Nh Medicaid Waiver Programs In Mississippi

The approval of Federal Medicaid Waiver programs allowed states to provide services to consumers in their homes and in their communities. Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. NH DSRIP Waiver Program By providing funding to support delivery system transformation—rather than to cover the costs of specific services rendered by providers—the waiver will enable health care providers and community partners within a region to form relationships focused on transforming care.

• Tuesday, November 12, 2019 – Plymouth
  Whole Family Village Resource Center
  258 Highland St #1, Plymouth, NH
  4-6pm
  Zoom link: https://unh.zoom.us/j/305677484
  Call-In Option – 1 646 876 9923
• Thursday, November 21, 2019 – Nashua
  Nashua Public Library
  2 Court Street, Nashua, NH
  4-6pm
  Zoom link: https://unh.zoom.us/j/437071755
  Call-In Option – 1 646 876 9923
• Monday, November 25, 2019 – Concord
  Institute on Disability
  57 Regional Drive, #8, Concord, NH
  10am -12 p.m.
  Zoom link: https://unh.zoom.us/j/486954219
  Call-In Option – 1 646 876 9923
• Monday, December 16, 2019 – Dover
  Community Partners
  113 Crosby Road, Suite 1, Dover, NH
  5pm – 7pm
  Zoom link: https://unh.zoom.us/j/668041208
  Call-In Option – 1 646 876 9923
  

Accommodations
If accommodations are needed for communication access such as interpreters, CART (captioning), assistive listening devices, or other auxiliary aids and/or services, please contact Linda Bimbo at Linda.Bimbo@unh.edu or 603-228-2084 as soon as possible. Every effort will be made to accommodate needs identified with advance notice.

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Stay Informed
There will be further opportunities to provide additional stakeholder feedback and public comment on the waiver prior to submission to CMS. BDS, working with the IOD, will also publicly notice formal public comment sessions in Spring 2020.

Waiver Renewal Process
New Hampshire’s Department of Health and Human Services requests your input as the Bureau of Developmental Services (BDS) begins the In Home Support (IHS) Waiver renewal process. Every five years the Centers for Medicaid and Medicare Services (CMS) requires that the states renew their Home and Community Based Care 1915 (c) waivers.

The renewal process is lengthy and includes collaborative meetings with a wide range of stakeholders to gather input on the waiver. BDS is working with the Institute on Disability (IOD) to deliver three listening sessions statewide. BDS encourages people to participate in the listening sessions noticed below or to provide input by email or mail. Sharing what has worked and what needs attention helps inform waiver changes that will be available for public comment in Spring 2020.

In Home Support (IHS) Waiver Information
The In Home Support (IHS) Waiver provides Family Support/Service Coordination, Enhanced Personal Care Services, Respite, Environmental & Vehicle Modifications and Consultative Services to New Hampshire’s eligible children. The waiver is a participant directed and managed waiver meaning eligible individuals and or their guardians/families have the ability to move funds within an established budget to meet their unique needs, within service limitations as specified by waiver and or state regulation He-M 524.

Following is a brief description of the services within the current waiver:

Free webcam software windows 10. Family Support/Service Coordination

• Coordinating, facilitating & monitoring services provided under the waiver
  
• Assessing & reassessing service needs
  
• Assistance with recruiting, screening, hiring & training in home support providers
  
• Identifying, providing information regarding & assisting families to access community
  
• Resources and support
  
• Development, review & modification of service agreements

Enhanced Personal Care

• Personal hygiene, ambulation & movement
  
• Nutritional care, elimination, assistance with/use of adaptive devices
  
• Administration of medications
  
• Activities that are directly supportive of skilled therapy
  
• Communication, including use of assistive technology
  
• Learning to make choices, accessing and using transportation,
  
• Developing and maintaining personal relationships, participation in community experiences.

Respite

• Consists of the provision of short –term assistance for temporary relief& support of the family.
  
• May be AA arranged or Family Arranged (Service Limitation to 15% of budget)

Environmental &Vehicle Modifications

• Installation of ramps and grab bars, Widening of doorways,
  
• Modification of bathrooms and facilities
  
• Outdoor Fencing (Service limitation, shall not exceed $2,500 /approx. 3,500 sq.ft)

Consultative Services

• Evaluation training
  
• Mentoring
  
• Therapeutic recreation (service limit of $1,200 per year)
  
• Assistive technology and /or special instruction (service limit of $ 1,500 per year and requires a state plan denial for waiver funds to be accessed)
  
• Support & counseling regarding diagnosis and treatment of the individual to families.
  

