SR 16-03 Dated 01/16

STATE OF NEW HAMPSHIRE

INTER-DEPARTMENT COMMUNICATION – Division of Family Assistance (DFA)

SUMMARY

This SR releases:

·      eligibility policy associated with the Premium Assistance Program (PAP). Per DFA SR 14-28, dated August 15, 2014, New Hampshire Health Protection Program (NHHPP) applicants and recipients were required to enroll in PAP once it became available; PAP is now available. Under PAP DHHS will purchase medical assistance coverage provided by Qualified Health Plans (QHPs) certified for sale on the federally facilitated Health Insurance Marketplace. NHHPP applicants and recipients enrolled in PAP will be able to shop for a QHP online through NH EASY or by phone or in person. Note: a QHP cannot be selected using the healthcare.gov website and individuals who are enrolled in cost-effective employer sponsored insurance (ESI) through the NH Health Insurance Premium Program (NH HIPP) program or who are medically frail are not eligible for PAP;

·      the repeal of mandatory cooperation with NH HIPP as a condition of eligibility for NHHPP/NHHPP-M applicants and recipients, pursuant to HB 2, Chapter Law 276:261 (2015 session);

·      revisions to DFA Form 778, Authorized Representative Declaration, its associated Nepali and Spanish translations, DFA Forms 778(Ne) and DFA Form 778(Sp), and DFA Form 800MA, Application for Health Coverage & Help Paying Costs, its associated instructions, DFA Form 800MA(i), and its Nepali and Spanish translations, DFA Form 800MA(Ne) and DFA Form 800MA(Sp); and

·      new DCS Form 1103, Qualified Health Plan Referral, a form used by QHPs to refer NHHPP recipients that identify as medically frail to DHHS.

Additionally, this SR releases an unrelated policy clarification associated with the types of income that are not counted in the income eligibility determination process for the categories of medical assistance that use modified adjusted gross income (MAGI). For the MAGI-related categories of medical assistance only:

·      Gifts and inheritances are excluded in the income eligibility determination process; and

·      The types of salary deferrals that are allowed as an income deduction are certain pre-tax contributions such as to cafeteria/flexible spending plans, “401(k)” retirement plans, and contributions made to a flexible spending account for dependent care. These types of pre-tax salary deferrals do not count towards the MAGI household’s income.

POLICY

Premium Assistance Program (PAP)

The purpose of the NH Premium Assistance Program (PAP) is to provide health insurance coverage to more of NH’s low-income citizens through Qualified Health Plans (QHP) offered on the Health Insurance Marketplace, and:

·      provide access to private health insurance options on the Health Insurance Marketplace;

·      improve population health;

·      increase provider reimbursement; and

·      reduce uncompensated care costs.

Individuals who are determined eligible under the New Hampshire Health Protection Program (NHHPP) are required to enroll in PAP and receive medical assistance through a QHP, which is an insurance plan that is certified for sale on the federally facilitated Health Insurance Marketplace.

Only NHHPP applicants and recipients must enroll in PAP. Applicants and recipients for all other Medicaid programs, including NHHPP - Medically Frail (NHHPP-M), remain members of NH Medicaid Care Management (MCM).

DHHS will pay the QHP premiums for PAP enrollees. However, certain NHHPP recipients with income greater than 100% of the Federal Poverty Level (FPL) may be responsible for copays in amounts up to $147 per quarter. See the Copay section below for more information about copayment caps, copayment amounts, and who is subject to copay requirements.

NH Medicaid will provide additional “wrap” benefits such as non-emergency medical transportation, Early Periodic Screening and Diagnostic Tests for 19 and 20 year olds, Family Planning services from any Medicaid enrolled provider outside of the QHP network, emergency dental extractions, and eyeglasses.

Once enrolled in PAP, two medical cards are issued:

·      an insurance card specific to the QHP; and

·      the usual Medicaid ID card that all NH medical assistance recipients receive.

Instruct NHHPP recipients to provide both cards at all medical appointments to ensure proper service coverage and payment.

