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Granite Advantage Health Care Program
Section 1115(a) Demonstration Waiver

Janaury 16, 2019

In accordance with Paragraph 18 of the Special Terms and Sonditions on New Hampshire's Grantie Advantage Health Care Program Waiver (Waiver #11-W-00298/1) issued on November 30, 2018, New Hampshire has provided the Centers for medicare and Medicaid Services with notice that the state's Community Engagement Program.

November 30, 2018
CMS Approval of Waiver Amendment
New Hampshire Granite Advantage Health Care Program 1115 Demonstration -- 11-W-00298/1
To continue New Hampshire’s successful track record of extending coverage to low-income populations, New Hampshire received approval from the Center for Medicare and Medicaid Services (CMS) to amend and extend Demonstration Project #11-W-00298/1. Specifically, the State seeks authority to implement changes to the current New Hampshire Health Protection Program (NHHPP) demonstration waiver and create the Granite Advantage Health Care Program.

Granite Advantage extends New Hampshire’s Medicaid expansion program with the objective of improving beneficiary health, while better integrating cost control and personal responsibility into the State’s Medicaid program. According to State statute, the New Hampshire Department of Health and Human Services (DHHS) was required to seek a five-year extension and amendment of its expansion demonstration, implementing the new Granite Advantage program effective January 1, 2019. In May 2018, CMS authorized New Hampshire to implement work and community engagement requirements beginning on January 1, 2019; the amendment approval extends this authority for the five-year waiver extension period.

To learn more about the waiver amendment, please see the approval letter from CMS and Special Terms and Conditions, along with the State’s press release, below.

November 8, 2018

Granite Advantage Health Care Program Interim Rule

He-W 837 describes the community engagement requirements for the Granite Advantage program, creates exemptions from the work and community engagement program, establishes qualifying activities for community engagement, details impacts of noncompliance with the community engagement requirement, and establishes how to cure deficit community engagement hours.

See the Medical Care Advisory Committee page for more information about the Granite Advantage Health Care Program Interim Rule.


October 18, 2018
Notice to current Medicaid members receiving coverage from a Qualified Health Plan in New Hampshire’s Premium Assistance Program (PAP) about Open Enrollment beginning November 1, 2018 Adobe Acrobat Reader Symbol

September 25, 2018Important Notice to Current NHHPP Members
The Department of Health and Human Services is sending an Heads-Up Notice Adobe Acrobat Reader Symbol to current Medicaid members in New Hampshire’s Health Protection Program (NHHPP). The letter states that on January 1, 2019, per state law, the Granite Advantage Health Care Program replaces NHHPP. Aviso Adobe Acrobat Reader Symbol a afiliados a Medicaid actuales en el programa de protección a la salud New Hampshire’s Health Protection Program (NHHPP) (Spanish). Medical coverage will continue from one of the state’s Medicaid Care Management plans.

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

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