASY - Summer EBT Client Portal -

Implementation 5/30/2025 $ 13,691.00 $ 15,658,539.53 $ 11,939,696.43 A4

428Summer EBT - New HEIGHTS Admin Portal for State

Staff - Implementation 5/30/2025 $ 10,957.00 $ 15,669,496.53 $ 11,950,653.43 A4

429Summer EBT - Benefit Issuance Process -

Implementation 5/30/2025 $ 10,957.00 $ 15,680,453.53 $ 11,961,610.43 A4

430Summer EBT - Letters & Reports - Implementation5/30/2025 $ 16,432.00 $ 15,696,885.53 $ 11,978,042.43 A4

431 Summer EBT - Interfaces & Recovery - Implementation 5/30/2025 $ 13,699.00 $ 15,710,584.53 $ 11,991,741.43 A4

432Maintenance and Enhancements - May 2025 5/31/2025 $ 669,517.33 $ 16,380,101.86 $ 12,661,258.76 Original

433TANF Document Imaging - Document Imaging

Enhancement - Phase 1 - Systems Testing 6/6/2025 $ 60,672.00 $ 16,440,773.86 $ 12,721,930.76 A4

434

System of Care for Healthy Aging - Online Portal for

Providers, Case Managers and Navigators - Systems

Testing

6/13/2025 $ 62,000.00 $ 16,502,773.86 $ 12,783,930.76 A2

435System of Care for Healthy Aging - Track HCBC Waiver

Services Data - Systems Testing 6/13/2025 $ 48,000.00 $ 16,550,773.86 $ 12,831,930.76 A2

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 12 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

436Medicaid Policy, Administration & Operational Efficiency

- Migrating VCI Process Out of FDSH - Systems Testing6/13/2025 $ 10,965.00 $ 16,561,738.86 $ 12,842,895.76 A3

437Medicaid Waiver Support - 1915i Supportive Housing

Benefit Package - Systems Testing 6/13/2025 $ 16,448.00 $ 16,578,186.86 $ 12,859,343.76 A4

438TANF Credential Tracking and Post-TANF Tracking - Post-

TANF Program Tracking System - Systems Testing6/13/2025 $ 21,911.00 $ 16,600,097.86 $ 12,881,254.76 A4

439TANF Enhancements for driver flow - TANF Process

Improvements - 1 - Systems Testing 6/13/2025 $ 30,135.00 $ 16,630,232.86 $ 12,911,389.76 A4

440TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -2 -

Systems Testing 6/13/2025 $ 22,120.00 $ 16,652,352.86 $ 12,933,509.76 A4

441Medicaid Waiver Support - HCBS Enhancements Phase -

1 - Systems Testing 6/13/2025 $ 70,000.00 $ 16,722,352.86 $ 13,003,509.76 A4

442Medicaid Waiver Support - HCBS Enhancements Phase -

2 - Systems Testing 6/13/2025 $ 60,006.00 $ 16,782,358.86 $ 13,063,515.76 A4

443

System of Care for Healthy Aging - Online Portal for

Providers, Case Managers and Navigators -

Implementation

6/27/2025 $ 31,000.00 $ 16,813,358.86 $ 13,094,515.76 A2

444System of Care for Healthy Aging - Track HCBC Waiver

Services Data - Implementation 6/27/2025 $ 24,000.00 $ 16,837,358.86 $ 13,118,515.76 A2

445Medicaid Policy, Administration & Operational Efficiency

- Migrating VCI Process Out of FDSH - Implementation6/27/2025 $ 5,483.00 $ 16,842,841.86 $ 13,123,998.76 A3

446Medicaid Waiver Support - 1915i Supportive Housing

Benefit Package - Implementation 6/27/2025 $ 8,223.00 $ 16,851,064.86 $ 13,132,221.76 A4

447SNAP Enhancements - QC Subsystem Expansion -

Requirements & Design 6/27/2025 $ 37,500.00 $ 16,888,564.86 $ 13,169,721.76 A4

448TANF Credential Tracking and Post-TANF Tracking - Post-

TANF Program Tracking System - Implementation6/27/2025 $ 10,980.00 $ 16,899,544.86 $ 13,180,701.76 A4

449TANF Enhancements for driver flow - TANF Process

Improvements - 1 - Implementation 6/27/2025 $ 15,071.00 $ 16,914,615.86 $ 13,195,772.76 A4

450TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -2 -

Implementation 6/27/2025 $ 11,060.00 $ 16,925,675.86 $ 13,206,832.76 A4

451TANF Document Imaging - Document Imaging

Enhancement - Phase 1 - Implementation 6/27/2025 $ 30,336.00 $ 16,956,011.86 $ 13,237,168.76 A4

452Medicaid Waiver Support - HCBS Enhancements Phase -

1 - Implementation 6/27/2025 $ 34,940.00 $ 16,990,951.86 $ 13,272,108.76 A4

453Medicaid Waiver Support - HCBS Enhancements Phase -

2 - Implementation 6/27/2025 $ 30,003.00 $ 17,020,954.86 $ 13,302,111.76 A4

454Maintenance and Enhancements - June 2025 6/30/2025 $ 669,517.34 $ 17,690,472.20 $ 13,971,629.10 Original

455Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-1 6/30/2025 $ 5,372.00 $ 17,695,844.20 $ 13,977,001.10 A4

456TANF Credential Tracking and Post-TANF Tracking - ETS

Service Changes - Requirements & Design 7/3/2025 $ 67,789.00 $ 67,789.00 $ 14,044,790.10 A4

457TANF Enhancements for driver flow - TANF Process

Improvements - 2 - Requirements & Design 7/3/2025 $ 49,295.00 $ 117,084.00 $ 14,094,085.10 A4

458TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -3 -

Requirements & Design 7/3/2025 $ 33,180.00 $ 150,264.00 $ 14,127,265.10 A4

459TANF Document Imaging - Document Imaging

Enhancement - Phase 2 - Requirements & Design7/3/2025 $ 45,504.00 $ 195,768.00 $ 14,172,769.10 A4

460TANF AI - TANF Document Recognition - Requirements

& Design 7/25/2025 $ 69,536.00 $ 265,304.00 $ 14,242,305.10 A4

461Maintenance and Enhancements - July 2025 7/31/2025 $ 692,958.93 $ 958,262.93 $ 14,935,264.03 Original

462Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-2 7/31/2025 $ 5,372.00 $ 963,634.93 $ 14,940,636.03 A4

463SNAP Enhancements - QC Subsystem Expansion -

Construction & Unit 8/1/2025 $ 175,000.00 $ 1,138,634.93 $ 15,115,636.03 A4

464SNAP Enhancements - SNAP E&T Enhancements-1 -

Requirements & Design 8/1/2025 $ 48,750.00 $ 1,187,384.93 $ 15,164,386.03 A4

465TANF Credential Tracking and Post-TANF Tracking - ETS

Service Changes - Construction & Unit 8/8/2025 $ 316,310.00 $ 1,503,694.93 $ 15,480,696.03 A4

466TANF Enhancements for driver flow - TANF Process

Improvements - 2 - Construction & Unit 8/8/2025 $ 230,050.00 $ 1,733,744.93 $ 15,710,746.03 A4

467TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -3 -

Construction & Unit 8/8/2025 $ 154,840.00 $ 1,888,584.93 $ 15,865,586.03 A4

468TANF Document Imaging - Document Imaging

Enhancement - Phase 2 - Construction & Unit 8/8/2025 $ 212,352.00 $ 2,100,936.93 $ 16,077,938.03 A4

469Maintenance and Enhancements - August 20258/31/2025 $ 692,958.93 $ 2,793,895.86 $ 16,770,896.96 Original

470Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-3 8/31/2025 $ 5,372.00 $ 2,799,267.86 $ 16,776,268.96 A4

471SNAP Enhancements - SNAP E&T Enhancements-1 -

Construction & Unit 9/5/2025 $ 227,500.00 $ 3,026,767.86 $ 17,003,768.96 A4

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 13 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

472TANF Credential Tracking and Post-TANF Tracking -

TANF Disregard Reporting - Requirements & Design9/5/2025 $ 28,750.00 $ 3,055,517.86 $ 17,032,518.96 A4

473TANF Credential Tracking and Post-TANF Tracking -

DALR Changes - Requirements & Design 9/5/2025 $ 10,270.00 $ 3,065,787.86 $ 17,042,788.96 A4

474

TANF Credential Tracking and Post-TANF Tracking -

Employment and Assessment Screen Changes -

Requirements & Design

9/5/2025 $ 4,200.00 $ 3,069,987.86 $ 17,046,988.96 A4

475TANF NHEP Enhancements - NHEP Appt. Changes &

Reports - Requirements & Design 9/5/2025 $ 37,950.00 $ 3,107,937.86 $ 17,084,938.96 A4

476TANF Enhancements for driver flow - Caseload

Management Changes - Requirements & Design9/5/2025 $ 30,809.00 $ 3,138,746.86 $ 17,115,747.96 A4

477TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -4 -

Requirements & Design 9/5/2025 $ 25,450.00 $ 3,164,196.86 $ 17,141,197.96 A4

478TANF AI - TANF Document Recognition - Construction &

Unit 9/5/2025 $ 324,500.00 $ 3,488,696.86 $ 17,465,697.96 A4

479TANF Document Imaging - Document Imaging

Enhancement - Phase 3 - Requirements & Design9/5/2025 $ 45,504.00 $ 3,534,200.86 $ 17,511,201.96 A4

480SNAP Enhancements - QC Subsystem Expansion -

Systems Testing 9/12/2025 $ 25,000.00 $ 3,559,200.86 $ 17,536,201.96 A4

481TANF Credential Tracking and Post-TANF Tracking - ETS

Service Changes - Systems Testing 9/12/2025 $ 45,187.00 $ 3,604,387.86 $ 17,581,388.96 A4

482TANF Enhancements for driver flow - TANF Process

Improvements - 2 - Systems Testing 9/12/2025 $ 32,863.00 $ 3,637,250.86 $ 17,614,251.96 A4

483TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -3 -

Systems Testing 9/12/2025 $ 22,120.00 $ 3,659,370.86 $ 17,636,371.96 A4

484TANF Document Imaging - Document Imaging

Enhancement - Phase 2 - Systems Testing 9/12/2025 $ 30,336.00 $ 3,689,706.86 $ 17,666,707.96 A4

485SNAP Enhancements - QC Subsystem Expansion -

Implementation 9/26/2025 $ 12,500.00 $ 3,702,206.86 $ 17,679,207.96 A4

486TANF Credential Tracking and Post-TANF Tracking - ETS

Service Changes - Implementation 9/26/2025 $ 22,594.00 $ 3,724,800.86 $ 17,701,801.96 A4

