skip navigation Smaller text size Reset text size Larger text size
Families & Children Women Teens Adults Seniors People with Disabilities

October 28, 2020
CMS Approves NH Request for Extension for Compliance with Conflict of Interest & Direct Billing Requirements
The Center for Medicare and Medicaid Services (CMS) has approved New Hampshire’s request to extend the date, from August 31, 2021 to July 1, 2023, for which the state must meet Home and Community Based Services (HCBS) waiver Conflict of Interest and Direct Billing requirements. The CMS Approval Letter Adobe Acrobat Reader Symbol memorializes the approval.

September 22, 2020

Home and Community Based Services Waiver Extension Request

New Hampshire Department of Health and Human Services has requested that the Center for Medicare and Medicaid Services (CMS) extend the date, from August 31, 2021 to July 1, 2023, for which the state of New Hampshire must meet Home and Community Based Services (HCBS) waiver Conflict of Interest and Direct Billing requirements. The letter of request to CMS Adobe Acrobat Reader Symbol details the reasons for extension and the state’s continued commitment to working with federal partners to eliminate conflict of interest to support the people and families through the developmental services system.

New Hampshire is currently under a Corrective Action Plan (CAP) relative to three of the state’s 1915 (c) Home and Community Based Services (HCBS) Waivers through the Center for Medicare and Medicaid (CMS). The three 1915 (c) waivers under this CAP are: Developmental Disability, Acquired Brain Disorder, and Children’s In-Home Services.

The focus areas of the CAP are:

  1. Conflict of Interest regarding the provision of case management and direct service delivery; and
  2. Compliance with Direct Pay rules, which allow qualified Medicaid providers to bill directly to the State.

The Department of Health and Human Services has worked closely with CMS regarding compliance dates for the CAP. On October 28, 2020 CMS granted an extension for implementation of the CAP from August 31, 2021 to July 1, 2023 due to the significant impact of the COVID 19 pandemic.

Waivers are an essential and critical component for the delivery of services to individuals with disabilities and their families. Compliance is critical for continuation of this funding stream. The Department is working closely with NH stakeholders to move the CAP forward, while offering transparency and opportunity for feedback, and welcomes full participation in this process.

This web site page will be updated regularly by the Department with pertinent information to the CAP process and deliverables.

New Hampshire Home and Community Based Services (HCBS) Corrective Action Plan (CAP)

CAP Stakeholder Subcommittees


Conflict of Interest/Conflict Free Case Management

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

 
Translate this page

Disclaimer

New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852


copyright 2016. State of New Hampshire