New Hampshire’s nursing homes are claiming that the state’s Department of Health and Human Services owes them $4.4 million for care they have provided.

About 60 of the state’s 78 nursing homes have signed a complaint with the department’s internal appeals unit. The nursing homes say Medicaid payments are woefully short of the cost of providing care to residents in the facilities, and they charge that the state cuts payment rates when the budget is tight. The estimated shortfall in payments is about $2 per resident, per day, according to the New Hampshire Health Care Association.

A preliminary hearing is scheduled for early October.