487TANF Enhancements for driver flow - TANF Process

Improvements - 2 - Implementation 9/26/2025 $ 16,359.32 $ 3,741,160.18 $ 17,718,161.28 A4

488TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -3 -

Implementation 9/26/2025 $ 11,060.00 $ 3,752,220.18 $ 17,729,221.28 A4

489TANF Document Imaging - Document Imaging

Enhancement - Phase 2 - Implementation 9/26/2025 $ 15,168.00 $ 3,767,388.18 $ 17,744,389.28 A4

490APS Case Management - Adult Protective Services (APS)

System Enhancements - Requirements & Design9/26/2025 $ 7,410.00 $ 3,774,798.18 $ 17,751,799.28 A5

491Child Care Enhancements - Presumptive Eligibility and

Child Care Scholarship - Requirements & Design9/26/2025 $ 9,900.00 $ 3,784,698.18 $ 17,761,699.28 A5

492

Medicaid Policy, Administration & Operational Efficiency

- Reasonable Compatibility Changes for Income &

Resources - Requirements & Design

9/26/2025 $ 47,922.00 $ 3,832,620.18 $ 17,809,621.28 A5

493Maintenance and Enhancements - September 20259/30/2025 $ 692,958.94 $ 4,525,579.12 $ 18,502,580.22 Original

494Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-4 9/30/2025 $ 5,372.00 $ 4,530,951.12 $ 18,507,952.22 A4

495Security - Quarterly Code Scan - Quarterly Code Scan -

Period -1 9/30/2025 $ 10,112.00 $ 4,541,063.12 $ 18,518,064.22 A4

496SNAP Enhancements - SNAP E&T Enhancements-1 -

Systems Testing 10/17/2025 $ 32,500.00 $ 4,573,563.12 $ 32,500.00 A4

497TANF Credential Tracking and Post-TANF Tracking -

TANF Disregard Reporting - Construction & Unit10/17/2025 $ 134,180.00 $ 4,707,743.12 $ 166,680.00 A4

498TANF Credential Tracking and Post-TANF Tracking -

DALR Changes - Construction & Unit 10/17/2025 $ 47,900.00 $ 4,755,643.12 $ 214,580.00 A4

499

TANF Credential Tracking and Post-TANF Tracking -

Employment and Assessment Screen Changes -

Construction & Unit

10/17/2025 $ 19,170.00 $ 4,774,813.12 $ 233,750.00 A4

500TANF NHEP Enhancements - NHEP Appt. Changes &

Reports - Construction & Unit 10/17/2025 $ 177,325.00 $ 4,952,138.12 $ 411,075.00 A4

501TANF Enhancements for driver flow - Caseload

Management Changes - Construction & Unit 10/17/2025 $ 143,780.00 $ 5,095,918.12 $ 554,855.00 A4

502TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -4 -

Construction & Unit 10/17/2025 $ 118,630.00 $ 5,214,548.12 $ 673,485.00 A4

503 TANF AI - TANF Document Recognition - Systems Testing 10/17/2025 $ 46,357.00 $ 5,260,905.12 $ 719,842.00 A4

504TANF Document Imaging - Document Imaging

Enhancement - Phase 3 - Construction & Unit 10/17/2025 $ 212,352.00 $ 5,473,257.12 $ 932,194.00 A4

505SNAP Enhancements - SNAP E&T Enhancements-1 -

Implementation 10/31/2025 $ 16,256.00 $ 5,489,513.12 $ 948,450.00 A4

506Child Care Enhancements - Presumptive Eligibility and

Child Care Scholarship - Construction & Unit 10/31/2025 $ 46,200.00 $ 5,535,713.12 $ 994,650.00 A5

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 14 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

507Maintenance and Enhancements - October 202510/31/2025 $ 627,994.04 $ 6,163,707.16 $ 1,622,644.04 A4

508Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-5 10/31/2025 $ 5,372.00 $ 6,169,079.16 $ 1,628,016.04 A4

509 TANF AI - TANF Document Recognition - Implementation 10/31/2025 $ 23,148.00 $ 6,192,227.16 $ 1,651,164.04 A4

510APS Case Management - Adult Protective Services (APS)

System Enhancements - Construction & Unit 10/31/2025 $ 34,579.00 $ 6,226,806.16 $ 1,685,743.04 A5

511

Medicaid Policy, Administration & Operational Efficiency

- Reasonable Compatibility Changes for Income &

Resources - Construction & Unit

10/31/2025 $ 223,636.00 $ 6,450,442.16 $ 1,909,379.04 A5

512APS Case Management - Adult Protective Services (APS)

System Enhancements - Systems Testing 11/21/2025 $ 4,940.00 $ 6,455,382.16 $ 1,914,319.04 A5

513Child Care Enhancements - Presumptive Eligibility and

Child Care Scholarship - Systems Testing 11/21/2025 $ 6,600.00 $ 6,461,982.16 $ 1,920,919.04 A5

514

Medicaid Policy, Administration & Operational Efficiency

- Reasonable Compatibility Changes for Income &

Resources - Systems Testing

11/21/2025 $ 31,948.00 $ 6,493,930.16 $ 1,952,867.04 A5

515TANF Credential Tracking and Post-TANF Tracking -

TANF Disregard Reporting - Systems Testing 11/28/2025 $ 19,170.00 $ 6,513,100.16 $ 1,972,037.04 A4

516TANF Credential Tracking and Post-TANF Tracking -

DALR Changes - Systems Testing 11/28/2025 $ 6,820.00 $ 6,519,920.16 $ 1,978,857.04 A4

517

TANF Credential Tracking and Post-TANF Tracking -

Employment and Assessment Screen Changes - Systems

Testing

11/28/2025 $ 2,740.00 $ 6,522,660.16 $ 1,981,597.04 A4

518TANF NHEP Enhancements - NHEP Appt. Changes &

Reports - Systems Testing 11/28/2025 $ 25,332.00 $ 6,547,992.16 $ 2,006,929.04 A4

519TANF Enhancements for driver flow - Caseload

Management Changes - Systems Testing 11/28/2025 $ 20,540.00 $ 6,568,532.16 $ 2,027,469.04 A4

520TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -4 -

Systems Testing 11/28/2025 $ 16,960.00 $ 6,585,492.16 $ 2,044,429.04 A4

521TANF Document Imaging - Document Imaging

Enhancement - Phase 3 - Systems Testing 11/28/2025 $ 30,336.00 $ 6,615,828.16 $ 2,074,765.04 A4

522 Maintenance and Enhancements - November 2025 11/30/2025 $ 627,994.04 $ 7,243,822.20 $ 2,702,759.08 A4

523Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-6 11/30/2025 $ 5,372.00 $ 7,249,194.20 $ 2,708,131.08 A4

524SNAP Enhancements - SNAP E&T Enhancements-2 -

Requirements & Design 12/5/2025 $ 26,250.00 $ 7,275,444.20 $ 2,734,381.08 A4

525TANF Credential Tracking and Post-TANF Tracking -

NHEP Screen Changes - Requirements & Design12/5/2025 $ 34,900.00 $ 7,310,344.20 $ 2,769,281.08 A4

526TANF Enhancements for driver flow - Fleeing Felon

Probation and Parole Violator - Requirements & Design12/5/2025 $ 16,400.00 $ 7,326,744.20 $ 2,785,681.08 A4

527TANF Credential Tracking and Post-TANF Tracking -

TANF Disregard Reporting - Implementation 12/12/2025 $ 9,554.00 $ 7,336,298.20 $ 2,795,235.08 A4

528TANF Credential Tracking and Post-TANF Tracking -

DALR Changes - Implementation 12/12/2025 $ 3,424.00 $ 7,339,722.20 $ 2,798,659.08 A4

529

TANF Credential Tracking and Post-TANF Tracking -

Employment and Assessment Screen Changes -

Implementation

12/12/2025 $ 1,382.00 $ 7,341,104.20 $ 2,800,041.08 A4

530TANF NHEP Enhancements - NHEP Appt. Changes &

Reports - Implementation 12/12/2025 $ 12,714.80 $ 7,353,819.00 $ 2,812,755.88 A4

531TANF Enhancements for driver flow - Caseload

Management Changes - Implementation 12/12/2025 $ 10,271.00 $ 7,364,090.00 $ 2,823,026.88 A4

532TANF UI/UX Refresh - TANF UI/RX Refresh - Phase -4 -

Implementation 12/12/2025 $ 8,410.00 $ 7,372,500.00 $ 2,831,436.88 A4

533TANF Document Imaging - Document Imaging

Enhancement - Phase 3 - Implementation 12/12/2025 $ 15,168.00 $ 7,387,668.00 $ 2,846,604.88 A4

534APS Case Management - Adult Protective Services (APS)

System Enhancements - Implementation 12/12/2025 $ 2,470.00 $ 7,390,138.00 $ 2,849,074.88 A5

535Child Care Enhancements - Presumptive Eligibility and

Child Care Scholarship - Implementation 12/12/2025 $ 3,300.00 $ 7,393,438.00 $ 2,852,374.88 A5

536

Medicaid Policy, Administration & Operational Efficiency

- Reasonable Compatibility Changes for Income &

Resources - Implementation

12/12/2025 $ 15,974.00 $ 7,409,412.00 $ 2,868,348.88 A5

537

Medicaid Policy, Administration & Operational Efficiency

- CMS Final Rule - Streamlining the Enrollment and

Retention process - Requirements & Design

12/26/2025 $ 50,767.00 $ 7,460,179.00 $ 2,919,115.88 A4

538 Maintenance and Enhancements - December 2025 12/31/2025 $ 627,994.04 $ 8,088,173.04 $ 3,547,109.92 A4

539Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-7 12/31/2025 $ 5,372.00 $ 8,093,545.04 $ 3,552,481.92 A4

540Security - Quarterly Code Scan - Quarterly Code Scan -

Period -2 12/31/2025 $ 10,112.00 $ 8,103,657.04 $ 3,562,593.92 A4

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 15 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

541Security - Annual Penetration Test - Annual Penetration

Testing 12/31/2025 $ 20,540.00 $ 8,124,197.04 $ 3,583,133.92 A4

542SNAP Enhancements - SNAP E&T Enhancements-2 -

Construction & Unit 1/2/2026 $ 122,500.00 $ 8,246,697.04 $ 3,705,633.92 A4

543TANF Credential Tracking and Post-TANF Tracking -

NHEP Screen Changes - Construction & Unit 1/2/2026 $ 162,925.00 $ 8,409,622.04 $ 3,868,558.92 A4

