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County Medicaid Funding Obligations for Long-Term Care

August 1, 2019 Health Policy
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Nursing home care and long-term supports and services in New Hampshire are paid by public or private funds, with Medicaid as the major public health coverage program paying for these services. Medicaid costs are paid in part by the federal government, but county governments pay a significant portion of the non-federal costs for this care, increasing upward pressure on county property tax rates. The state’s aging population will likely increase the need for long-term care services and may require modifying the current system, particularly in counties with lower taxable property values or a greater proportion of low-income residents.

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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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Declining Business Tax and Other Revenues Suggest Caution for State Budget

15 Aug 2019

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As policymakers continue to consider State Budget options and choices during the ongoing continuing resolution, understanding State revenue trends remains critical to determining the State’s ability to pay for needed services and the policy choices that affect available resources. With State Fiscal Year 2019 completed and SFY 2020 underway, recent months of revenue collections have provided some additional insight into whether the State might expect more revenue in future years. Questions remain about the future of business tax receipts in particular, which have been very difficult to predict due to recent abnormal behavior following the federal tax overhaul; however, recent data suggest anticipated declines in receipts may limit revenue going forward.