ARPA Spending Plan for Home and Community Based Services

Information about the American Rescue Plan Act of 2021 spending plan for Home and Community Based Services

President Biden signed the American Rescue Plan Act of 2021 (ARPA) on March 22, 2021. Section 9817 of the ARPA temporarily increases the federal medical assistance percentage (FMAP) by 10 percentage points for certain Medicaid expenditures for home and community based services (HCBS) beginning April 1, 2021, and ending March 31, 2022. The increased FMAP is available for person-centered care delivered in the community or home to support people who need assistance with everyday activities. States must use the federal funds attributed to the increased FMAP to supplement, not supplant, existing state funds expended for Medicaid HCBS in effect as of April 1, 2021. States are required to use funds equivalent to the amount of federal funds available through the increased FMAP to enhance, expand, or strengthen HCBS. New Hampshire’s spending plan outlines three (3) key spending priorities:   

  • Workforce investment
  • Improve/increase access to services
  • Pilot new services to promote, expand, and enhance HCBS The initiatives contained in this plan are intended to address both the short-term and long-term goals of New Hampshire residents, always with an eye toward sustainability.

New Hampshire is required to submit a quarterly update on this ARPA spending plan to CMS. The most recent CMS spending plan update will be made available here: 

One of the key initiatives under the New Hampshire ARPA spending plan is the recruitment and retention training program. For additional information and resources to support that program, please review the links below. 

Recruitment Retention and Training Program

For Direct Support Workers

For Case Managers

 Escape Site