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

May 29, 2019

In accordance with Special Terms and Conditions #39 of the New Hampshire's Granite 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 (CMS) with the draft Evaluation Design Adobe Acrobat Reader Symbol produced by the University of Massachusetts Medical School. Note the draft is not reflective of CMS comments or changes to the Granite Advantage program that occurred after 05/29/2019.

January 16, 2019

In accordance with Paragraph 18 of the Special Terms and Conditions on New Hampshire's Granite 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.

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