Rate Increase - Prosthetic and Orthotic Devices

Public Comment Period for State Plan Amendment (SPA): Rate Increase - Prosthetic and Orthotic Devices

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 amend the Title XIX State Plan in response to Senate Bill 455 (2024), whereby the NH Legislature appropriated funds for a Medicaid service rate increase for prosthetic and orthotic devices, effective July 1, 2024, contingent upon Governor signature. 

The Legislature mandated to increase the reimbursement rate for prosthetic and orthotic devices under Medicaid so that it is equal to no less than 90 percent of the reimbursement rate under Medicare as of January 1, 2024, effective July 1, 2024, contingent upon Governor signature. In addition, the department is proposing to update the fee schedule for specific Durable Medical Equipment (DME), effective July 1, 2024. The proposed will allow Medicaid recipients continued access to necessary healthcare services and ensure sustainable provider participation in the Medicaid program.  

The aggregate fiscal impact to the Medicaid fee for service program as a result of this rate increase is estimated to be an increase in expenditures for the remainder of FFY 2024 estimated to be $37,280.00, which is made up of $18,640.00 federal funds and $18,640.00 in non-federal funds and $149,118.00 for FFY 2025, which is made of $74,559.00 federal funds and $74,559.00 in non-federal funds. 

Copies of the draft state plan page describing the proposed reimbursement changes will be available on August 1, 2024.  Please contact Jody Farwell at (603) 271-9421, or via e-mail at Jody.L.Farwell@dhhs.nh.gov to request a copy once available.  The draft state plan page may undergo further revisions before and after submittal to CMS based on public comment or CMS feedback.  Comments should be submitted by August 15, 2024.  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.