PAP Status

NHHPP recipients are considered to be mandatory, voluntary, or exempt from enrollment in PAP. The individual’s status is determined as described below.

Most NHHPP recipients are mandatory. The following NHHPP recipients are:

·      exempt from enrollment in PAP:

-     NHHPP recipients participating in NH HIPP;

-     NHHPP recipients who identify as medically frail (NHHPP-M); and

-     NHHPP recipients in a period of presumptive eligibility.

·      considered voluntary participants in PAP:

-     NHHPP applicants and recipients that are American Indian or Alaskan Native (AI/AN) may opt out of enrolling in PAP. AI/AN NHHPP recipients will be enrolled in PAP unless the individual indicates he or she does not wish to enroll in PAP. AI/AN status will be determined by a self-attestation as part of the completion of DFA Form 800MA, Application for Health Coverage & Help Paying Costs. AI/AN NHHPP recipients may choose to enroll in PAP or opt out at any time by using NH EASY.

-     NHHPP recipients who become pregnant while enrolled in a QHP through PAP may opt out of PAP. Should the recipient choose to opt out, the DHHS worker will need to override the redetermination date to the current month and run the case in redetermination mode. The system will then put the woman in the Pregnant Woman Category. Once complete, the redetermination date will need to be overridden back to what it was previously. Pregnant women who opt out of PAP cannot opt back into PAP. If a woman enrolled in PAP is pregnant at her regularly scheduled redetermination she must be transitioned to Pregnant Woman Category medical assistance, per current policy.

Individuals who are enrolled in NH HIPP or who are in a period of presumptive eligibility will be assigned to a Fee-for-Service (FFS) plan and will not be able to select a Medicaid Care Management (MCM) or PAP Plan. Individuals who are medically frail will be allowed to choose between the Alternative Benefit Plan and NH Standard Medicaid, pursuant to current policy. Individuals who are voluntary for PAP may select either a PAP or an MCM plan. Individuals who are mandatory for PAP must select a PAP Plan and cannot select an MCM plan. Voluntary NHHPP recipients who do not opt out of PAP and mandatory NHHPP recipients will have an enrollment period of 30 days in which to enroll in PAP and choose a QHP. Those individuals who do not enroll in PAP during the enrollment window will be auto-enrolled and a QHP will be auto-chosen for the individual.

Auto-enrollment

NHHPP recipients who are mandatory or voluntary opt-in have a 30 day window to choose a QHP. New HEIGHTS will generate new AE0116, Health Plan Selection Letter, to notify NHHPP recipients of the need to choose a QHP. NHHPP recipients will be auto-assigned a QHP if the individual is still open for Medicaid and has not self-selected a QHP by the end date of his or her initial selection window. Auto-assignment will also occur if the individual has not self-selected by the 30th day of a Special Enrollment Window opened due to a residential county change where his or her existing QHP no longer offers coverage. The auto-assignment will be based upon the following hierarchy:

·      Personal/Family Affiliation to a QHP/MCO: The individual is automatically assigned to a QHP based upon the existence of known, current QHP/MCO enrollments for themselves or family members.

·      Primary Care Provider Affiliation to a QHP: The individual is automatically assigned to a QHP based upon the QHP affiliation of his or her primary care provider (PCP) and any pre-existing relationships the individual may have with the QHP.

·      “Tie-breaker:” In cases where family and PCP affiliation are not applicable factors, New HEIGHTS will randomly select a QHP from the roster of applicable QHPs. Each QHP will have an equal chance of being selected. The selection method then exhibits as “Auto-Algorithm” (AA).

Once a QHP has been chosen or auto-assigned, New HEIGHTS will generate new AE0117, Health Plan Selection Confirmation Letter.

Example

An NHHPP recipient enrolled in Well Sense fails to choose a QHP during the enrollment window. The NHHPP recipient’s known primary care provider is associated with Anthem and no other insurer. The NHHPP recipient is auto-assigned to Anthem’s QHP for the county in which the recipient lives.

