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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 Fiscal Situation Improves with Higher Revenues and Agency Underspending

9 Oct 2020

tree with coins

A combination of revenues recovering faster than anticipated, including some potentially atypical receipts, and underspending at public agencies has improved the State of New Hampshire’s fiscal situation relative to projections from earlier in the year. While the situation is more favorable than previously expected, significant unknowns remain, including the course of the pandemic and the potential for federal assistance to states and local governments, all of which could have profound impacts on New Hampshire’s ability to fund key services for Granite Staters.