relative to clinical eligibility criteria for nursing facility and home and community based care.

SB 612 modifies eligibility rules for nursing facility and home and community-based care under New Hampshire Medicaid by adding "mobility" to the list of activities of daily living (ADLs) considered for qualification. This means applicants must now demonstrate a need for assistance with mobility (such as walking or using a wheelchair) to meet clinical eligibility requirements. The bill also requires the state Department of Health and Human Services to obtain a medical determination of long-term care needs from the applicant’s primary care provider, physician assistant, or advanced practice nurse, and to consider input from other health providers like physical therapists. These changes directly affect Medicaid applicants seeking nursing facility or home-based care services in New Hampshire.