Federal initiatives meant to save Medicaid dollars are adding fuel to a nationwide trend.
Since nursing home care represents the largest share of Medicaid spending, states are trying cut costs by moving patients back into the community..
In New Hampshire, the health department hopes to move about 600 Medicaid-eligible seniors out of nursing homes within two years.
Toward that end - two pilot projects are underway in Manchester and Nashua.
The Adult Family Care pilots pay individuals -- using Medicaid dollars -- to take seniors into their homes and provide non-medical personal care.
Advocates say the program provides a “family-like†setting for seniors.
But some critics assert that New Hampshire doesn’t have the resources to handle the transition adequately.
