Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Nursing Home Finance topic
No spam. Unsubscribe anytime.
Merrimack County: July Medicaid nursing‑home rate set at $268.98; 2026 ProShare allocation below budget
Summary
County staff told commissioners the July 1 Medicaid nursing‑home rate will be $268.98 and that the county’s 2026 ProShare allocation for nursing facilities is $5,886,496, below the $6,822,752 amount budgeted, a shortfall the board was informed may affect nursing‑home finances.
County staff reported financial changes affecting county nursing‑home funding at the Merrimack County Board of Commissioners meeting on June 8.
Nursing Home Administrator Heather Moquin and Finance Director Aaron Turner said the July 1 Medicaid rate for nursing‑home care will be $268.98. Moquin reviewed how the ProShare program works: counties provide initial funds through a Nursing Facility Quality Assessment that the state uses to draw federal Medicaid matching funds; those combined funds are then redistributed to county nursing facilities to support operations.
Moquin and Turner reported the county’s 2026 ProShare allocation will be $5,886,496, compared with the $6,822,752 amount the county had budgeted for 2026. Commissioners were told this gap represents a lower-than-budgeted allocation for the county’s nursing‑home system; staff framed the update as informational and did not present any board action tied to the shortfall during the meeting.
Why it matters: ProShare and the Medicaid nursing‑home rate directly affect the operating revenue available to Merrimack County Nursing Home and other county facilities. County staff said they will continue monitoring the fiscal impact and did not identify a specific remedial action at this meeting.
The report was presented in the nursing‑home agenda item; no vote or formal direction on budget adjustments was recorded at this session.