544TANF Enhancements for driver flow - Fleeing Felon

Probation and Parole Violator - Construction & Unit1/2/2026 $ 76,680.00 $ 8,486,302.04 $ 3,945,238.92 A4

545

Medicaid Policy, Administration & Operational Efficiency

- CMS Final Rule - Streamlining the Enrollment and

Retention process - Construction & Unit

1/30/2026 $ 236,896.00 $ 8,723,198.04 $ 4,182,134.92 A4

546Maintenance and Enhancements - January 20261/31/2026 $ 627,994.04 $ 9,351,192.08 $ 4,810,128.96 A4

547Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-8 1/31/2026 $ 5,372.00 $ 9,356,564.08 $ 4,815,500.96 A4

548Security - MARS 2.2 Self Assessment -2 - Privacy Impact

Assessment (PIA) 2/6/2026 $ 156,800.00 $ 9,513,364.08 $ 4,972,300.96 A4

549Security - MARS 2.2 Self Assessment -2 - Year 1 Self-

Assessment Report 2/13/2026 $ 156,800.00 $ 9,670,164.08 $ 5,129,100.96 A4

550TANF Enhancements for driver flow - Fleeing Felon

Probation and Parole Violator - Systems Testing2/13/2026 $ 10,940.00 $ 9,681,104.08 $ 5,140,040.96 A4

551SNAP Enhancements - SNAP E&T Enhancements-2 -

Systems Testing 2/14/2026 $ 17,564.00 $ 9,698,668.08 $ 5,157,604.96 A4

552TANF Credential Tracking and Post-TANF Tracking -

NHEP Screen Changes - Systems Testing 2/14/2026 $ 23,270.00 $ 9,721,938.08 $ 5,180,874.96 A4

553Security - MARS 2.2 Self Assessment -2 - Information

Security Assessment Report (ISRA) 2/20/2026 $ 78,398.00 $ 9,800,336.08 $ 5,259,272.96 A4

554SNAP Enhancements - SNAP E&T Enhancements-2 -

Implementation 2/27/2026 $ 8,680.00 $ 9,809,016.08 $ 5,267,952.96 A4

555TANF Credential Tracking and Post-TANF Tracking -

NHEP Screen Changes - Implementation 2/27/2026 $ 11,639.00 $ 9,820,655.08 $ 5,279,591.96 A4

556TANF Enhancements for driver flow - Fleeing Felon

Probation and Parole Violator - Implementation2/27/2026 $ 5,474.00 $ 9,826,129.08 $ 5,285,065.96 A4

557

Summer EBT Technology Grant - Enhance Client

Communication and Engagement - Requirements &

Design

2/27/2026 $ 64,050.00 $ 9,890,179.08 $ 5,349,115.96 A5

558Summer EBT Technology Grant - Summer EBT Reporting

Enhancements - Requirements & Design 2/27/2026 $ 12,000.00 $ 9,902,179.08 $ 5,361,115.96 A5

559Maintenance and Enhancements - February 20262/28/2026 $ 627,994.04 $ 10,530,173.12 $ 5,989,110.00 A4

560Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-9 2/28/2026 $ 5,372.00 $ 10,535,545.12 $ 5,994,482.00 A4

561

Medicaid Policy, Administration & Operational Efficiency

- CMS Final Rule - Streamlining the Enrollment and

Retention process - Systems Testing

3/13/2026 $ 33,847.00 $ 10,569,392.12 $ 6,028,329.00 A4

562EVS Grant - Streamline Employment and Income

Verification Processes - Requirements & Design3/20/2026 $ 9,726.00 $ 10,579,118.12 $ 6,038,055.00 A6

563Medicaid H.R.1 - Third-Party Verifications - 1 -

Requirements & Design 3/20/2026 $ 12,691.00 $ 10,591,809.12 $ 6,050,746.00 A6

564

Medicaid Policy, Administration & Operational Efficiency

- CMS Final Rule - Streamlining the Enrollment and

Retention process - Implementation

3/27/2026 $ 16,906.00 $ 10,608,715.12 $ 6,067,652.00 A4

565Maintenance and Enhancements - March 20263/31/2026 $ 627,994.04 $ 11,236,709.16 $ 6,695,646.04 A4

566Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-10 3/31/2026 $ 5,372.00 $ 11,242,081.16 $ 6,701,018.04 A4

567Security - Quarterly Code Scan - Quarterly Code Scan -

Period -3 3/31/2026 $ 10,112.00 $ 11,252,193.16 $ 6,711,130.04 A4

568Medicaid H.R.1 - 100% Federal Poverty Line Verification -

Requirements & Design 4/3/2026 $ 8,461.00 $ 11,260,654.16 $ 6,719,591.04 A6

569Summer EBT Technology Grant - Enhance Client

Communication and Engagement - Construction & Unit4/17/2026 $ 298,900.00 $ 11,559,554.16 $ 7,018,491.04 A5

570Summer EBT Technology Grant - Summer EBT Reporting

Enhancements - Construction & Unit 4/17/2026 $ 56,000.00 $ 11,615,554.16 $ 7,074,491.04 A5

571Summer EBT Technology Grant - Integrated Statewide S-

EBT Database - Requirements & Design 4/24/2026 $ 87,850.00 $ 11,703,404.16 $ 7,162,341.04 A5

572HCBS Enhancements - Expanded Provider Case View -

Requirements & Design 4/24/2026 $ 16,937.00 $ 11,720,341.16 $ 7,179,278.04 A5

573HCBS Enhancements - Long Term Care Application

Tracking - Requirements & Design 4/24/2026 $ 25,381.00 $ 11,745,722.16 $ 7,204,659.04 A5

574HCBS Enhancements - Automated User Account

Deactivation and Purge - Requirements & Design4/24/2026 $ 12,715.00 $ 11,758,437.16 $ 7,217,374.04 A5

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 16 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

575HCBS Enhancements - QR Code Integration for

Document Uploads - Requirements & Design 4/24/2026 $ 51,007.00 $ 11,809,444.16 $ 7,268,381.04 A5

576 HCBS Enhancements - Document VerificaƟon &

Preview Functionality - Requirements & Design4/24/2026 $ 12,715.00 $ 11,822,159.16 $ 7,281,096.04 A5

577Maintenance and Enhancements - April 2026 4/30/2026 $ 627,994.04 $ 12,450,153.20 $ 7,909,090.08 A4

578Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-11 4/30/2026 $ 5,372.00 $ 12,455,525.20 $ 7,914,462.08 A4

579EVS Grant - Streamline Employment and Income

Verification Processes - Construction & Unit 5/1/2026 $ 45,384.00 $ 12,500,909.20 $ 7,959,846.08 A6

580Medicaid H.R.1 - Third-Party Verifications - 1 -

Construction & Unit 5/1/2026 $ 177,669.00 $ 12,678,578.20 $ 8,137,515.08 A6

581Medicaid H.R.1 - 100% Federal Poverty Line Verification -

Construction & Unit 5/8/2026 $ 39,482.00 $ 12,718,060.20 $ 8,176,997.08 A6

582

MEE - Operational Efficiency - Automate 3rd Party

Verification From Client Registration - Requirements &

Design

5/22/2026 $ 16,921.00 $ 12,734,981.20 $ 8,193,918.08 A6

583MEE - Documents & Verifications - Automate Document

Intake Using AI Technology - Requirements & Design5/22/2026 $ 84,655.00 $ 12,819,636.20 $ 8,278,573.08 A6

584

MEE - Operational Efficiency - Automate Initiating Data

Requests From External Sources Via CR - Requirements

& Design

5/22/2026 $ 25,381.00 $ 12,845,017.20 $ 8,303,954.08 A6

585Medicaid Premium Payments - Eligibility & Notices -

Requirements & Design 5/22/2026 $ 29,610.00 $ 12,874,627.20 $ 8,333,564.08 A6

586PTIG Grant - Improve Accuracy of Benefit Calculations

for SNAP Cases - Requirements & Design 5/22/2026 $ 21,233.00 $ 12,895,860.20 $ 8,354,797.08 A6

587Medicaid Premium Payments - NH EASY Portal -

Requirements & Design 5/22/2026 $ 8,461.00 $ 12,904,321.20 $ 8,363,258.08 A6

588Medicaid Premium Payments - Reporting & Interfaces -

Requirements & Design 5/22/2026 $ 42,302.00 $ 12,946,623.20 $ 8,405,560.08 A6

589FFIG Grant - Streamline SIU Reports to Improve Program

Monitoring and Analysis - Requirements & Design5/22/2026 $ 15,750.00 $ 12,962,373.20 $ 8,421,310.08 A6

590Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-12 5/30/2026 $ 5,372.00 $ 12,967,745.20 $ 8,426,682.08 A4

591Maintenance and Enhancements - May 2026 5/31/2026 $ 627,994.04 $ 13,595,739.24 $ 9,054,676.12 A4

592Summer EBT Technology Grant - Enhance Client

Communication and Engagement - Systems Testing6/12/2026 $ 42,700.00 $ 13,638,439.24 $ 9,097,376.12 A5

593Summer EBT Technology Grant - Summer EBT Reporting

Enhancements - Systems Testing 6/12/2026 $ 8,000.00 $ 13,646,439.24 $ 9,105,376.12 A5

594Medicaid H.R.1 - 100% Federal Poverty Line Verification -

Systems Testing 6/12/2026 $ 5,641.00 $ 13,652,080.24 $ 9,111,017.12 A6

595EVS Grant - Streamline Employment and Income

Verification Processes - Systems Testing 6/12/2026 $ 6,484.00 $ 13,658,564.24 $ 9,117,501.12 A6

596Medicaid H.R.1 - Third-Party Verifications - 1 - Systems

Testing 6/12/2026 $ 25,382.00 $ 13,683,946.24 $ 9,142,883.12 A6

597Summer EBT Technology Grant - Enhance Client

Communication and Engagement - Implementation6/26/2026 $ 21,350.00 $ 13,705,296.24 $ 9,164,233.12 A5

598Summer EBT Technology Grant - Summer EBT Reporting

Enhancements - Implementation 6/26/2026 $ 4,000.00 $ 13,709,296.24 $ 9,168,233.12 A5

599Summer EBT Technology Grant - Integrated Statewide S-

EBT Database - Construction & Unit 6/26/2026 $ 415,100.00 $ 14,124,396.24 $ 9,583,333.12 A5

600HCBS Enhancements - Expanded Provider Case View -

Construction & Unit 6/26/2026 $ 79,038.00 $ 14,203,434.24 $ 9,662,371.12 A5

601HCBS Enhancements - Long Term Care Application

Tracking - Construction & Unit 6/26/2026 $ 118,446.00 $ 14,321,880.24 $ 9,780,817.12 A5

