{"data":{"id":"us-nh/rsa-151-e-1","jurisdiction":"us-nh","citation":"RSA 151-E:1","heading":"Purpose.","body":"I. The purpose of this chapter is to provide medicaid eligible elderly and chronically ill adults with a continuum of care appropriate to their needs and affordable to the state and its taxpayers.\nII. To a great extent, the current system relies on nursing facilities to provide care for this group. While the quality of this care is high, an increasingly elderly and disabled population and a constrained public financial resource base require the state to reevaluate how long-term care services are provided. Moreover, many long-term care recipients and potential recipients prefer to be cared for at home or in other settings less acute than a nursing facility. Because far more may be spent on nursing facility care than on home and community-based care, there is an inherent difference between the state's present long-term care system and what recipients prefer.\nIII. This chapter is an essential step toward rebalancing the long-term care system and expanding choices available to recipients. It increases the continuum of care by adding mid-level care, including but not limited to, assisted living and residential care services. Through an acuity-based reimbursement system , a comprehensive needs assessment process, and an information and assistance process, it provides those eligible for Medicaid nursing facility services the opportunity to choose more appropriate, less costly mid-level services and home and community-based care. In this way, the state intends to serve this increasing Medicaid eligible population more appropriately and more economically.","path":["Title XI: HOSPITALS AND SANITARIA","Chapter 151-E: LONG-TERM CARE"],"source_url":"https://gc.nh.gov/rsa/html/XI/151-E/151-E-1.htm","current_through":"2025 regular legislative session, or December 2025","vintage":"","retrieved_at":"2026-09-05T13:33:49Z","sha256":"89b2dde419e5523333438f4d801297cba36ba0717b2256aeeb491237ea64d4fc","source_id":"us-nh","stale":false,"prev":"us-nh/rsa-151-d-2","next":"us-nh/rsa-151-e-2"},"notice":"GroundRules: Original legal text. Not legal advice."}