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Maplewood administrator warns ProShare formula change could cut county Medicaid payout by millions
Summary
Maplewood Nursing Home administrators told Cheshire County commissioners that a recently clarified CMS/state formula could reduce the county's ProShare Medicaid drawdown from roughly $5.2 million to nearer $2 million, and commissioners discussed temporary or permanent private‑pay rate changes while awaiting state calculations.
Catherine Pindoff, Maplewood Nursing Home administrator, told Cheshire County commissioners on April 2 that lingering federal and state pandemic‑era rules and a newly applied ProShare calculation threaten a substantial drop in the county's Medicaid supplemental payment.
Pindoff said federal oversight remains strict for nursing facilities and described administrative burdens that persist from COVID‑era rulemaking. “We really are the most highly regulated, and it's a very punitive environment,” she said, noting mandatory weekly reporting and staffing gaps that complicate compliance. She also reported a recent on‑site Medicaid revalidation audit that produced no E‑tag deficiencies and described ongoing quality‑assurance work, collective‑bargaining updates and other operational items.
The central financial concern came from county staff explaining a recently refined eligibility approach for New Hampshire's ProShare program. Cheryl Traum, who presented…
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