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DHHS outlines redetermination 'return to regular eligibility' and estimates fiscal impact

2372571 · February 21, 2025
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Summary

Department of Health and Human Services told House Finance Division III officials that federal redetermination flexibilities tied to the COVID public health emergency will end in June, creating additional redeterminations. DHHS estimates general fund savings from closures but also modeled population churn and costs.

House Finance Division III heard Feb. 21 that New Hampshire is continuing the transition from continuous federal Medicaid coverage rules used during the COVID-19 public health emergency toward regular, pre-pandemic redetermination processes and that the department has modeled both enrollment churn and fiscal impact.

Henry Littman, Medicaid director, explained the department used federal flexibilities to ease the workload of re‑establishing eligibility for roughly 238,000 cases that accrued during the public health emergency. Those flexibilities are available to states through June of this year, Littman said. He told the committee the state has expanded ex‑parte renewals (automatic renewals…

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