602HCBS Enhancements - Automated User Account

Deactivation and Purge - Construction & Unit 6/26/2026 $ 59,336.00 $ 14,381,216.24 $ 9,840,153.12 A5

603HCBS Enhancements - QR Code Integration for

Document Uploads - Construction & Unit 6/26/2026 $ 238,032.00 $ 14,619,248.24 $ 10,078,185.12 A5

604 HCBS Enhancements - Document VerificaƟon &

Preview Functionality - Construction & Unit 6/26/2026 $ 59,336.00 $ 14,678,584.24 $ 10,137,521.12 A5

605Medicaid H.R.1 - 100% Federal Poverty Line Verification -

Implementation 6/26/2026 $ 2,818.00 $ 14,681,402.24 $ 10,140,339.12 A6

606Medicaid Community Engagement - CE Eligibility Status

Determination - Requirements & Design 6/26/2026 $ 19,036.00 $ 14,700,438.24 $ 10,159,375.12 A6

607Medicaid Community Engagement - CE Ex Parte Renewal

Enhancements - Requirements & Design 6/26/2026 $ 1,411.00 $ 14,701,849.24 $ 10,160,786.12 A6

608Medicaid Community Engagement - CE Notices

Enhancements - Requirements & Design 6/26/2026 $ 63,452.00 $ 14,765,301.24 $ 10,224,238.12 A6

609Medicaid Community Engagement - CE Outreach &

Digital Campaign - Requirements & Design 6/26/2026 $ 19,741.00 $ 14,785,042.24 $ 10,243,979.12 A6

610Medicaid Community Engagement - CE Report Change

Enhancements - Requirements & Design 6/26/2026 $ 8,461.00 $ 14,793,503.24 $ 10,252,440.12 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 17 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

611Modernize Eligibility Services - Digital Communication:

AI Chatbot - Requirements & Design 6/26/2026 $ 105,948.00 $ 14,899,451.24 $ 10,358,388.12 A6

612MEE - Client Communication - Enhance Omni-Channel

Client Delivery (Chatbot) - Requirements & Design6/26/2026 $ 101,525.00 $ 15,000,976.24 $ 10,459,913.12 A6

613Medicaid Community Engagement - New HEIGHTS CE

Enhancements - Requirements & Design 6/26/2026 $ 8,461.00 $ 15,009,437.24 $ 10,468,374.12 A6

614Medicaid Community Engagement - NH EASY CE

Enhancements - Requirements & Design 6/26/2026 $ 33,841.00 $ 15,043,278.24 $ 10,502,215.12 A6

615EVS Grant - Streamline Employment and Income

Verification Processes - Implementation 6/26/2026 $ 3,240.00 $ 15,046,518.24 $ 10,505,455.12 A6

616Medicaid H.R.1 - Third-Party Verifications - 1 -

Implementation 6/26/2026 $ 38,070.00 $ 15,084,588.24 $ 10,543,525.12 A6

617Maintenance and Enhancements - June 2026 6/30/2026 $ 628,003.28 $ 15,712,591.52 $ 11,171,528.40 A4

618Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-1 6/30/2026 $ 5,372.00 $ 15,717,963.52 $ 11,176,900.40 A4

619Security - Quarterly Code Scan - Quarterly Code Scan -

Period -4 6/30/2026 $ 10,112.00 $ 15,728,075.52 $ 11,187,012.40 A4

620

MEE - Operational Efficiency - Automate 3rd Party

Verification From Client Registration - Construction &

Unit

7/3/2026 $ 78,963.00 $ 78,963.00 $ 11,265,975.40 A6

621MEE - Documents & Verifications - Automate Document

Intake Using AI Technology - Construction & Unit7/3/2026 $ 395,054.00 $ 474,017.00 $ 11,661,029.40 A6

622

MEE - Operational Efficiency - Automate Initiating Data

Requests From External Sources Via CR - Construction &

Unit

7/3/2026 $ 118,444.00 $ 592,461.00 $ 11,779,473.40 A6

623Medicaid Premium Payments - Eligibility & Notices -

Construction & Unit 7/3/2026 $ 138,180.00 $ 730,641.00 $ 11,917,653.40 A6

624PTIG Grant - Improve Accuracy of Benefit Calculations

for SNAP Cases - Construction & Unit 7/3/2026 $ 99,085.00 $ 829,726.00 $ 12,016,738.40 A6

625Medicaid Premium Payments - NH EASY Portal -

Construction & Unit 7/3/2026 $ 39,482.00 $ 869,208.00 $ 12,056,220.40 A6

626Medicaid Premium Payments - Reporting & Interfaces -

Construction & Unit 7/3/2026 $ 197,406.00 $ 1,066,614.00 $ 12,253,626.40 A6

627FFIG Grant - Streamline SIU Reports to Improve Program

Monitoring and Analysis - Construction & Unit 7/3/2026 $ 73,500.00 $ 1,140,114.00 $ 12,327,126.40 A6

628Medicaid H.R.1 - Alien Medicaid Eligibility -

Requirements & Design 7/24/2026 $ 8,461.00 $ 1,148,575.00 $ 12,335,587.40 A6

629Medicaid Community Engagement - CE Audits & Quality

Control - Requirements & Design 7/24/2026 $ 4,231.00 $ 1,152,806.00 $ 12,339,818.40 A6

630Medicaid Community Engagement - CE Reporting

Enhancements - Requirements & Design 7/24/2026 $ 18,331.00 $ 1,171,137.00 $ 12,358,149.40 A6

631MEE - Documents & Verifications - Enable Drag-Drop

Uploads - Requirements & Design 7/24/2026 $ 16,931.00 $ 1,188,068.00 $ 12,375,080.40 A6

632PTIG Grant - Streamline the Communication and Change

Processing Workflows - Requirements & Design7/24/2026 $ 45,343.00 $ 1,233,411.00 $ 12,420,423.40 A6

633Medicaid H.R.1 - Eligibility Redeterminations -

Requirements & Design 7/27/2026 $ 33,841.00 $ 1,267,252.00 $ 12,454,264.40 A6

634Maintenance and Enhancements - July 2026 7/31/2026 $ 672,911.30 $ 1,940,163.30 $ 13,127,175.70 A4

635Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-2 7/31/2026 $ 5,372.00 $ 1,945,535.30 $ 13,132,547.70 A4

636MEE - MEA Redesign - Redesign MEA & Update

Algorithm Scoring - Requirements & Design 8/7/2026 $ 49,494.00 $ 1,995,029.30 $ 13,182,041.70 A6

637Summer EBT Technology Grant - Integrated Statewide S-

EBT Database - Systems Testing 8/14/2026 $ 59,300.00 $ 2,054,329.30 $ 13,241,341.70 A5

638HCBS Enhancements - Expanded Provider Case View -

Systems Testing 8/14/2026 $ 11,291.00 $ 2,065,620.30 $ 13,252,632.70 A5

639HCBS Enhancements - Long Term Care Application

Tracking - Systems Testing 8/14/2026 $ 16,921.00 $ 2,082,541.30 $ 13,269,553.70 A5

640HCBS Enhancements - Automated User Account

Deactivation and Purge - Systems Testing 8/14/2026 $ 8,477.00 $ 2,091,018.30 $ 13,278,030.70 A5

641HCBS Enhancements - QR Code Integration for

Document Uploads - Systems Testing 8/14/2026 $ 34,005.00 $ 2,125,023.30 $ 13,312,035.70 A5

642 HCBS Enhancements - Document VerificaƟon &

Preview Functionality - Systems Testing 8/14/2026 $ 8,477.00 $ 2,133,500.30 $ 13,320,512.70 A5

643MEE - Operational Efficiency - Automate 3rd Party

Verification From Client Registration - Systems Testing8/14/2026 $ 11,281.00 $ 2,144,781.30 $ 13,331,793.70 A6

644MEE - Documents & Verifications - Automate Document

Intake Using AI Technology - Systems Testing 8/14/2026 $ 56,437.00 $ 2,201,218.30 $ 13,388,230.70 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 18 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

645MEE - Operational Efficiency - Automate Initiating Data

Requests From External Sources Via CR - Systems Testing8/14/2026 $ 16,921.00 $ 2,218,139.30 $ 13,405,151.70 A6

646Medicaid Premium Payments - Eligibility & Notices -

Systems Testing 8/14/2026 $ 19,740.00 $ 2,237,879.30 $ 13,424,891.70 A6

647PTIG Grant - Improve Accuracy of Benefit Calculations

for SNAP Cases - Systems Testing 8/14/2026 $ 14,155.00 $ 2,252,034.30 $ 13,439,046.70 A6

648Medicaid Premium Payments - NH EASY Portal - Systems

Testing 8/14/2026 $ 5,641.00 $ 2,257,675.30 $ 13,444,687.70 A6

649Medicaid Premium Payments - Reporting & Interfaces -

Systems Testing 8/14/2026 $ 28,201.00 $ 2,285,876.30 $ 13,472,888.70 A6

650FFIG Grant - Streamline SIU Reports to Improve Program

Monitoring and Analysis - Systems Testing 8/14/2026 $ 10,500.00 $ 2,296,376.30 $ 13,483,388.70 A6

651Medicaid Community Engagement - CE Eligibility Status

Determination - Construction & Unit 8/21/2026 $ 88,833.00 $ 2,385,209.30 $ 13,572,221.70 A6

652Medicaid Community Engagement - CE Ex Parte Renewal

Enhancements - Construction & Unit 8/21/2026 $ 19,741.00 $ 2,404,950.30 $ 13,591,962.70 A6

653Medicaid Community Engagement - CE Notices

Enhancements - Construction & Unit 8/21/2026 $ 296,109.00 $ 2,701,059.30 $ 13,888,071.70 A6

654Medicaid Community Engagement - CE Outreach &

Digital Campaign - Construction & Unit 8/21/2026 $ 276,368.00 $ 2,977,427.30 $ 14,164,439.70 A6

655Medicaid Community Engagement - CE Report Change

Enhancements - Construction & Unit 8/21/2026 $ 39,482.00 $ 3,016,909.30 $ 14,203,921.70 A6

656Modernize Eligibility Services - Digital Communication:

AI Chatbot - Construction & Unit 8/21/2026 $ 494,424.00 $ 3,511,333.30 $ 14,698,345.70 A6

657MEE - Client Communication - Enhance Omni-Channel

Client Delivery (Chatbot) - Construction & Unit8/21/2026 $ 473,783.00 $ 3,985,116.30 $ 15,172,128.70 A6