QHP Begin Date

If a QHP is chosen or auto-assigned on or before the 15th of any month, the NHHPP recipient’s QHP coverage begins on the first day of the next month. If a QHP is chosen or auto-assigned after the 15th of any month, the NHHPP recipient’s QHP coverage begins on the first day of the second month following the selection. Between an NHHPP recipient’s date of application and the start of QHP coverage, an NHHPP recipient receives FFS Medicaid.

Change in PAP Status

When a Medicaid recipient enrolled in an MCO changes categories and moves to PAP, the enrollment in MCM stays effective until the begin date of the selected QHP. When an NHHPP recipient who is enrolled in a QHP cascades from NHHPP to another category of Medicaid, such as Parent/Caretaker Relative medical assistance (MA), the recipient remains with their QHP until the end of the month in which the change to the new category of Medicaid occurred. A Parent/Caretaker Relative recipient who was formerly enrolled in a QHP through PAP will have FFS coverage until their MCO enrollment begins after the end of the month in which the change occurred.

Example

A recipient of Parent/Caretaker Relative MA is enrolled with an MCO, then changes categories to NHHPP on 2/1/2016. The individual selects a QHP on 2/14/2016. Enrollment in the MCO ends 2/29/2016 and the QHP enrollment start date is 3/1/2016.

Example

An NHHPP parent enrolled in a QHP moves to Parent/Caretaker Relative MA on 5/18/2016. The QHP coverage ends on 5/31/2016. If the recipient picks an MCO before 5/31/2016, the individual will be enrolled in the MCO on 6/1/2016. If the recipient picks an MCO after 5/31/2016, the recipient will receive FFS coverage 6/1/2016 through 6/30/2016 and begin MCO coverage 7/1/2016.

New HEIGHTS will generate the new AE0120, Change in Status Letter, if no other New HEIGHTS-generated letter is being sent to explain the change. For example, if the change in status is due to disenrollment, only the New HEIGHTS-generated AE0121, QHP Disenrollment Letter, will be sent; the AE0120 will not also be sent in this circumstance.

Copay

NHHPP recipients with income above 100% of FPL are subject to copays for certain, but not all, services. The following NHHPP recipients are exempt from copays:

·      Pregnant women or women in a postpartum period;

·      American Indians or Alaskan Natives;

·      Recipients receiving hospice car; and

·      Recipients with income at or below 100% FPL.

Copays are capped at $147 per quarter. Quarters are January 1-March 31, April 1-June 30, July 1-September 30, and October 1-December 31. Once a NHHPP recipient has paid or incurred $147 in copays in any quarter, the recipient will no longer be subject to copays for the remainder of the quarter. Copays are paid at the point of service. Service Providers may not deny services to NHHPP recipients that fail to pay copays. Failure to pay copays will not affect an NHHPP recipient’s eligibility for NHHPP.

Copays for NHHPP recipients who are subject to copays are as follows:

Services not included above are not subject to copays.

New HEIGHTS will generate AE0128, Copay Letter, whenever a recipient’s copay status changes.

NHHPP Medically Frail

NHHPP recipients that are enrolled in PAP may identify as medically frail at any time during the coverage year. NHHPP recipients can identify as medically frail by notifying DHHS via NH EASY, phone, or mail. QHPs use DCS Form 1103, Qualified Health Plan Referral, to refer to DHHS NHHPP recipients who identify as medically frail or request benefits that are not covered by PAP but may be covered by Medicaid. Once identified as medically frail, however, PAP requirements do not apply. An NHHPP-M individual identified as medically frail is disenrolled from their QHP at the end of the month and allowed to enroll in the Alternative Benefit Plan (ABP) or NH’s standard Medicaid plan, per current policy. Coverage in the new benefit plan begins the first of the month after the month in which the NHHPP-M recipient makes their plan choice and, during the interim, services are covered through FFS.

Individuals who have previously identified as medically frail but are no longer medically frail may transition out of the medically frail category at any time during the coverage year. Individuals who are no longer medically frail remain enrolled in their current Managed Care Organization (MCO) through December 31 and are transitioned to PAP effective January 1 of the following coverage year.

