This week, our In Focus section reviews the request for application (RFA) issued by the New Hampshire Department of Health and Human Services on April 1, 2015, which seeks to add at least one Medicaid managed care organization (MCO) to the state’s two existing plans in the Medicaid Care Management (MCM) program. The MCM went live in December 2013 with three MCOs, but one has since withdrawn from the program. The MCM program currently serves more than 152,000 members as it prepares to add as many as 20,000 new members under Step 2 in MCM implementation later this year. Our In Focus this week reviews the background and current market of the New Hampshire MCM program as well as key elements of the RFA.