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The Departments of Human
Services are responsible for the payment of services to residents of
nursing homes or services to the elderly or chronically ill who are
in mid-level care or receiving services in their homes.
With
the passage of HB 2, effective July 1, 2008 the counties gained 100%
liability for the non-federal share of the cost of Medicaid
recipients of Intermediate Nursing Care and Home and Community Based
Services. The state of
New Hampshire assumed liability for court-ordered services to
juveniles, Provider Payments, Medicare Part D, Old Age Assistance
and Aid to the Permanently and Totally Disabled.
The
Intermediate Nursing Care line of the county budget represents the
second most costly portion of the countys budget, behind the
nursing home line. INC
funds nursing home care for Medicaid-eligible residents of private
nursing homes, as well as county nursing homes, with costs split
fifty percent federal share, 50 percent county share.
Some elderly persons
prefer to remain at home, or in a setting less acute than a nursing
facility.
Medicaid-eligible elderly and chronically ill adults may choose to
receive services in their own homes or in mid-level care facilities.
Counties have received prevention funds from
the State of N.H.,
Division for Children, Youth and Families, called the 6% Incentive
Funds. The purpose of
this funding is to encourage community programs to provide services
that will prevent children and families from becoming involved in
the juvenile justice system, or to provide judges with alternatives
to costly placements or services.
The Administrative Rules are currently being re-written by
DHHS to eliminate the counties from the receipt and administration
of this funding.
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