NH SB543

Establishes provisional eligibility for Medicaid nursing facility services within 90 calendar days of receiving a long-term care application, regardless of whether the application is complete

Provisional eligibility continues for up to 18 months while the application is being processed, with payments made to nursing facilities at the standard Medicaid rate

Nursing facilities receiving provisional payments must reimburse the department once a final eligibility determination is made; facilities face sanctions for failure to reimburse

Appropriates $1,500,000 for the biennium ending June 30, 2027, to fund the provisional eligibility program, with provisions for additional funding if needed through governor and council approval

Creates 2 positions at the Department of Health and Human Services to manage the provisional eligibility program; counties are exempt from liability for provisional eligibility payments