CONCORD, N.H. — A commission studying the future of New Hampshire’s expanded Medicaid program is recommending that it continue for five years, but move toward a managed care model in 2019.

The committee of lawmakers, insurance officials and health care providers on Wednesday signed off on its final report, which will be used as the basis for legislation that will be taken up next year.

The current expanded Medicaid program uses federal money to put about 43,000 low-income people on private insurance. The commission says switching to managed care would provide more straight-forward opportunities to address premium increases in the individual market and would provide consistent benefits for all Medicaid participants.

The report also recommends higher reimbursement rates for those who provide mental health and substance use disorder services.