Requests for a hard copy of the In Home Support (IHS) Waiver should be submitted by mail to:

Ms. Kaarla Weston
New Hampshire Department of Health and Human Services
Attn: IHS Waiver Renewal Input
105 Pleasant Street
Concord, NH 03301

A hard copy of the In Home Support (IHS) Waiver is also available to be picked up at:

New Hampshire Department of Health and Human Services
Bureau of Developmental Services (BDS)
The Main Building
105 Pleasant Street
Concord, NH 03301

Get Involved – Listening Sessions and More
There are several ways to give your input to BDS:

• Attend one of the three listening sessions held at the dates and locations noted. At the listening sessions, you can give verbal or written comments.
  
• Email comments to IHSWaiverRenewal@dhhs.nh.gov or mail written comments to:
  
  • Ms. Kaarla Weston
    New Hampshire Department of Health and Human Services
    Attn: IHS Waiver Renewal Input
    105 Pleasant Street
    Concord, NH 03301

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Page Reviewed / Updated - October 01, 2019

Introduction

To best understand how Medicaid can help with the cost of home modifications, it is helpful to begin with some definitions. Medicaid is a federal health insurance program for many different groups of Americans; this article focuses on Medicaid programs that specifically assist the elderly. While Medicaid is a federal program, each state administers their own Medicaid programs separately. By home modifications we are referring to changes made to a home to accommodate for aging or disability challenges. Typical modifications include bathroom & kitchen designs, wheelchair ramps and stair-lifts, but there are many other modifications for which Medicaid provides help. Medicaid tends to draw the line at modifications that increase the value or the square footage of the home.

Overview of Medicaid Programs

Medicaid Waivers

Most states offer Medicaid programs that cover home modifications to enable elderly and / or disabled individuals to remain living at home. To best understand the benefits and limitations of these programs, it helps to provide a historic perspective. Initially, Medicaid assistance for the elderly was provided only in nursing homes. In time, lawmakers recognized that it was both less expensive to provide services at home and preferable for care recipients to remain at home rather than go into a nursing home. Thus, the concept of Home and Community Based Services (HCBS) was born. These programs are commonly referred to as Medicaid Waivers (or HCBS Waivers, 1915 Waivers and Section 1115 Waivers). Waivers offer a variety of in-home support benefits, and financial support for home modifications that enable “aging in place” is very often an included benefit.

Some waivers pay for assistive technologies such as special equipment for a washroom and adaptive lighting. Other waivers pay for physical modifications to the home, such as the addition of wheelchair ramps, stair-lifts, and walk-in or wheelchair accessible bathtubs and showers. These modifications are more formally referred to as Environmental Accessibility Adaptations. Further examples include widening of internal spaces, such as landings or doorways, to accommodate for wheelchair access. Some waivers include resources for both technologies and modifications. In other words, both the hardware and the services to install the hardware.

Please note, unlike nursing home Medicaid, waivers are not an entitlement. (An entitlement means that anyone eligible will receive care). Typically, waiver programs have limited participant enrollment, and sometimes waiting lists exist for services.

Medicaid Managed Care Programs

Some states have replaced their waivers with Medicaid Managed Care programs. These managed care programs are generally required to continue offering the same benefits as the waivers in which they replaced. Therefore, home modifications should continue to be a covered benefit even when a state switches to a managed Medicaid program.

Money Follows the Person Programs

These are Medicaid programs specifically intended for persons that are currently living in a nursing home, but who wish to return to living in a private home (their own home or the home of a family members or friends). These programs include support for home modifications that help the newly reintroduced individual to safely access the home. As of Sept. 2019, 44 states and Washington DC have Money Follows the Person (MFP) Programs. It should be noted that very often these programs are given different names in each state. For example, the MFP program in West Virginia is called “Take Me Home, West Virginia”.

List of State Medicaid Programs that Cover Home Modifications

Medicaid programs are state specific; they can also be condition-specific and / or age-specific. In each state, they have different names. Our organization has researched and found the following states to have Medicaid programs that include some level of assistance for home modifications / environmental adaptations. To be clear, this list is not comprehensive of all Medicaid programs that pay for home modifications, but rather a comprehensive list of those programs that are relevant to the elderly. As an example, those waivers which strictly serve developmentally disabled individuals have been excluded from this list. Finally, some of the programs listed below are “consumer directed”, meaning the beneficiary has the freedom to choose how they spend the financial assistance they receive. Therefore, the funds can be used for home modifications even if the language of the waiver does not specifically state that it includes home modifications.