NH-23-0035 Budget Adjustment Factor

Public Comment Period for State Plan Amendment (SPA): NH-23-0035 Budget Adjustment Factor

LEGAL NOTICE
NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES

Notice is hereby given that the New Hampshire (NH) Department of Health and Human Services (the Department) is proposing to amend the Title XIX State Plan to modify the nursing home reimbursement methodology by revising the Budget Adjustment Factor (BAF).

Effective July 1, 2023, the Department is applying a budget adjustment factor (BAF) of 21.82% rather than 21%, to the nursing facility per diem rate in order to arrive at rates within budget for providing nursing facility services in the Title XIX Program. 

The fiscal impact as a result of the change in the nursing facility BAF is expected to result in a decrease in expenditures of $741,751 for the remainder of federal fiscal year 2023, and $2,967,005 for federal fiscal year 2024. The application of the new BAF in conjunction with legislative approved funding effective July 1, 2023, will however result in an increase to nursing facility reimbursement rates.

Copies of draft State Plan pages will be available by 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. The amendments to the State Plan pages may undergo further revisions before and after submittal to the Centers for Medicare and Medicaid Services (CMS) based upon public comment or CMS feedback. Comments will be due by August 15, 2023 and should be e-mailed to jody.l.farwell@dhhs.nh.gov or mailed to the Department of Health and Human Services, Division of Medicaid Services, 129 Pleasant Street–Brown Building, Concord, NH 03301-3857, ATTN: Jody Farwell.