Enhanced care coordination, or "wraparound", is an integral part of the Children's System of Care for behavioral and mental health's Tier 3 Intensive, Community-Based Services. Wraparound is New Hampshire's version of a proven youth- and family-centered planning and care coordination process.1 There are three distinct wraparound programs:
- FAST (Families and Systems Together) Forward wraparound for ages 5-21
- Early childhood wraparound for birth to 5
- Transitional Enhanced Care Coordination (TrECC) for youth in need of or transitioning out of residential treatment
These programs are designed for families who have tried less intensive treatments and/or have complex situations requiring them to be involved in more than one “system” (e.g. special education, mental health, child protection, and juvenile justice).
Wraparound helps families identify their strengths and needs. It then brings together a team of professionals (including other family members and service providers) to develop and support the family’s plan so the child can remain at home.
Enhanced care coordination programs have empowered hundreds of families facing behavioral health challenges as they navigate complex systems. However, a private insurance coverage gap has created barriers for Granite State families and cost taxpayer dollars unnecessarily.
About the Bill
Enhanced care coordination, or wraparound, is currently covered by Medicaid, but not by private health insurers in New Hampshire.
To ensure all children are able to access the care they need, a stopgap measure has been put in place so some acutely ill privately insured children are able to qualify for Medicaid through the Home Care for Children with Severe Disabilities (HC-CSD) and others rely on taxpayer general fund dollars to cover the cost of wraparound.
However, private insurance companies pay for care coordination and other non-clinical services in many other cases, and they should cover these essential mental health services so our children can stay healthy and in their communities.
2025 legislation would keep taxpayer dollars from being used to subsidize private health insurance corporations by requiring them to contribute as part of a public-private partnership model to ensure all New Hampshire children and youth are able to access the care they need, regardless of their insurance type.
Passing this legislation would be a step in the right direction for the health of Granite State children and youth.
Take Action
Learn More: Fact Sheet
Share Your Story
Will you share your experience to support state-level legislation to strengthen crisis care in NH? Stories are powerful tools that can be shared with lawmakers and the public to influence policy change. New Futures can help you develop effective ways to share your story.
- Have you, a loved one, a client/patient, etc. either benefitted from or struggled to access youth behavioral/mental health care?
- Do you have experience with enhanced care coordination, or "wraparound", also known as FAST (Families and Systems Together) Forward, early childhood wraparound, or Transitional Enhanced Care Coordination (TrECC)?
Attend or Testify at the Public Hearing
Show your support by attending or testifying at the public hearing! New Futures can help you prepare remarks, find the committee room, and offer moral support at the hearing.
The hearing for this bill has not yet been scheduled, but if you let us know you're interested, we will reach out when it is. Please click the button below to indicate your interest.
Bill Status
As the 2025 legislative session gets underway, the language of this legislation is currently being finalized. The bill text will likely be released in January. Please stay tuned for more information and how to get involved.
