Modern Healthcare - - REGIONAL NEWS -

CONCORD, N.H.— The trus­tees of 10 hos­pi­tals in New Hamp­shire that have sued the state over re­duc­tions in Med­i­caid re­im­burse­ments are now ask­ing the CMS to in­ter­vene. In an April 26 let­ter to CMS Deputy Ad­min­is­tra­tor Cindy Mann, 166 trus­tees said the state cut Med­i­caid fund­ing and dis­pro­por­tion­ate share pay­ments by more than $130 mil­lion in the cur­rent fis­cal year. “The New Hamp­shire pro­gram has been pushed past the break­ing point, and fed­eral in­ven­tion is now nec­es­sary to stop any fur­ther de­te­ri­o­ra­tion of the Med­i­caid de­liv­ery sys­tem,” they wrote. The hos­pi­tals are 371-bed Dart­mouthHitch­cock Health, Le­banon; 233-bed Catholic Med­i­cal Cen­ter and 264-bed El­liot Health Sys­tem, both in Manch­ester; 134-bed Went­worth-dou­glass Hospi­tal, Dover; 97-bed Ex­eter Health Re­sources, Ex­eter; 166-bed South­ern New Hamp­shire Health Sys­tem and 144-bed St. Joseph Hospi­tal, both in Nashua; 110-bed Lrghealth­care, La­co­nia; 140-bed Cheshire Med­i­cal Cen­ter, Keene; and 82bed Fris­bie Me­mo­rial Hospi­tal, Rochester. A CMS spokesman con­firmed that the agency re­ceived the let­ter and said in an e-mailed state­ment that it is “work­ing with the state to ad­dress these con­cerns.” The re­im­burse­ment cuts in 2011, as well as in pre­vi­ous years, prompted the hos­pi­tals to file a law­suit last year in U.S. Dis­trict Court in Concord, al­leg­ing the re­im­burse­ment cuts vi­o­lated the Med­i­caid Act. In March, a fed­eral judge ruled that the state’s health com­mis­sioner is re­quired to pro­vide no­tice and jus­ti­fi­ca­tion of the re­duced Med­i­caid re­im­burse­ment rates. The state has since been granted an ex­ten­sion un­til May 7.

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