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Medicaid Work Requirements and Coverage Losses

May 20, 2019 Health Policy
stethoscope and pen with medical charts

New Hampshire’s expanded Medicaid program provides health coverage to approximately 50,000 Granite Staters with low incomes. The program is a partnership between the state and federal government that brings hundreds of millions of dollars in federal revenue into the state economy annually, and is key for access to health services for people with substance use disorders or mental health conditions. In the most recent reauthorization of the expanded Medicaid program, it was reformed into the New Hampshire Granite Advantage Health Care Program, and work and community engagement requirements were added for enrollees.

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Access to Home- and Community-Based Medicaid Services Limited by Workforce Shortages

March 15, 2019 Health Policy
stethoscope and pen with medical charts

New Hampshire Choices for Independence Medicaid Waiver services provide home- and community-based services to individuals who are chronically ill or have a disability and prefer to stay in their homes or communities but might otherwise need the level of care only provided in nursing homes, which typically result in more expensive treatment. Those in need of home- and community-based services, however, may not receive them due to a lack of available workers to deliver services. This Fact Sheet summarizes findings outlined in NHFPI’s Issue Brief, Medicaid Home- and Community-Based Care Service Delivery Limited by Workforce Challenges.

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Medicaid Home- and Community-Based Care Service Delivery Limited by Workforce Challenges

March 15, 2019 Health Policy
stethoscope and pen with medical charts

For people who are chronically ill or have a disability and who are seeking an alternative to nursing home care, New Hampshire’s Medicaid program provides long-term care coverage for eligible adults of limited means in home- and community-based settings. Choices for Independence Medicaid Waiver services are delivered through providers who are reimbursed by federal, county, and state government funds for delivering home- and community-based care. These services are also typically less expensive than nursing home care, and help individuals remain in their homes and communities. Evidence suggests that reimbursement rates have fallen behind the rate of inflation. This Issue Brief explores data concerning labor force constraints in New Hampshire generally, as well as relevant demographic trends and wages for certain health care occupations related to home- and community-based services.

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State Delays Implementation of Medicaid Work Requirements, Citing Potential Coverage Losses

11 Jul 2019

tree with coins

Earlier this week, New Hampshire state officials suspended the implementation of the work and community engagement requirements for expanded Medicaid beneficiaries until September 30. The Department of Health and Human Services had no information on the compliance of approximately 17,000 individuals, which would have meant up to that many individuals would have lost their health coverage starting in early August if they did not provide information and fulfill their required hours by the end of July. With this suspension, coverage losses due to noncompliance with the work requirements would not take place until early December, barring any other intervening policy changes from the state or federal governments or the pending results of legal action.