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Strafford County commissioners raise alarm over Medicaid processing delays, staffing shortages and rising contract nursing costs

Strafford County Board of County Commissioners · October 24, 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

Commissioners reported on a state $6 million RFP to hire vendors to process Medicaid applications for nursing-home residents, discussed 25% state staffing vacancies, and warned that reliance on contract (pool) nursing is driving weekly costs well into five figures; they debated whether counties should be re-established as gatekeepers for Medicaid.

Commissioner "Mister Baba" (member, State and County Finance Committee) briefed Strafford County commissioners on Oct. 9 about state efforts to hire outside contractors to speed Medicaid eligibility processing for nursing-home residents and about local impacts from staffing shortages and contract nursing costs.

"Remember, the state appropriated $6,000,000 to hire a vendor to assist them in processing applications for Medicaid for people that are going into nursing homes," Mister Baba said, noting the state is running roughly 25% short of staff in the relevant offices and that an RFP to secure outside help…

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