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County leaders seek study of Medicaid rules after long waits for nursing‑home payment approval

3098223 · April 23, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Senate Bill 257 would create a study committee to examine whether New Hampshire should change from SSI‑based Medicaid rules (SSI‑209(b)) to the 1634 system used in most New England states, and to examine broader long‑term‑care access. County officials say delayed Medicaid approvals leave people paying privately or waiting for placement.

Sen. Tara Reardon and Merrimack County Commissioner (and former House Speaker) Steve Shurtleff urged the House committee to create a study committee to examine Medicaid eligibility rules governing long‑term care and to consider whether New Hampshire should move from the SSI‑209(b) pathway to the SSA 1634 option used in most New England states.

Shurtleff, who represents Merrimack County, described conversations with his county nursing home administrator and said the facility had 249 residents and 38 pending applicants waiting for Medicaid eligibility determinations. He told the committee county staff or the facility itself do not assist applicants with the…

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