The New Hampshire Executive Council on Wednesday approved a contract worth more than $900 million for three companies to run the state's Medicaid program.
About 180,000 people in New Hampshire are insured by either Medicaid, or expanded Medicaid.
Two of the companies, Well Sense and New Hampshire Healthy Families, are already providing those services.
The third, Amerihealth Caritas, had faced scrutiny from councilors regarding their abrupt departure from a similar contract in Iowa after a little more than a year.
New Hampshire Health Commissioner Jeffrey Meyers says the contract, which lasts five years, is a good deal for the state.
The council voted 4-1 in favor of the 1,498-page contract, with Executive Councilor Ted Gatsas of Manchester voting against it.