Repeal of Mandatory HIPP for NHHPP Recipients

As of September 1, 2015:

·      NHHPP/NHHPP-M recipients who have access to employee sponsored insurance (ESI), either directly as an employee or indirectly through another individual, are no longer required to participate in NH HIPP; and

·      NHHPP/NHHPP-M is no longer terminated for failure or refusal to enroll in ESI or failure or refusal to provide information about the availability and cost effectiveness of ESI.

NHHPP/NHHPP-M recipients currently enrolled in NH HIPP will continue to be enrolled in NH HIPP until their ESI open enrollment, and NHHPP/NHHPP-M applicants or recipients with access to ESI may still voluntarily apply for NH HIPP and will be considered for NH HIPP in the same way as any other medical assistance category. This SR clarifies the policy released in the Director’s Memo dated October 15, 2015, titled The New Hampshire Health Protection Program and the Health Insurance Premium Payment Program.

UNRELATED POLICY CLARIFICATION

The following guidance was recently provided by the NH Medicaid Specialist about the types of income that are not counted in the income eligibility determination process for the categories of medical assistance that use modified adjusted gross income (MAGI):

·      Gifts and inheritances are excluded in the income eligibility determination process for the MAGI-related categories of medical assistance only; and

·      The types of salary deferrals that are allowed as an income deduction for the MAGI-related categories of medical assistance are certain pre-tax contributions such as to cafeteria/flexible spending plans, “401(k)” retirement plans, and contributions made to a flexible spending account for dependent care. These types of pre-tax salary deferrals do not count towards the MAGI household’s income.

The following Medical Assistance Manual topics were updated accordingly:

·      PART 511, INCOME TYPES: LUMP SUM UNEARNED INCOME (INCOME); and

·      PART 605, INCOME AND RESOURCE DEDUCTIONS.

NEW HEIGHTS AND NH EASY SYSTEMS PROCEDURES AND IMPLEMENTATION

New HEIGHTS and NH EASY have been updated to implement the policies released in this SR. A summary of the changes has been provided below. Refer to the Systems Alert dated October 30, 2015 for additional details.

NH EASY

NH EASY has been updated to allow individuals to select a QHP. The Research Qualified Health Plans screen allows the recipient to view the QHPs available to them. Each QHP has a specific network, formulary, and benefits offered. Each plan offers the same categories of benefits, called Essential Health Benefits (EHB), and recipients can view those benefits by selecting the “Essential Plan Benefits” button.

New HEIGHTS screen changes

The Care Management Enrollment Information screen has been renamed the Health Plan Information screen. The Health Plan Information screen will allow a New HEIGHTS user to view relevant enrollment and status information for each case. This screen will have three tabs: one selection tab, one enrollment tab, and one status tab.

·      The selection tab offers the ability for a Family Services Specialist (FSS), Medicaid Service Center worker, or ServiceLink worker to select the appropriate plan the recipient has requested. Selections for Care Management continue to be the same and will show a status type of MCO. Selections for a QHP will show the status type of PAP. When selecting a QHP there is a new drop down for the field “Tobacco.” The field identifies recipients who use tobacco. Workers will select unknown if they do not know if a recipient uses tobacco.

·      The enrollment tab gives the current status of the enrollment as well as type. The tab also contains the enrollment history of each recipient within the case.

·      The status tab shows the current status (MCO or PAP) of the selected recipient.

The Copay screen displays the copay status of each household member who is at least 18 years of age. The Summary tab displays the summary copay information for each active Medicaid individual in the case. The Details tab displays additional copay information on an individual basis.

New HEIGHTS Status overrides

Workers will have the ability to change an individual’s system-determined status using overrides. When a worker applies an override, the system will maintain the overridden status information. Additionally, the system will continue to redetermine the individual’s status when associated status triggers are generated. Status information includes the status type (i.e. PAP/MCO), status code (i.e. Mandatory/Voluntary/Exempt), Opt Out status, override reason and the status begin and end dates. If an individual has a status override, the override will only apply to the program (i.e. Premium Assistance or Managed Care) for which the individual has been overridden. If an individual cascades between categories that are subject to different programs (e.g. from Parent/Caretaker Relative MA to NHHPP), the individual’s overridden status will be systematically discarded and his/her status will be redetermined.

