SPA Public Notice
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Medicaid Service Rate Increases, Effective October 1, 2023
Public Comment Period for State Plan Amendment (SPA): Medicaid Service Rate Increases effective October 1, 2023
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 October 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 $5,710,873.50 for FFY 2024 which is made up of $2,927,931.00 federal funds and $2,782,942.50 in non-federal funds.
The fiscal impact for each of the non-institutional services are estimated to be as follows:
| Federal FFY 2024 |
Non-Federal FFY 2024 |
|
|---|---|---|
| Ambulance | $256,082.00 | $176,484.00 |
| Home Health | $187,812.00 | $187,812.00 |
| Personal Care Aids | $182,652.00 | $182,652.00 |
| Freestanding Birthing Centers | $598.00 | $597.00 |
| Midwives | $155.00 | $155.00 |
| Physician Services and Other Licensed Practitioners – OB only | $4,859.00 | $2,429.50.00 |
| Children’s Dental | $2,222,836.00 | $2,196,671.00 |
| FQHC/RHC/LALs | $79,938.00 | $36,142.00 |
| Total Fiscal Impact | $2,927,931.00 | $2,782,942.50 |
Copies of the draft state plan pages describing these proposed reimbursement changes will be available on November 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 November 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.