Bill Text - HB103 (2022)

Establishing a dental benefit under the state Medicaid program.


Revision: April 14, 2022, 8:11 a.m.

Health and Human Services

April 13, 2022

2022-1531s

10/05

 

 

Amendment to HB 103-FN

 

Amend RSA 126-A:5, XIX-a(b)(4) as inserted by section 2 of the bill by replacing it with the following:

 

(4)  Removable prosthodontic coverage for individuals served on the developmental disability (DD), acquired brain disorder (ABD), and choices for independence (CFI) waivers, such waivers authorized under Section 1915(c) of the Social Security Act, and nursing facility resident populations only, subject to medical necessity.  

 

Amend RSA 126-A:5, XIX-a(c) as inserted by section 2 of the bill by replacing it with the following:

 

(c)  With the exception of diagnostic and preventive services, cost sharing shall be implemented to the maximum extent allowed under CMS guidelines for Medicaid recipients with family incomes above 100 percent of the Federal Poverty Level (FPL).

 

Amend the bill by replacing section 3 with the following:

 

3  Appropriation; Centene Corporation Settlement.  Notwithstanding RSA 7:6-e, the sum of $21,148,822 received from the settlement of December, 2021 between New Hampshire and the Centene Corporation and its affiliates (“Centene”), relative to pharmacy benefits in the Medicaid program shall be appropriated to the department of health and human services and shall not lapse.  Of said sum:

I.  The first $2,420,203 of funds received by the state shall be used by the department of health and human services to meet the financial requirements of completing the Medicaid Care Management SFY 20 Risk Corridor calculation.

II.  The remaining $18,728,619 shall be used to fund the non-federal share of an adult dental benefit in the Medicaid program.

III.  In the event an adult dental benefit in the Medicaid program is not implemented by June 30, 2023, the sum allocated under paragraph II shall be transferred as follows:

(a)  10 percent of the funds shall be transferred to the revenue stabilization reserve account pursuant to RSA 7:6-e, I; and

(b)  The remainder of the funds shall be transferred to the general fund.

IV.  The department of health and human services may accept and expend matching federal funds without prior approval of the fiscal committee of the general court.