Pre-Health Protection Program Medicaid

According to a report by the NH Fiscal Policy Institute:

Federal law sets the minimum benefits and groups of people all Medicaid programs must cover and allows states to elect additional groups of people and services.

Children are the majority of New Hampshire Medicaid members.

New Hampshire Medicaid has very limited coverage for adults; only those who are very low-income parents, are pregnant, or have a disability are eligible to participate. Eligibility levels for each of these three categories of adults varies:

      • Parents with incomes up to 40 percent of the federal poverty level (FPL),  [a household income of about $6,200 a year for a family of two.  Massachusetts extends Medicaid eligibility up to 133 percent of the federal poverty line.]
      • Pregnant women with incomes up to 185 percent of FPL, and
      • Adults with disabilities with incomes up to 450 percent of FPL, if that person is working and pays a premium.

In state fiscal year 2010, New Hampshire’s Medicaid program had expenditures of approximately $1.42 billion.

Federal funding for Medicaid is a fixed percentage of the actual costs of the program; for New Hampshire, that fixed percentage is always at least 50 percent of the costs.

Medicaid population – July 2012

Belknap County: 8,451 (20 percent 17 and under)*
Carroll County: 6,172 (12.3 percent 17 and under)
Cheshire County: 8,960 (22.4 percent 17 and under)
Coos County: 5,842 (37.7 percent 17 and under)
Grafton County: 9,335 (22 percent 17 and under)
Hillsborough County: 45,505 (27.9 perent 17 and under)
Merrimack County: 16,789 (20.9 percent 17 and under)
Rockingham County: 20,176 (14 percent 17 and under)
Strafford County: 14,856 (21.2 percent 17 and under)
Sullivan County: 6,112 (27.2 percent 17 and under)
*Represents % of general population
*Data is for beneficiaries enrolled at any time during the month; numbers here for July 2012.

NH Medicaid Enrollment, Provider Expenditures, State Fiscal Year 2012 Services

Low Income Children and Foster Care

  • Average monthly enrollment: 80,765
  • % of enrolled: 60
  • Expenditures: $233,475,000
  • % of expenditures: 22.1

Low Income Adults

    • Average monthly enrollment: 15,932
    • % of enrolled: 11.8 
    • Expenditures: $78,764,000
    • % of expenditures: 7.5 

Children w/ Severe Disabilities in Home Care

    • Average monthly enrollment: 1,737
    • % of enrolled: 1.3 
    • Expenditures: $43,170,000
    • % of expenditures: 4.1

Adults 19-64 w/ Disabilities

    • Average monthly enrollment: 21,490
    • % of enrolled: 16
    • Expenditures: $440,494,000
    • % of expenditures: 41.7

Elderly

    • Average monthly enrollment: 9,259
    • % of enrolled: 6.9
    • Expenditures: $252,385,000
    • % of expenditures: 23.9 

Qualified Medicare Beneficiaries

    • Average monthly enrollment: 5,317
    • % of enrolled: 4
    • Expenditures: $7,677,000
    • % of expenditures: .7
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