658Medicaid Community Engagement - New HEIGHTS CE

Enhancements - Construction & Unit 8/21/2026 $ 118,444.00 $ 4,103,560.30 $ 15,290,572.70 A6

659Medicaid Community Engagement - NH EASY CE

Enhancements - Construction & Unit 8/21/2026 $ 157,925.00 $ 4,261,485.30 $ 15,448,497.70 A6

660Summer EBT Technology Grant - Integrated Statewide S-

EBT Database - Implementation 8/28/2026 $ 29,650.00 $ 4,291,135.30 $ 15,478,147.70 A5

661HCBS Enhancements - Expanded Provider Case View -

Implementation 8/28/2026 $ 5,646.00 $ 4,296,781.30 $ 15,483,793.70 A5

662HCBS Enhancements - Long Term Care Application

Tracking - Implementation 8/28/2026 $ 8,460.00 $ 4,305,241.30 $ 15,492,253.70 A5

663HCBS Enhancements - Automated User Account

Deactivation and Purge - Implementation 8/28/2026 $ 4,238.00 $ 4,309,479.30 $ 15,496,491.70 A5

664HCBS Enhancements - QR Code Integration for

Document Uploads - Implementation 8/28/2026 $ 17,002.00 $ 4,326,481.30 $ 15,513,493.70 A5

665 HCBS Enhancements - Document VerificaƟon &

Preview Functionality - Implementation 8/28/2026 $ 4,238.20 $ 4,330,719.50 $ 15,517,731.90 A5

666MEE - Operational Efficiency - Automate 3rd Party

Verification From Client Registration - Implementation8/28/2026 $ 5,638.00 $ 4,336,357.50 $ 15,523,369.90 A6

667MEE - Documents & Verifications - Automate Document

Intake Using AI Technology - Implementation 8/28/2026 $ 28,216.00 $ 4,364,573.50 $ 15,551,585.90 A6

668

MEE - Operational Efficiency - Automate Initiating Data

Requests From External Sources Via CR -

Implementation

8/28/2026 $ 8,459.00 $ 4,373,032.50 $ 15,560,044.90 A6

669Medicaid Premium Payments - Eligibility & Notices -

Implementation 8/28/2026 $ 9,869.00 $ 4,382,901.50 $ 15,569,913.90 A6

670PTIG Grant - Improve Accuracy of Benefit Calculations

for SNAP Cases - Implementation 8/28/2026 $ 7,076.00 $ 4,389,977.50 $ 15,576,989.90 A6

671Medicaid Premium Payments - NH EASY Portal -

Implementation 8/28/2026 $ 2,818.00 $ 4,392,795.50 $ 15,579,807.90 A6

672Medicaid Premium Payments - Reporting & Interfaces -

Implementation 8/28/2026 $ 14,099.00 $ 4,406,894.50 $ 15,593,906.90 A6

673FFIG Grant - Streamline SIU Reports to Improve Program

Monitoring and Analysis - Implementation 8/28/2026 $ 5,250.00 $ 4,412,144.50 $ 15,599,156.90 A6

674Maintenance and Enhancements - August 20268/31/2026 $ 672,911.30 $ 5,085,055.80 $ 16,272,068.20 A4

675Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-3 8/31/2026 $ 5,372.00 $ 5,090,427.80 $ 16,277,440.20 A4

676Medicaid H.R.1 - Alien Medicaid Eligibility -

Construction & Unit 9/4/2026 $ 39,482.00 $ 5,129,909.80 $ 16,316,922.20 A6

677MEE - Operational Efficiency - Automatically Generate

Case Comments - Requirements & Design 9/4/2026 $ 38,095.00 $ 5,168,004.80 $ 16,355,017.20 A6

678

MEE - Operational Efficiency - Auto-Update Case

Comments From Screen Changes - Requirements &

Design

9/4/2026 $ 22,272.00 $ 5,190,276.80 $ 16,377,289.20 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 19 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

679MEE - Documents & Verifications - Enable Drag-Drop

Uploads - Construction & Unit 9/4/2026 $ 79,011.00 $ 5,269,287.80 $ 16,456,300.20 A6

680PTIG Grant - Improve Data Quality Through Quality

Check Process - Requirements & Design 9/4/2026 $ 41,096.00 $ 5,310,383.80 $ 16,497,396.20 A6

681PTIG Grant - Streamline the Communication and Change

Processing Workflows - Construction & Unit 9/4/2026 $ 211,598.00 $ 5,521,981.80 $ 16,708,994.20 A6

682Medicaid H.R.1 - Third-Party Verifications - 2 -

Requirements & Design 9/4/2026 $ 33,850.00 $ 5,555,831.80 $ 16,742,844.20 A6

683Medicaid Community Engagement - CE Audits & Quality

Control - Construction & Unit 9/18/2026 $ 19,741.00 $ 5,575,572.80 $ 16,762,585.20 A6

684Medicaid Community Engagement - CE Reporting

Enhancements - Construction & Unit 9/18/2026 $ 256,627.00 $ 5,832,199.80 $ 17,019,212.20 A6

685Modernize Eligibility Services - Third Party Employment

Verifications - Requirements & Design 9/18/2026 $ 38,142.00 $ 5,870,341.80 $ 17,057,354.20 A6

686Medicaid H.R.1 - Eligibility Redeterminations -

Construction & Unit 9/21/2026 $ 157,925.00 $ 6,028,266.80 $ 17,215,279.20 A6

687Medicaid H.R.1 - Reducing Duplicate Enrollment -

Contractual Address Support - Requirements & Design9/24/2026 $ 8,461.00 $ 6,036,727.80 $ 17,223,740.20 A6

688Medicaid H.R.1 - Reducing Duplicate Enrollment -

Address Verification - Requirements & Design 9/24/2026 $ 8,461.00 $ 6,045,188.80 $ 17,232,201.20 A6

689Medicaid H.R.1 - Removing Deceased Individuals From

Enrollment - Requirements & Design 9/24/2026 $ 4,231.00 $ 6,049,419.80 $ 17,236,432.20 A6

690 Maintenance and Enhancements - September 2026 9/30/2026 $ 672,911.30 $ 6,722,331.10 $ 17,909,343.50 A4

691Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-4 9/30/2026 $ 5,372.00 $ 6,727,703.10 $ 17,914,715.50 A4

692Security - Quarterly Code Scan - Quarterly Code Scan -

Period -1 9/30/2026 $ 10,112.00 $ 6,737,815.10 $ 17,924,827.50 A4

693MEE - MEA Redesign - MEA Training Video Recording &

Publishing - Requirements & Design 10/2/2026 $ 1,904.00 $ 6,739,719.10 $ 1,904.00 A6

694MEE - MEA Redesign - Redesign MEA & Update

Algorithm Scoring - Construction & Unit 10/2/2026 $ 230,970.00 $ 6,970,689.10 $ 232,874.00 A6

695Medicaid H.R.1 - Alien Medicaid Eligibility - Systems

Testing 10/16/2026 $ 5,641.00 $ 6,976,330.10 $ 238,515.00 A6

696MEE - Operational Efficiency - Automatically Generate

Case Comments - Construction & Unit 10/16/2026 $ 177,775.00 $ 7,154,105.10 $ 416,290.00 A6

697MEE - Operational Efficiency - Auto-Update Case

Comments From Screen Changes - Construction & Unit10/16/2026 $ 103,932.00 $ 7,258,037.10 $ 520,222.00 A6

698Medicaid Community Engagement - CE Eligibility Status

Determination - Systems Testing 10/16/2026 $ 12,691.00 $ 7,270,728.10 $ 532,913.00 A6

699Medicaid Community Engagement - CE Ex Parte Renewal

Enhancements - Systems Testing 10/16/2026 $ 2,821.00 $ 7,273,549.10 $ 535,734.00 A6

700Medicaid Community Engagement - CE Notices

Enhancements - Systems Testing 10/16/2026 $ 42,302.00 $ 7,315,851.10 $ 578,036.00 A6

701Medicaid Community Engagement - CE Outreach &

Digital Campaign - Systems Testing 10/16/2026 $ 39,482.00 $ 7,355,333.10 $ 617,518.00 A6

702Medicaid Community Engagement - CE Report Change

Enhancements - Systems Testing 10/16/2026 $ 5,641.00 $ 7,360,974.10 $ 623,159.00 A6

703Modernize Eligibility Services - Digital Communication:

AI Chatbot - Systems Testing 10/16/2026 $ 70,632.00 $ 7,431,606.10 $ 693,791.00 A6

704MEE - Documents & Verifications - Enable Drag-Drop

Uploads - Systems Testing 10/16/2026 $ 11,288.00 $ 7,442,894.10 $ 705,079.00 A6

705MEE - Client Communication - Enhance Omni-Channel

Client Delivery (Chatbot) - Systems Testing 10/16/2026 $ 67,684.00 $ 7,510,578.10 $ 772,763.00 A6

706PTIG Grant - Improve Data Quality Through Quality

Check Process - Construction & Unit 10/16/2026 $ 191,781.00 $ 7,702,359.10 $ 964,544.00 A6

707Medicaid Community Engagement - New HEIGHTS CE

Enhancements - Systems Testing 10/16/2026 $ 16,921.00 $ 7,719,280.10 $ 981,465.00 A6

708Medicaid Community Engagement - NH EASY CE

Enhancements - Systems Testing 10/16/2026 $ 22,561.00 $ 7,741,841.10 $ 1,004,026.00 A6

709PTIG Grant - Streamline the Communication and Change

Processing Workflows - Systems Testing 10/16/2026 $ 30,229.00 $ 7,772,070.10 $ 1,034,255.00 A6

710Medicaid H.R.1 - Third-Party Verifications - 2 -

Construction & Unit 10/16/2026 $ 157,966.00 $ 7,930,036.10 $ 1,192,221.00 A6

711

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 1 - Requirements

& Design

10/23/2026 $ 84,603.00 $ 8,014,639.10 $ 1,276,824.00 A6

712MEE - Operational Efficiency - Implement Virtual

Assistant for Caseworkers - Requirements & Design10/23/2026 $ 101,523.00 $ 8,116,162.10 $ 1,378,347.00 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 20 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

713Modernize Eligibility Services - Third Party Employment

Verifications - Construction & Unit 10/23/2026 $ 177,993.00 $ 8,294,155.10 $ 1,556,340.00 A6

714Medicaid H.R.1 - Alien Medicaid Eligibility -

Implementation 10/30/2026 $ 2,818.00 $ 8,296,973.10 $ 1,559,158.00 A6

715Medicaid Community Engagement - CE Eligibility Status

Determination - Implementation 10/30/2026 $ 6,344.00 $ 8,303,317.10 $ 1,565,502.00 A6

