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New Hampshire's Medicaid Program: Four Snapshots

Executive Summary

Date: November 1st, 2004

Medicaid is a federal program that reimburses states for part of the cost of health-care services delivered to low-income individuals. New Hampshire’s Medicaid program has many parts; this paper takes a narrow look at just four of them using data from a number of sources. Subsequent papers will update these snapshots and attempt to tie them together into a coherent picture for policy-makers and the general public.
 
One of the problems in describing and analyzing the Medicaid program in New Hampshire is the lack of current data as well as the inconsistency of data from different sources. This inevitably leads to questions regarding the accuracy of what has been reported. Unlike most other states, the state of New Hampshire does not publish a regular (monthly, quarterly, and/or annual) report on its Medicaid program nor does it provide access to program statistics on its website.
 
This paper is based primarily on New Hampshire data from federal fiscal year 2001 prepared by the Centers for Medicare and Medicaid Services (CMS), US Department of Health and Human Services. We have supplemented it with some additional data provided by the NH Department of Health and Human Services (DHHS).
 
New Hampshire has been able to use the federal Medicaid program to generate additional unrestricted revenue for the state’s general fund. In SFY 2004 this amounted to $176.2 million.1 This was used to subsidize the general fund expenditures of the state in its totality, just as are the revenues from the beer tax, the communications tax, and other revenue sources. These so-called Medicaid Enhancement funds are not included in any of the discussion or figures in this paper.

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