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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, knowing that the initial date of January 1, 2019 would be problematic for the service delivery system. At the end of April 2018, the Department and CMS agreed on a date for full compliance, August 31, 2021. This date coincides with the renewal date of the Developmental Disability Waiver.

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 Meeting Subcommittees

Conflict of Interest / Conflict Free Case Management

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

copyright 2016. State of New Hampshire