Magazine article Policy & Practice

New Hampshire Unveils Medicaid Waiver Proposal

Magazine article Policy & Practice

New Hampshire Unveils Medicaid Waiver Proposal

Article excerpt

The New Hampshire Department of Health and Human Services (DHHS) has unveiled its Medicaid waiver proposal resulting from House Bill 691.

The waiver, formally known as "The Transfer of Assets Section 1115 Research and Demonstration Waiver Proposal," as required by state law, focuses on ensuring that those who are able to pay for their long-term care do not use legal loopholes to become Medicaid eligible. The waiver also provides incentives for the use of long-term care insurance.

The waiver, part of DHHS' GraniteCare initiative, focuses on the transfer of assets by individuals in order to become eligible for Medicaid long-term care services as well as providing incentives for the purchase of long-term care insurance. It's anticipated that the changes proposed for the demonstration project will lead to a significant reduction in estate planning, which shifts the costs of medical care to state and federal governments, and ultimately to taxpayers. Even though certain changes proposed may not result in immediate, significant savings, the changes are part of a comprehensive package designed to reduce opportunities for artificial impoverishment and to achieve a change in societal attitude from one of Medicaid entitlement for long-term care costs to Medicaid as a safety net for the indigent.

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This waiver is designed to ensure that Medicaid services are used for those who are truly needy, not for those individuals who can hide their assets, according to John Stephen, commissioner of the New Hampshire Department of Health and Human Services. …

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