This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.

This letter transmits the Transmittal and Notice of Approval of State Plan Material (CMS-179) and the approved state plan page.

The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.

This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cease coverage of chiropractor services which was not funded as part of the 2010-2011 state budget process.

The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the coverage of hospice services as directed by New Hampshire Chapter 166, Laws of 2009 (Senate Bill 42).

The SPA transmitted a proposed amendment to your approved Title XIX State Plan to reflect the change from twelve to four the number of podiatry visits allowed per recipient per state fiscal year as part of budget reduction provisions agreed upon during the state's Governor's phase of the 2010-2011 budget bienniums.

Proposed to change the term "domiciliary facility" to "adult care home" and to identify specifics of personal care services coverage within the adult care home. The SPA was reviewed for the description of Personal Care Services in Adult Care Homes and whether the service violated comparability, freedom of choice of provider, and provider qualification requirements.

Targeted Case Management for Mental Retardation and Developmental Delay.

This amendment elevates the standards for providers and changes service definitions. Provider qualifications now include specificity in education to assure service provision by qualified providers.

This amendment modifies the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the amendment will freeze rates in effect on July 1, 2009 for hospital swing beds and nursing facility services.