New Hampshire

The Medicaid Infrastructure Grant Research Assistance to States (MIG-RATS) Center launched a website to provide resources and support to states implementing MIGs. The website is designed to help staff find research reports and resources, learn about MIG-RATS activities and initiatives, and connect with MIG researchers. The website includes info on topics such as Medicaid Buy-In programs, outreach and marketing, and youth in transition and also provides links to tools and a calendar of events.

The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined. This decline was driven primarily by two factors. States reported new citizenship documentation requirements were causing delays in processing applications, affecting individuals already eligible for the program. State officials also cited good economy and lower unemployment for reducing enrollment. 42 states expect to expand coverage to the uninsured in the next year.

HHS announced an $8.8 million investment to help states provide more affordable choices to individuals struggling to remain in their homes and communities as they age. A total of $5.7 million in federal funding was awarded to 12 states for grants for this nursing home diversion program that will improve state efforts to assist individuals avoid unnecessary nursing home placement, impoverishment and spend-down to Medicaid.

This memorandum and tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 2001 through 2006. Each HCBS waiver is classified by population served in order to show the distribution of HCBS waiver expenditures across long term care populations. This year's memo also identifies which waivers exclusively serve children.

This memorandum presents data on Medicaid long-term care expenditures in Federal Fiscal Year 2006 (Oct 2005-Sept 2006). Table 1 presents national data on Medicaid expenditures for Long-Term Care from 1994-2006. Other tables present state-by-state data for Nursing Homes, ICF/MR, Personal Care, HCBS Waivers, Home Health, Home Care, Inpatient Hospital Care, Inpatient DSH, Inpatient Mental Health, Mental Health DSH, Medicaid Managed-Care, Prescribed Drugs, Targeted Case Management and PACE.

Employment for All, a regional initiative of the MIG project, the Granite State Employment Project, produced a slide presentation explaining their role in developing a cross-disability employment system in New Hampshire.

The New Hampshire MIG program, the Granite State Employment Project, and its programs within, Employment for All and the Monadnock Center for Successful Transitions, have held several planning meetings so far in 2007. Included below are the minutes for each of these meetings.

The Monadnock Center for Successful Transitions issued consent forms to eligible consumers to complete in order to participate in the Granite State Employment Project Consumer Forum. The purpose of the forum is to study issues regarding employment for individuals with disabilities in the Monadnock Region. The information gathered will be used in the strategic planning process for the Granite State Employment Project, the New Hampshire MIG. Also included is a list of the focus group questions.

This report describes grant activities (accomplishments and progress) in three major LTC systems areas: Access to LTC Services and Supports, Services, Supports, and Housing, Administrative and Monitoring Infrastructure. The report also provides illustrative examples of the challenges Grantees have faced as they implement grant activities, and consumers’ roles in the implementation and evaluation of these activities.

With the passage of Chapter 570, H.P. 1351-L.D. 1910: “An Act to Create Employment Opportunities for People with Disabilities” by the Maine State Legislature in 2006, the Maine Department of Health and Human Services and Department of Labor presented a report that identified resources, successes, and challenges in building supports that aid to increase employment for individuals with developmental disabilities.