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Cheshire County officials brief West Swanzey on nursing-home, EMS and budget pressures
Summary
Cheshire County Administrator Chris Coates and county officials outlined county services, grant-funded projects and fiscal pressures — including nursing-home Medicaid rules, rising costs and grant-funded telecommunications and fire projects — at a town meeting. Representatives discussed housing, covered-bridge damage and local control of land-use.
Cheshire County Administrator Chris Coates and county officials presented an overview of county programs, budget trends and recent grants at a West Swanzey meeting, telling town officials the county is balancing service demand with constrained resources and new state policy changes.
Coates described major county functions: Maplewood Nursing Home’s census runs about 112–115 residents (capacity near 150), and counties in New Hampshire remain responsible for the nonfederal share of Medicaid for people in nursing homes and home- and community-based care. He warned that a change at the state level shortening the retroactive eligibility window from 90 days to 30 days could reduce county reimbursement and estimated a…
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