716Medicaid Community Engagement - CE Ex Parte Renewal

Enhancements - Implementation 10/30/2026 $ 4,228.00 $ 8,307,545.10 $ 1,569,730.00 A6

717Medicaid Community Engagement - CE Notices

Enhancements - Implementation 10/30/2026 $ 21,149.00 $ 8,328,694.10 $ 1,590,879.00 A6

718Medicaid Community Engagement - CE Outreach &

Digital Campaign - Implementation 10/30/2026 $ 59,220.00 $ 8,387,914.10 $ 1,650,099.00 A6

719Medicaid Community Engagement - CE Report Change

Enhancements - Implementation 10/30/2026 $ 2,818.00 $ 8,390,732.10 $ 1,652,917.00 A6

720Modernize Eligibility Services - Digital Communication:

AI Chatbot - Implementation 10/30/2026 $ 35,316.00 $ 8,426,048.10 $ 1,688,233.00 A6

721MEE - Documents & Verifications - Enable Drag-Drop

Uploads - Implementation 10/30/2026 $ 5,642.00 $ 8,431,690.10 $ 1,693,875.00 A6

722MEE - Client Communication - Enhance Omni-Channel

Client Delivery (Chatbot) - Implementation 10/30/2026 $ 33,840.00 $ 8,465,530.10 $ 1,727,715.00 A6

723MEE - MEA Redesign - MEA Training Video Recording &

Publishing - Construction & Unit 10/30/2026 $ 8,884.00 $ 8,474,414.10 $ 1,736,599.00 A6

724Medicaid Community Engagement - New HEIGHTS CE

Enhancements - Implementation 10/30/2026 $ 25,379.00 $ 8,499,793.10 $ 1,761,978.00 A6

725Medicaid Community Engagement - NH EASY CE

Enhancements - Implementation 10/30/2026 $ 11,279.00 $ 8,511,072.10 $ 1,773,257.00 A6

726PTIG Grant - Streamline the Communication and Change

Processing Workflows - Implementation 10/30/2026 $ 15,112.00 $ 8,526,184.10 $ 1,788,369.00 A6

727Maintenance and Enhancements - October 202610/31/2026 $ 672,911.30 $ 9,199,095.40 $ 2,461,280.30 A4

728Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-5 10/31/2026 $ 5,372.00 $ 9,204,467.40 $ 2,466,652.30 A4

729Medicaid H.R.1 - Reducing Duplicate Enrollment -

Contractual Address Support - Construction & Unit11/5/2026 $ 39,482.00 $ 9,243,949.40 $ 2,506,134.30 A6

730Medicaid H.R.1 - Reducing Duplicate Enrollment -

Address Verification - Construction & Unit 11/5/2026 $ 39,482.00 $ 9,283,431.40 $ 2,545,616.30 A6

731Medicaid H.R.1 - Removing Deceased Individuals From

Enrollment - Construction & Unit 11/5/2026 $ 19,741.00 $ 9,303,172.40 $ 2,565,357.30 A6

732Medicaid Community Engagement - CE Audits & Quality

Control - Systems Testing 11/13/2026 $ 2,821.00 $ 9,305,993.40 $ 2,568,178.30 A6

733Medicaid Community Engagement - CE Reporting

Enhancements - Systems Testing 11/13/2026 $ 36,661.00 $ 9,342,654.40 $ 2,604,839.30 A6

734Medicaid H.R.1 - Eligibility Redeterminations - Systems

Testing 11/16/2026 $ 22,561.00 $ 9,365,215.40 $ 2,627,400.30 A6

735

MEE - MEA Redesign - Automation of Consent and

Authorization for Release of PHI - Requirements &

Design

11/20/2026 $ 10,153.00 $ 9,375,368.40 $ 2,637,553.30 A6

736FFIG Grant - Enhance System Tracking, Search and Filter

Capabilities - Requirements & Design 11/20/2026 $ 19,650.00 $ 9,395,018.40 $ 2,657,203.30 A6

737PTIG Grant - Enhance System Usability With HCD

Principles - Requirements & Design 11/20/2026 $ 65,863.00 $ 9,460,881.40 $ 2,723,066.30 A6

738MEE - Operational Efficiency - Automatically Generate

Case Comments - Systems Testing 11/27/2026 $ 25,397.00 $ 9,486,278.40 $ 2,748,463.30 A6

739MEE - Operational Efficiency - Auto-Update Case

Comments From Screen Changes - Systems Testing11/27/2026 $ 14,848.00 $ 9,501,126.40 $ 2,763,311.30 A6

740Medicaid Community Engagement - CE Audits & Quality

Control - Implementation 11/27/2026 $ 1,408.00 $ 9,502,534.40 $ 2,764,719.30 A6

741Medicaid Community Engagement - CE Reporting

Enhancements - Implementation 11/27/2026 $ 54,991.00 $ 9,557,525.40 $ 2,819,710.30 A6

742PTIG Grant - Improve Data Quality Through Quality

Check Process - Systems Testing 11/27/2026 $ 27,398.00 $ 9,584,923.40 $ 2,847,108.30 A6

743MEE - MEA Redesign - MEA Training Video Recording &

Publishing - Systems Testing 11/27/2026 $ 1,270.00 $ 9,586,193.40 $ 2,848,378.30 A6

744MEE - MEA Redesign - Redesign MEA & Update

Algorithm Scoring - Systems Testing 11/27/2026 $ 32,996.00 $ 9,619,189.40 $ 2,881,374.30 A6

745Modernize Eligibility Services - Third Party Employment

Verifications - Systems Testing 11/27/2026 $ 25,428.00 $ 9,644,617.40 $ 2,906,802.30 A6

746Medicaid H.R.1 - Third-Party Verifications - 2 - Systems

Testing 11/27/2026 $ 22,567.00 $ 9,667,184.40 $ 2,929,369.30 A6

747 Maintenance and Enhancements - November 2026 11/30/2026 $ 672,911.30 $ 10,340,095.70 $ 3,602,280.60 A4

748Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-6 11/30/2026 $ 5,372.00 $ 10,345,467.70 $ 3,607,652.60 A4

749Medicaid H.R.1 - Eligibility Redeterminations -

Implementation 11/30/2026 $ 11,279.00 $ 10,356,746.70 $ 3,618,931.60 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 21 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

750Security - MARS 2.2 Assessment - Application Penn Test

Report 12/11/2026 $ 67,280.00 $ 10,424,026.70 $ 3,686,211.60 A4

751MEE - Operational Efficiency - Automatically Generate

Case Comments - Implementation 12/11/2026 $ 12,696.00 $ 10,436,722.70 $ 3,698,907.60 A6

752MEE - Operational Efficiency - Auto-Update Case

Comments From Screen Changes - Implementation12/11/2026 $ 7,422.00 $ 10,444,144.70 $ 3,706,329.60 A6

753PTIG Grant - Improve Data Quality Through Quality

Check Process - Implementation 12/11/2026 $ 13,697.00 $ 10,457,841.70 $ 3,720,026.60 A6

754MEE - MEA Redesign - MEA Training Video Recording &

Publishing - Implementation 12/11/2026 $ 633.00 $ 10,458,474.70 $ 3,720,659.60 A6

755MEE - MEA Redesign - Redesign MEA & Update

Algorithm Scoring - Implementation 12/11/2026 $ 16,496.00 $ 10,474,970.70 $ 3,737,155.60 A6

756Modernize Eligibility Services - Third Party Employment

Verifications - Implementation 12/11/2026 $ 12,712.00 $ 10,487,682.70 $ 3,749,867.60 A6

757Medicaid H.R.1 - Third-Party Verifications - 2 -

Implementation 12/11/2026 $ 11,282.00 $ 10,498,964.70 $ 3,761,149.60 A6

758Medicaid H.R.1 - Reducing Duplicate Enrollment -

Contractual Address Support - Systems Testing12/17/2026 $ 5,641.00 $ 10,504,605.70 $ 3,766,790.60 A6

759Medicaid H.R.1 - Reducing Duplicate Enrollment -

Address Verification - Systems Testing 12/17/2026 $ 5,641.00 $ 10,510,246.70 $ 3,772,431.60 A6

760Medicaid H.R.1 - Removing Deceased Individuals From

Enrollment - Systems Testing 12/17/2026 $ 2,821.00 $ 10,513,067.70 $ 3,775,252.60 A6

761

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 1 - Construction

& Unit

12/18/2026 $ 394,812.00 $ 10,907,879.70 $ 4,170,064.60 A6

762MEE - Operational Efficiency - Implement Virtual

Assistant for Caseworkers - Construction & Unit12/18/2026 $ 473,774.00 $ 11,381,653.70 $ 4,643,838.60 A6

763

Modernize Eligibility Services - AI Document Upload &

OCR to Simplify Application and Verifications -

Requirements & Design

12/25/2026 $ 135,614.00 $ 11,517,267.70 $ 4,779,452.60 A6

764

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 2 - Requirements

& Design

12/25/2026 $ 42,302.00 $ 11,559,569.70 $ 4,821,754.60 A6

765MEE - Documents & Verifications - Enhance Verification

Tracking Capabilities - Requirements & Design12/25/2026 $ 46,560.00 $ 11,606,129.70 $ 4,868,314.60 A6

766MEE - Documents & Verifications - Implement a

Document Status Tracker - Requirements & Design12/25/2026 $ 63,491.00 $ 11,669,620.70 $ 4,931,805.60 A6

767 Maintenance and Enhancements - December 2026 12/31/2026 $ 672,911.30 $ 12,342,532.00 $ 5,604,716.90 A4

768Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-7 12/31/2026 $ 5,372.00 $ 12,347,904.00 $ 5,610,088.90 A4

769Security - Quarterly Code Scan - Quarterly Code Scan -

Period -2 12/31/2026 $ 10,112.00 $ 12,358,016.00 $ 5,620,200.90 A4

770Security - Annual Penetration Test - Annual Penetration

Testing 12/31/2026 $ 20,540.00 $ 12,378,556.00 $ 5,640,740.90 A4

771Medicaid H.R.1 - Reducing Duplicate Enrollment -

Contractual Address Support - Implementation12/31/2026 $ 2,818.00 $ 12,381,374.00 $ 5,643,558.90 A6

772Medicaid H.R.1 - Reducing Duplicate Enrollment -

Address Verification - Implementation 12/31/2026 $ 2,818.00 $ 12,384,192.00 $ 5,646,376.90 A6

773Medicaid H.R.1 - Removing Deceased Individuals From

Enrollment - Implementation 12/31/2026 $ 1,408.00 $ 12,385,600.00 $ 5,647,784.90 A6

