New Hampshire Department Of Health & Human Services

New Hampshire Department Of Health & Human Services, a U.S. state government entity headquartered in Concord, New Hampshire, operates as a federal grant recipient (prime recipient on 2,259 of 2,281 awards) administering entitlement and discretionary federal funding across health, human services, nutrition assistance, child welfare, homelessness prevention, and aging services statewide, with a recent award footprint dominated by formula grants from HUD, USDA, and HHS components.

The department's federal portfolio reflects its statutory role as New Hampshire's principal administrator of categorical and block grant programs. Across recent awards, NH DHHS receives and distributes federal entitlements for Medicaid and CHIP (Centers for Medicare and Medicaid Services, CFDA 93.778 and 93.767), child welfare and family services (Administration for Children and Families Title IV-E foster care, Title IV-B child welfare social services, and adoption assistance), nutrition programs (SNAP administrative costs and WIC food and administrative expenses from USDA Food and Nutrition Service), aging services (Older Americans Act Title III congregate and home-delivered meals, nutrition services incentive program, supportive services, family caregiver support), and homelessness response (HUD Continuum of Care Program, CFDA 14.267, with over 500 award instances). Recent representative grants include $6.895 billion in Medicaid Title XIX entitlement funding (October 2025, CMS), $95.985 million in Temporary Assistance for Needy Families block grant (October 2025, Administration for Family Services, CFDA 93.558), $46.792 million in Child Care and Development Block Grant discretionary funding (October 2025, Office of Child Care, CFDA 93.575), $20.758 million in substance abuse prevention and treatment block grant (October 2025, SAMHSA Center for Substance Abuse Treatment, CFDA 93.959), $8.64 million in maternal, infant and early childhood home visiting services (September 2025, HRSA Maternal and Child Health Bureau, CFDA 93.870), and a $1 billion cooperative agreement for rural health transformation (December 2025, Centers for Medicare and Medicaid Services, CFDA 93.798). On the contract side, NH DHHS holds a single federal contract: a $236,714.59 definitive contract with the Food and Drug Administration awarded September 2022 to perform inspections of certified non-federal mammography facilities under the Mammography Quality Standards Act, running through March 2028.

Customer concentration is pronounced within specific federal agencies reflecting New Hampshire's entitlement structure. HUD's Assistant Secretary for Community Planning and Development accounts for 514 awards (22.5% of the footprint), heavily weighted toward Continuum of Care homelessness programs; USDA Food and Nutrition Service delivers 238 awards across SNAP, WIC, and child nutrition programs; and HHS Administration for Children and Families contributes 158 awards spanning child welfare, family services, and child care. CMS awards 153 items for Medicaid and CHIP entitlements. These five agencies represent 53 percent of award count but concentrate on formula distribution rather than discretionary competition—the bulk of the portfolio consists of annual non-competitive entitlements renewed on a formula basis, not competitive procurements.

Recent activity (2022–2026) averages 123.6 awards per year, reflecting stable formula grant administration rather than growth; 2025 shows 115 awards and 2026 only 24 (through September, representing a partial-year snapshot). Combined obligated value across the entire 2,281-award portfolio reaches $63.05 billion, dominated by Medicaid and CHIP entitlements. Within the next 24 months, 115 awards with combined potential value of $237 thousand face ultimate completion—a recompete exposure modest in dollar terms but representing routine renewal of formula and program grant cycles.

NH DHHS operates exclusively as a prime recipient; subcontract activity is minimal, with only 22 sub-awards (1 percent of footprint), all as a recipient of disaster relief sub-grants from the New Hampshire Department of Safety under FEMA Public Assistance (Disaster Recovery 4516, various project worksheets awarded 2023–2024). The department does not serve as a subcontractor to other federal prime contractors or recipients; its federal activity is state agency grant administration, not vendor service delivery or product procurement.

Statutory authority drives this portfolio. As the state's designated lead agency for Medicaid, CHIP, child welfare, TANF, child care, aging services, and nutrition programs under federal law, NH DHHS receives annual allocations under approved state plans with minimal discretionary competition. The department distributes substantial portions of these entitlements to regional Area Agencies on Aging, community action agencies, local health departments, nonprofit organizations, county governments, and community-based service providers. This pass-through architecture—where the state receives federal dollars and sub-awards them to local and nonprofit delivery partners—is the defining characteristic of the footprint, not the receipt of contracts for vendor services.