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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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Committee of Conference Keeps Medicaid Reimbursement Rate Increases, Boosts Fiscal Disparity Aid in Final Budget Agreement

24 Jun 2019

tree with coins

Negotiators from the House and Senate agreed to a final budget proposal in the Committee of Conference for House Bill 1 and House Bill 2 last week, preserving many Senate proposals while incorporating additional education aid and removing the paid family and medical leave proposal supported by both the House and the Senate in their respective versions of the State Budget. The Committee of Conference budget proposal does not include the expansion of the Interest and Dividends Tax to include capital gains as proposed by the House, but freezes business tax rates at 2018 levels. The proposal retains the Senate’s $17.5 million appropriation for a new secure psychiatric facility and $40 million in revenue sharing to municipal governments during the biennium.