774MEE - MEA Redesign - Automation of Consent and

Authorization for Release of PHI - Construction & Unit1/1/2027 $ 30,458.00 $ 12,416,058.00 $ 5,678,242.90 A6

775FFIG Grant - Enhance System Tracking, Search and Filter

Capabilities - Construction & Unit 1/1/2027 $ 91,700.00 $ 12,507,758.00 $ 5,769,942.90 A6

776PTIG Grant - Enhance System Usability With HCD

Principles - Construction & Unit 1/1/2027 $ 307,361.00 $ 12,815,119.00 $ 6,077,303.90 A6

777Security - MARS 2.2 Assessment - System Security Plan

Workbooks 1/12/2027 $ 100,910.00 $ 12,916,029.00 $ 6,178,213.90 A4

778Security - MARS 2.2 Assessment - Privacy Impact

Assessment (PIA) 1/12/2027 $ 89,700.00 $ 13,005,729.00 $ 6,267,913.90 A4

779Security - MARS 2.2 Assessment - System Security Plan

Document (SSP) 1/12/2027 $ 156,970.00 $ 13,162,699.00 $ 6,424,883.90 A4

780Security - MARS 2.2 Assessment - Plan of Action and

Milestones (POAM) 1/12/2027 $ 78,486.00 $ 13,241,185.00 $ 6,503,369.90 A4

781Security - MARS 2.2 Assessment - Security and Privacy

Assessment Report (SAR) 1/12/2027 $ 100,910.00 $ 13,342,095.00 $ 6,604,279.90 A4

782Security - MARS 2.2 Assessment - Security and Privacy

Assessor Workbook (SAW) 1/12/2027 $ 89,700.00 $ 13,431,795.00 $ 6,693,979.90 A4

783FFIG Grant - Enhance Data Management Processes and

Data Quality - Requirements & Design 1/22/2027 $ 30,150.00 $ 13,461,945.00 $ 6,724,129.90 A6

784Security - MARS 2.2 Assessment - Interconnection

Security Agreement (ISA) 1/29/2027 $ 56,044.00 $ 13,517,989.00 $ 6,780,173.90 A4

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 22 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

785Maintenance and Enhancements - January 20271/31/2027 $ 672,911.30 $ 14,190,900.30 $ 7,453,085.20 A4

786Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-8 1/31/2027 $ 5,372.00 $ 14,196,272.30 $ 7,458,457.20 A4

787

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 1 - Systems

Testing

2/12/2027 $ 56,402.00 $ 14,252,674.30 $ 7,514,859.20 A6

788MEE - MEA Redesign - Automation of Consent and

Authorization for Release of PHI - Systems Testing2/12/2027 $ 142,135.00 $ 14,394,809.30 $ 7,656,994.20 A6

789FFIG Grant - Enhance System Tracking, Search and Filter

Capabilities - Systems Testing 2/12/2027 $ 13,100.00 $ 14,407,909.30 $ 7,670,094.20 A6

790PTIG Grant - Enhance System Usability With HCD

Principles - Systems Testing 2/12/2027 $ 43,909.00 $ 14,451,818.30 $ 7,714,003.20 A6

791MEE - Operational Efficiency - Implement Virtual

Assistant for Caseworkers - Systems Testing 2/12/2027 $ 67,682.00 $ 14,519,500.30 $ 7,781,685.20 A6

792

Modernize Eligibility Services - AI Document Upload &

OCR to Simplify Application and Verifications -

Construction & Unit

2/19/2027 $ 632,863.00 $ 15,152,363.30 $ 8,414,548.20 A6

793

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 2 - Construction

& Unit

2/19/2027 $ 197,406.00 $ 15,349,769.30 $ 8,611,954.20 A6

794MEE - Documents & Verifications - Enhance Verification

Tracking Capabilities - Construction & Unit 2/19/2027 $ 217,280.00 $ 15,567,049.30 $ 8,829,234.20 A6

795MEE - Documents & Verifications - Implement a

Document Status Tracker - Construction & Unit2/19/2027 $ 296,291.00 $ 15,863,340.30 $ 9,125,525.20 A6

796

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 1 -

Implementation

2/26/2027 $ 28,199.00 $ 15,891,539.30 $ 9,153,724.20 A6

797MEE - MEA Redesign - Automation of Consent and

Authorization for Release of PHI - Implementation2/26/2027 $ 20,304.00 $ 15,911,843.30 $ 9,174,028.20 A6

798FFIG Grant - Enhance System Tracking, Search and Filter

Capabilities - Implementation 2/26/2027 $ 6,550.00 $ 15,918,393.30 $ 9,180,578.20 A6

799PTIG Grant - Enhance System Usability With HCD

Principles - Implementation 2/26/2027 $ 21,953.00 $ 15,940,346.30 $ 9,202,531.20 A6

800MEE - Operational Efficiency - Implement Virtual

Assistant for Caseworkers - Implementation 2/26/2027 $ 33,840.00 $ 15,974,186.30 $ 9,236,371.20 A6

801Maintenance and Enhancements - February 20272/28/2027 $ 672,911.30 $ 16,647,097.60 $ 9,909,282.50 A4

802Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-9 2/28/2027 $ 5,372.00 $ 16,652,469.60 $ 9,914,654.50 A4

803FFIG Grant - Enhance Data Management Processes and

Data Quality - Construction & Unit 3/5/2027 $ 140,700.00 $ 16,793,169.60 $ 10,055,354.50 A6

804MEE - Self Service Enhancements - Allow Viewing of

Uploaded Documents - Requirements & Design3/19/2027 $ 12,699.00 $ 16,805,868.60 $ 10,068,053.50 A6

805MEE - Client Communication - Implement Two-Way

Messaging in NH EASY - Requirements & Design3/19/2027 $ 50,763.00 $ 16,856,631.60 $ 10,118,816.50 A6

806MEE - Operational Efficiency - Supervisor Dashboard

Enhancements - Requirements & Design 3/19/2027 $ 67,682.00 $ 16,924,313.60 $ 10,186,498.50 A6

807Security - MARS 2.2 Assessment - CMS Approval of ATC

Package 3/26/2027 $ 74,002.00 $ 16,998,315.60 $ 10,260,500.50 A4

808Maintenance and Enhancements - March 20273/31/2027 $ 672,911.30 $ 17,671,226.90 $ 10,933,411.80 A4

809Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-10 3/31/2027 $ 5,372.00 $ 17,676,598.90 $ 10,938,783.80 A4

810Security - Quarterly Code Scan - Quarterly Code Scan -

Period -3 3/31/2027 $ 10,112.00 $ 17,686,710.90 $ 10,948,895.80 A4

811

Modernize Eligibility Services - AI Document Upload &

OCR to Simplify Application and Verifications - Systems

Testing

4/16/2027 $ 90,409.00 $ 17,777,119.90 $ 11,039,304.80 A6

812

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 2 - Systems

Testing

4/16/2027 $ 28,201.00 $ 17,805,320.90 $ 11,067,505.80 A6

813FFIG Grant - Enhance Data Management Processes and

Data Quality - Systems Testing 4/16/2027 $ 20,100.00 $ 17,825,420.90 $ 11,087,605.80 A6

814MEE - Documents & Verifications - Enhance Verification

Tracking Capabilities - Systems Testing 4/16/2027 $ 31,040.00 $ 17,856,460.90 $ 11,118,645.80 A6

815MEE - Documents & Verifications - Implement a

Document Status Tracker - Systems Testing 4/16/2027 $ 42,328.00 $ 17,898,788.90 $ 11,160,973.80 A6

816MEE - Self Service Enhancements - CFI Targeted

Reconciliation - Requirements & Design 4/23/2027 $ 63,453.00 $ 17,962,241.90 $ 11,224,426.80 A6

817MEE - Operational Efficiency - LTC Medicaid Dashboard

Enhancements - Requirements & Design 4/23/2027 $ 67,682.00 $ 18,029,923.90 $ 11,292,108.80 A6

818Maintenance and Enhancements - April 2027 4/30/2027 $ 672,911.30 $ 18,702,835.20 $ 11,965,020.10 A4

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 23 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

819Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-11 4/30/2027 $ 5,372.00 $ 18,708,207.20 $ 11,970,392.10 A4

820

Modernize Eligibility Services - AI Document Upload &

OCR to Simplify Application and Verifications -

Implementation

4/30/2027 $ 45,203.00 $ 18,753,410.20 $ 12,015,595.10 A6

821MEE - Self Service Enhancements - Allow Viewing of

Uploaded Documents - Construction & Unit 4/30/2027 $ 59,258.00 $ 18,812,668.20 $ 12,074,853.10 A6

822

Medicaid Policy, Administration & Operational Efficiency

- Automate Task Management - Phase 2 -

Implementation

4/30/2027 $ 14,099.00 $ 18,826,767.20 $ 12,088,952.10 A6

823FFIG Grant - Enhance Data Management Processes and

Data Quality - Implementation 4/30/2027 $ 10,050.00 $ 18,836,817.20 $ 12,099,002.10 A6

824MEE - Documents & Verifications - Enhance Verification

Tracking Capabilities - Implementation 4/30/2027 $ 15,519.00 $ 18,852,336.20 $ 12,114,521.10 A6

825MEE - Documents & Verifications - Implement a

Document Status Tracker - Implementation 4/30/2027 $ 21,162.00 $ 18,873,498.20 $ 12,135,683.10 A6

826MEE - Client Communication - Implement Two-Way

Messaging in NH EASY - Construction & Unit 4/30/2027 $ 236,892.00 $ 19,110,390.20 $ 12,372,575.10 A6

827MEE - Operational Efficiency - Supervisor Dashboard

Enhancements - Construction & Unit 4/30/2027 $ 315,850.00 $ 19,426,240.20 $ 12,688,425.10 A6

828MEE - Client Communication - Enhance Reminders for

Missing Documents - Requirements & Design 5/21/2027 $ 21,164.00 $ 19,447,404.20 $ 12,709,589.10 A6

829MEE - Self Service Enhancements - Provider Managed

Digital Updates - Requirements & Design 5/21/2027 $ 25,406.00 $ 19,472,810.20 $ 12,734,995.10 A6

830Security - Monthly Dynamic Scan - Monthly Dynamic

Scan Report - Mon-12 5/30/2027 $ 5,372.00 $ 19,478,182.20 $ 12,740,367.10 A4

831Maintenance and Enhancements - May 2027 5/31/2027 $ 672,911.30 $ 20,151,093.50 $ 13,413,278.40 A4

832MEE - Self Service Enhancements - Allow Viewing of

Uploaded Documents - Systems Testing 6/11/2027 $ 8,466.00 $ 20,159,559.50 $ 13,421,744.40 A6