Example

An individual is Mandatory for Medicaid Care Management starting 1/1/2014. On 5/20/2014, the worker adds an override to switch the individual to Mandatory for PAP due to an Administrative Appeal.

New HEIGHTS generated letters

The following New HEIGHTS generated letters were created to implement PAP:

·      AE0116, Health Plan Selection Letter, is a letter generated for households with members who are subject to PAP or MCM; the letter contains instructions on how to select a QHP and MCO or get help;

·      AE0117, Health Plan Selection Confirmation Letter, is a letter sent to households after members choose or are auto-enrolled in a QHP or MCO; the letter explains when members can change QHPs or MCOs and how to do so;

·      AE0120, Change in Status Letter, is a letter sent to households when any member of the household changes PAP or MCM status, if another New HEIGHTS-generated letter is not already being sent to explain the change in status; the letter explains how to choose a QHP or MCO if the member needs to do so after the change and explains how to continue to receive services;

·      AE0121, QHP Disenrollment Letter, is a letter sent to households when a member disenrolls from a QHP and is still eligible for Medicaid; the letter contains instructions on how to continue to receive care.

·      AE0122, QHP With Cause Letter, is a letter sent to NHHPP recipients who apply for a change in QHP for good cause; the letter will contain the decision regarding good cause and instructions on how to change QHP if applicable;

·      AE0128, Copay Letter; is a letter sent to households sent whenever a household member has a change in copay status; the letter explains who is subject to copays and that persons subject to copays may be denied service for failure to pay copays; and

·      AE0130, Pregnancy Options Counseling, is a letter sent to NHHPP recipients that are enrolled in a QHP and become pregnant; the letter explains the NHHPP recipient’s option to stay enrolled in her QHP or opt out and enroll in standard Medicaid.

These New HEIGHTS generated letters will be released under separate cover at a later date by New HEIGHTS.

Entering MAGI Pre-Tax Contributions into New HEIGHTS

On the Other Allowable Deduction screen, select the Pre-Tax Payments dropdown to enter the MAGI pre-tax contributions that are excluded.

DESCRIPTION OF NEW FORMS AND REVISIONS MADE TO FORMS

DFA Form 778, Authorized Representative Declaration, is a 1-page double-sided form used to allow an applicant or recipient for any DFA program or service to name an authorized representative (AR) who will act on their behalf. The form also allows the applicant or recipient to indicate which responsibilities they wish the AR to fulfill.

·      At the request of the Office of Medicaid and Business Policy (OMBP) a check box was added to this form to allow an AR to talk to an applicant or recipient’s Managed Care Organization (MCO) or QHP.

·      At the request of the EBT unit, the option for an applicant or recipient to designate an AR to get an EBT card for the applicant or recipient was removed to prevent EBT cards from erroneously being sent to a District Office. The option for the applicant or recipient to designate an AR to “Get my EBT card in their [the AR’s] name” was modified to clarify that when an AR is given access to an EBT account both the recipient and the AR will have EBT cards and access to the EBT account.

·      At the request of the TANF unit the affirmations of the Client and AR were changed to acknowledge that an AR relationship will continue until the client or AR tells DHHS of a change. Previously, the form implied that only the client could terminate the AR relationship, however, the AR may also terminate the AR relationship.

Since there are no changes associated with the use of this form, the instructions did not require revisions and will not be re-released with this SR.

DFA Form 800MA, Application for Health Coverage & Help Paying Costs, is a 9-page double-sided form used to simultaneously apply for all health coverage options, which includes all State Medicaid programs, and all insurance affordability plans offered through the Affordable Insurance Exchanges/Marketplace.

·      The address of the Manchester and Keene District Offices listed on the form was changed to reflect the current locations.

·      The phone number for the DHHS Customer Service Center was updated to 1-844-275-3447 (1-844-ASK-DHHS).

