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Medicaid Service Rate Increases
Public Comment Period for State Plan Amendments (SPA): Medicaid Service Rate Increases
LEGAL NOTICE
NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES
Notice is hereby given that the New Hampshire Department of Health and Human Services ("the Department") is proposing to make several amendments to the Title XIX State Plan in response to Chapter 79, Laws of 2023, whereby the NH Legislature appropriated funds for Medicaid service rate increases effective July 1, 2023.
The proposed rate increases outlined below were mandated by the Legislature and will allow Medicaid recipients' continued access to necessary healthcare services as well as provide further incentives for providers to remain in the Medicaid program.
The aggregate fiscal impact to the Medicaid fee for service program as a result of the rate increase to service rates is estimated to be an increase in expenditures of $1,209,041 for the remainder of FFY 2023, which is made up of $629,006 in federal funds and $580,035 in non-federal funds, and $7,305,196 for FFY 2024 which is made up of $2,516,032 federal funds and $2,320,159 in non-federal funds.
The fiscal impact for each of the non-institutional services is estimated to be as follows:
| Federal Impact | Non-Federal Impact | |||
|---|---|---|---|---|
| FFY 2023 | FFY 2024 | FFY 2023 | FFY 2024 | |
| Adult Medical Day | $137 | $ 548 | $137 | $ 548 |
| SUD Services | $7,734 | $30,939 | $4,121 | $16,485 |
| Targeted Case Management | $72,223 | $288,890 | $71,557 | $286,229 |
| Freestanding Birth Centers | $2 | $10 | $2 | $10 |
| DCYF Services | $ 142,060 | $568,240 | $ 139,625 | $558,503 |
| Community Mental Health Center | $98,361 | $393,444 | $90,758 | $363,032 |
| 1915(I) Fast Forward And Supportive Housing | $28,770 | $115,080 | $28,770 | $115,080 |
| Dental | $ 111,806 | $447,224 | $89,291 | $357,166 |
| DME Services | $3 | $13 | $3 | $12 |
| Family-Centered Early Supports and Services | $40,941 | $163,763 | $37,393 | $149,574 |
| Medical Transportation | $3,513 | $14,054 | $3,128 | $12,512 |
| Extended Services To Pregnant Women | $1 | $ 5 | $1 | $ 5 |
| Home Health | $4,035 | $16,139 | $4,018 | $16,074 |
| Lab Services | $439 | $1,758 | $170 | $ 681 |
| Other Licensed Practitioners | $81,555 | $326,222 | $79,585 | $318,340 |
| Private Duty Nursing | $8,782 | $35,129 | $8,746 | $34,986 |
| Personal Care | $2,086 | $8,343 | $2,086 | $8,343 |
| Physician | $10,221 | $40,883 | $4,386 | $17,542 |
| Physical, Speech, and Occupational Therapy | $16,320 | $65,279 | $16,249 | $64,997 |
| X-Ray | $16 | $63 | $8 | $34 |
| RN for Newborns | $1 | $ 6 | $1 | $6 |
| Total Fiscal Impact | $629,006 | $2,516,032 | $580,035 | $2,320,159 |
The aggregate fiscal impact for the rate increase for Specialized Behavioral Long-Term Care Beds is estimated to be an increase in expenditures of $3,165 for the remainder of FFY 2023, which is made up of $1,583 in federal funds and $1,582 in non-federal funds, and $12,658 for FFY 2024 which is made up of $6,329 federal funds and $6,329 in non-federal funds.
Copies of the draft state plan pages describing these proposed reimbursement changes will be available on August 1, 2023. Please contact Jody Farwell at (603) 271-9421, or via e-mail at Jody.L.Farwell@dhhs.nh.gov to request copies once they are available. The draft state plan pages may undergo further revisions before and after submittal to CMS based on public comment or CMS feedback. Comments should be submitted by August 15, 2023. They can be e-mailed to Jody.L.Farwell@dhhs.nh.gov or sent to the Department of Health and Human Services, Division of Medicaid Services, 129 Pleasant Street-Brown Building, Concord, NH 03301-3857, ATTN: Jody Farwell.