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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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Medicaid Expansion in New Hampshire and the State Senate’s Proposed Changes

March 30, 2018 Health Policy
stethoscope and pen with medical charts

New Hampshire’s Medicaid expansion is an important program with impacts on the state’s public health and economy. Medicaid expansion provides health coverage to approximately 52,000 low-income people in New Hampshire, and more than 90 percent of program expenses have been funded by the federal government since the program began in 2014. Since that time, hundreds of millions of federal dollars have helped provide medical care for Granite Staters and contributed to the state economy, both through payments to medical providers and helping ensure a healthy, productive workforce, and assisting the state’s efforts to combat the ongoing opioid crisis.

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Work Requirement Implementation Begins Amid Troubling Signs from Other States

4 Mar 2019

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Implementation of the work and community engagement requirements for Medicaid expansion enrollees officially began March 1, with June as the first month requiring non-exempt enrollees to have 100 hours of qualifying activities. The flexibility within New Hampshire’s current rules permits enrollees to use a subsequent month to fulfill their required hours, and certain individuals are exempt from the requirements; however, individuals could lose health care coverage for not fulfilling the work and community engagement reporting requirements as early as August.