·      Appendix C, the appendix that allows applicants to designate an Authorized Representative (AR), was revised to clarify that clients or ARs can terminate the AR-client relationship, pursuant to 42 CFR 435.923(c). Additionally, at the request of OMBP, checkboxes were added to allow applicants or recipients to designate an AR to:

-     Ask for an Administrative Appeal for the applicant or recipient;

-     Represent the applicant or recipient at an Administrative Appeal; and

-     Talk to an applicant or recipient’s MCO or QHP.

The instructions for DFA Form 800MA were updated to include a workflow and authority section.

New DCS Form 1103, Qualified Health Plan Referral, is a 1-page, single-sided form, developed by the Division of Client Services and used by QHPs to refer NHHPP recipients who identify as medically frail to DHHS. The form includes instructions, on the form, for how QHPs use the form to refer NHHPP recipients to DHHS, therefore a separate set of form instructions is unnecessary.

The current versions of DFA Form 778 and DFA Form 800MA will be used until the supply is exhausted, at which point the new versions will be printed. Both forms are available in the DHHS Warehouse and can be ordered using current forms reordering procedures via the Quarterly Forms Order (QFO). Both forms, including translations, are also available electronically, for Department staff only, on the Lotus Notes Family Services Database, and available online at DFA’s webpage, http://www.dhhs.nh.gov/dfa/forms.htm. Larger supplies of the translated versions of the forms may be ordered by contacting the Policy Development Unit.

New DCS Form 1103 is used by QHPs only and will be distributed to the QHPs at their request by the Division of Client Services.

POLICY MANUAL REVISIONS

Revised Adult Assistance Manual Topics

Section 111.01 AR Acting in Place of the Individual

Revised Family Assistance Manual Topics

Section 111.11 Abuse by AR or Failure of an AR to Perform Their Duties

Revised Food Stamp Manual

Section 111.11 Abuse by or Failure of an AR to Perform Their Duties

Revised Medical Assistance Manual Topics

Section 111.07 Abuse by an Authorized Representative (AR) or Failure of an AR to Perform their Duties

Section 230.01 NHHPP/NHHPP-M Eligibility Criteria

Section 230.07 NHHPP/NHHPP-M Employer Sponsored Insurance (ESI) and the NH Health Insurance Premium Payment (NH HIPP) Program

Section 230.09 NHHPP/NHHPP-M Marketplace Premium Assistance Program (PAP)

Section 230.13 Verification: NHHPP/NHHPP-M

Section 230.15 Termination of NHHPP/NHHPP-M

PART 511 INCOME TYPES: LUMP SUM UNEARNED INCOME (INCOME)

PART 605 INCOME AND RESOURCE DEDUCTIONS

IMPLEMENTATION

The policy regarding the repeal of mandatory NH HIPP for NHHPP recipients is retroactively effective to September 1, 2015, pursuant to the OMBP Director’s Memo released on October 15, 2015, titled New Hampshire Health Protection Program and the Health Insurance Premium Payment Program.

Implementation of PAP begins January 1, 2016. Initial enrollment to choose a QHP for current NHHPP recipients began November 2, 2015 and runs through December 2, 2015, with coverage beginning January 1, 2016. New NHHPP recipients that are determined to be eligible after the initial open enrollment period will have 30 days to choose their health plan.

The policy clarification about the types of income not counted in the eligibility determination process for the MAGI-related categories of medical assistance is effective upon receipt.

The current versions of DFA Form 778 and DFA Form 800MA are to be used until the supply is exhausted, at which point the new versions will be printed. Both forms are available in the DHHS Warehouse and can be ordered using current forms reordering procedures via the QFO. Both forms, including translations, are additionally available electronically, for Department staff only, on the Lotus Notes Family Services Database and online at www.dhhs.nh.gov/dfa/forms.htm. Larger supplies of the translated forms may be ordered by contacting the Policy Development Unit.

New DCS Form 1103 is used by QHPs only and will be distributed to the QHPs at their request by the Division of Client Services.