833MEE - Client Communication - Implement Two-Way

Messaging in NH EASY - Systems Testing 6/11/2027 $ 33,842.00 $ 20,193,401.50 $ 13,455,586.40 A6

834MEE - Operational Efficiency - Supervisor Dashboard

Enhancements - Systems Testing 6/11/2027 $ 45,122.00 $ 20,238,523.50 $ 13,500,708.40 A6

835MEE - Self Service Enhancements - CFI Targeted

Reconciliation - Construction & Unit 6/18/2027 $ 296,114.00 $ 20,534,637.50 $ 13,796,822.40 A6

836MEE - Operational Efficiency - LTC Medicaid Dashboard

Enhancements - Construction & Unit 6/18/2027 $ 315,850.00 $ 20,850,487.50 $ 14,112,672.40 A6

837MEE - Self Service Enhancements - Allow Viewing of

Uploaded Documents - Implementation 6/25/2027 $ 4,231.00 $ 20,854,718.50 $ 14,116,903.40 A6

838MEE - Client Communication - Implement Two-Way

Messaging in NH EASY - Implementation 6/25/2027 $ 16,919.00 $ 20,871,637.50 $ 14,133,822.40 A6

839MEE - Operational Efficiency - Supervisor Dashboard

Enhancements - Implementation 6/25/2027 $ 22,559.00 $ 20,894,196.50 $ 14,156,381.40 A6

840Maintenance and Enhancements - June 2027 6/30/2027 $ 672,254.50 $ 21,566,451.00 $ 14,828,635.90 A4

841Security - Quarterly Code Scan - Quarterly Code Scan -

Period -4 6/30/2027 $ 10,112.00 $ 21,576,563.00 $ 14,838,747.90 A4

842MEE - Client Communication - Enhance Reminders for

Missing Documents - Construction & Unit 7/2/2027 $ 98,764.00 $ 98,764.00 $ 14,937,511.90 A6

843MEE - Self Service Enhancements - Provider Managed

Digital Updates - Construction & Unit 7/2/2027 $ 118,559.00 $ 217,323.00 $ 15,056,070.90 A6

844FFIG Grant - Modernize ECM System for SIU Documents

and Automate SIU Notices - Requirements & Design7/23/2027 $ 39,046.00 $ 256,369.00 $ 15,095,116.90 A6

845Maintenance and Enhancements - July 2027 7/31/2027 $ 848,362.67 $ 1,104,731.67 $ 15,943,479.57 A4

846MEE - Self Service Enhancements - CFI Targeted

Reconciliation - Systems Testing 8/13/2027 $ 42,302.00 $ 1,147,033.67 $ 15,985,781.57 A6

847MEE - Client Communication - Enhance Reminders for

Missing Documents - Systems Testing 8/13/2027 $ 14,110.00 $ 1,161,143.67 $ 15,999,891.57 A6

848MEE - Operational Efficiency - LTC Medicaid Dashboard

Enhancements - Systems Testing 8/13/2027 $ 45,122.00 $ 1,206,265.67 $ 16,045,013.57 A6

849MEE - Self Service Enhancements - Provider Managed

Digital Updates - Systems Testing 8/13/2027 $ 16,937.00 $ 1,223,202.67 $ 16,061,950.57 A6

850MEE - Self Service Enhancements - CFI Targeted

Reconciliation - Implementation 8/27/2027 $ 21,151.00 $ 1,244,353.67 $ 16,083,101.57 A6

851MEE - Client Communication - Enhance Reminders for

Missing Documents - Implementation 8/27/2027 $ 7,053.00 $ 1,251,406.67 $ 16,090,154.57 A6

852MEE - Operational Efficiency - LTC Medicaid Dashboard

Enhancements - Implementation 8/27/2027 $ 22,559.00 $ 1,273,965.67 $ 16,112,713.57 A6

853MEE - Self Service Enhancements - Provider Managed

Digital Updates - Implementation 8/27/2027 $ 8,468.00 $ 1,282,433.67 $ 16,121,181.57 A6

854Maintenance and Enhancements - August 20278/31/2027 $ 848,362.67 $ 2,130,796.34 $ 16,969,544.24 A4

855FFIG Grant - Modernize ECM System for SIU Documents

and Automate SIU Notices - Construction & Unit9/3/2027 $ 182,212.00 $ 2,313,008.34 $ 17,151,756.24 A6

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 24 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

State of New Hampshire, Department of Health and Human Services

Division of Economic and Housing Stability,

New HEIGHTS Maintenance, Operations and Enhancements

Attachment B-1

Amendment #6

Payment

No. Deliverable Description Invoice Date Payment Amount St Fiscal Yr Totals Fed Fiscal Yr Totals Contract

856 Maintenance and Enhancements - September 2027 9/30/2027 $ 848,362.67 $ 3,161,371.01 $ 18,000,118.91 A4

857FFIG Grant - Modernize ECM System for SIU Documents

and Automate SIU Notices - Systems Testing 10/15/2027 $ 26,031.00 $ 3,187,402.01 $ 26,031.00 A6

858FFIG Grant - Modernize ECM System for SIU Documents

and Automate SIU Notices - Implementation 10/29/2027 $ 13,013.00 $ 3,200,415.01 $ 39,044.00 A6

859Maintenance and Enhancements - October 202710/31/2027 $ 848,362.67 $ 4,048,777.68 $ 887,406.67 A4

860 Maintenance and Enhancements - November 2027 11/30/2027 $ 848,362.67 $ 4,897,140.35 $ 1,735,769.34 A4

861 Maintenance and Enhancements - December 2027 12/31/2027 $ 848,362.67 $ 5,745,503.02 $ 2,584,132.01 A4

862Maintenance and Enhancements - January 20281/31/2028 $ 848,362.67 $ 6,593,865.69 $ 3,432,494.68 A4

863Maintenance and Enhancements - February 20282/29/2028 $ 848,362.67 $ 7,442,228.36 $ 4,280,857.35 A4

864Maintenance and Enhancements - March 20283/31/2028 $ 848,362.67 $ 8,290,591.03 $ 5,129,220.02 A4

865Maintenance and Enhancements - April 2028 4/30/2028 $ 848,362.67 $ 9,138,953.70 $ 5,977,582.69 A4

866Maintenance and Enhancements - May 2028 5/31/2028 $ 848,362.67 $ 9,987,316.37 $ 6,825,945.36 A4

867Maintenance and Enhancements - June 2028 6/30/2028 $ 848,362.63 $ 10,835,679.00 $ 7,674,307.99 A4

868Maintenance and Enhancements - July 2028 7/31/2028 $ 878,037.33 $ 878,037.33 $ 8,552,345.32 A4

869Maintenance and Enhancements - August 20288/31/2028 $ 878,037.33 $ 1,756,074.66 $ 9,430,382.65 A4

870 Maintenance and Enhancements - September 2028 9/30/2028 $ 878,037.34 $ 2,634,112.00 $ 10,308,419.99 A4

Grand Total: $ 102,169,141.12 $ 102,169,141.12 $ 102,169,141.12

Deloitte Consulting LLP

RFP-2023-DEHS-01-NEWHE-01-A05

DoIT #2020-095 25 of 25

Vendor Initials_______

Date ______________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

3/9/2026

CERTIFICATE

I, David M. Scanlan, Secretary of State of the State of New Hampshire, do hereby certify that DELOITTE CONSULTING LLP is

a Delaware Limited Liability Partnership registered to transact business in New Hampshire on March 10, 2004. I further certify

that all fees and documents required by the Secretary of State’s office have been received and is in good standing as far as this

office is concerned.

Business ID: 467399

Certificate Number: 0007162309

IN TESTIMONY WHEREOF,

I hereto set my hand and cause to be affixed

the Seal of the State of New Hampshire,

this 18th day of April A.D. 2025.

David M. Scanlan

Secretary of State

State of New Hampshire

Department of State

Docusign Envelope ID: 486E14FF-75C7-4C3A-A802-9A8362448A1A

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

Revised 03/25/20

Gregory Spino

Deloitte Consulting LLP

Greg Spino

Managing Director

Limited Liability Partnership or LLC Certificate of Authority

I, ____________________, hereby cer

tify that I am a Partner, Member, or Manager of

(Name)

______________________, a limited liability partnership under RSA 304-A, a limited

Name of Partnership or LLC)

liability partnership under RSA 304-D, or a limited liability company under RSA 304-C.

I certify that Surendranatha R

Komma is authorized to bind the partnership or LLC. I

further certify that it is understood that the State of New Hampshire will rely on this

certificate as evidence that the person listed above currently occupies the position

indicated and that they hav

e full authority to bind the partnership or LLC and that this

authorization shall remain valid for thirty (30) days from the date of this Certificate of

Authority.

Dated: 03/02/26

Signature: _____________________________

Name: _____________________________

Ti

tle: _____________________________

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F:

INSURER E:

INSURER D:

INSURER C:

INSURER B:

INSURER A:

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on

this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

$

$

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD

INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,

EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $

$

$

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below

If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

$

$

$

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

$

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

1,000,000

06/01/2026

GL 6024588868

WC 6024588854 (AZ, OR, WI)

NYC-010414957-22

1,000,000

WC 6024588840 (CA)

X

X

N/A

30 Rockefeller Plaza

Attn: realestate.certrequest@marsh.com

Y

X

06/01/2025

2

06/01/2026

06/01/2025

20508

BUA 6024588871

Stop Gap (OH, ND, WA)

C

2,000,000

1,000,000

20427

N/A

1,000,000

X

D

05/28/2025

06/01/2025

1,000,000

06/01/2025

X

06/01/2025

129 Pleasant Street

Concord, NH 03301

State of New Hampshire

Valley Forge Insurance Company

A

D

American Casualty Company of Reading, PA

CN102871568-STND-GAWU-25-26

10,000

06/01/2026

1,000,000

C

2,000,000

20443

1,000,000

1,000,000

06/01/2026

WC 6024588837 (AOS)

1166 Avenue of the Americas

MARSH USA, LLC.

New York, NY 10036

Deloitte Consulting LLP; Deloitte Tax LLP; Deloitte Services LP;

Deloitte LLP; Deloitte & Touche LLP;

Deloitte Transactions and Business Analytics LLP

Deloitte Financial Advisory Services LLP;

New York, NY 10112

GAP 6042880616 (OH, ND, WA)

06/01/2025

Department of Health and Human Services

A.

06/01/2026

06/01/2026

Continental Casualty Company

Docusign Envelope ID: 486E14FF-75C7-4C3A-A802-9A8362448A1A

Docusign Envelope ID: D059CE71-8FE4-4C5F-B25E-64B104510BBA