CLIENT NOTIFICATION

Effective November 2, 2015, NH EASY was updated to allow individuals to select a QHP. The Research Qualified Health Plans screen allows recipients with NH EASY accounts to view the QHPs available to them. Each QHP has a specific Network, Formulary, and Benefits plan. Each plan offers the same categories of benefits, called the Essential Health Benefits, and recipients can view those benefits by selecting the “Essential Plan Benefits” button.

To implement PAP, DHHS obtained approval for a demonstration waiver from CMS. Notification of DHHS’ application for a demonstration waiver was published on October 1, 2014 on the DHHS website. Two public hearings regarding the demonstration waiver were held:

·      October 8, 2014

Department of Health and Human Services

Division of Public Health

29 Hazen Drive

Concord NH 03301; and

·      October 20, 2014

Medical Care Advisory Committee

New Hampshire Hospital Association

125 Airport Road

Concord NH 03301.

Both hearings allowed attendance by webinar or conference call. Public comments on the demonstration waiver were accepted from October 1, 2014 to October 31, 2014. The demonstration application, CMS approval of the demonstration, all public comments received by DHHS, and recordings of both public hearings are available on the DHHS website at http://www.dhhs.nh.gov/pap-1115-waiver/index.htm.

A letter dated September 29, 2015 was distributed by the Division of Client Services to current NHHPP recipients notifying recipients about the impending implementation of PAP. An enclosure included with each letter gave an overview of how PAP works and different recipient options for enrolling in QHPs. These documents have been attached to this SR for reference.

A webpage entitled Premium Assistance Program was added to the DHHS website at http://www.dhhs.nh.gov/ombp/pap/index.htm. The web page contains the text:

Who will get Health Insurance Coverage in the Premium Assistance Program?

All persons in the NH Health Protection Program as of December 31, 2015 will participate in the Premium Assistance Program unless they are Medically Frail or they are receiving health insurance through their employer and already participate in the Health Insurance Premium Program (HIPP).

The webpage also includes various pdfs with information about how PAP works.

Governor Maggie Hassan issued a press release regarding PAP on the following dates:

·      March 5, 2015. Text of the press release can be found at

http://governor.nh.gov/media/news/2015/pr-2015-03-05-health-care.htm

·      November 20, 2014. Text of the press release can be found at

http://governor.nh.gov/media/news/2014/pr-2014-11-20-health-care-expansion.htm

TRAINING

The DCS training unit conducted trainings with:

·      Manchester Public Health on September 10, 2015;

·      Maximus Staff via webinar from September 8 to November 3, 2015;

·      Customer Service Center Staff on September 17 and 18, 2015;

·      Service Link Staff on September 18 and 23, 2015, which was also available via webinar;

·      DHHS Staff on September 25, 2015;

·      DCS Field Staff at various District Offices throughout the month of October 2015;

·      NH Voices for Health, American Cancer Society, Bi-State Primary Care, NH Hospital Association, PPNE, and AARP on October 1, 2015;

·      Ascentria CS, International Institute of New Hampshire, Bhutanese Community of New Hampshire, and Office of Refugee on October 8, 2015;

·      Service Link Staff via webinar on October 28, 2015;

·      Bi State Primary Care Association on October 29, 2015, which was also available via webinar;

·      Manchester Community Health Center via webinar on November 2, 2015; and

·      Service Link Staff in Belknap and Carroll County on November 18, 2015.

FORMS MANUAL POSTING INSTRUCTIONS

DISPOSITION

This SR may be destroyed or deleted after its contents have been noted and the revised manual topics released by this SR have been posted to the On-line manuals.

DISTRIBUTION

This SR will be distributed according to the electronic distribution list for DFA policy releases. This SR, and revised On-Line Manuals, will be available for agency staff in the On-Line Manual Library, and for public access on the Internet at www.dhhs.nh.gov/DFA/publications.htm, effective February 1, 2016. Additionally, this SR, and printed pages with posting instructions, will be distributed under separate cover to all internal hard copy holders of the Adult Assistance, Family Assistance, Food Stamp, Medical Assistance, and Forms Manuals.

DFA/BDC:s