New Hampshire Medicaid Eligibility and Enrollment

In this article...
  • New Hampshire Medicaid ensures that low-income residents have access to health care. Read on to learn more about the program and find out who's eligible.

New Hampshire Medicaid is a program administered by the New Hampshire Department of Health and Human Services. Using federal and state funds, NH DHHS operates the Medicaid program to ensure low-income residents have access to basic medical care. In New Hampshire, Medicaid is also known as Medical Assistance.

New Hampshire also has a health plan called Granite Advantage Health Care, which is part of the federal Medicaid expansion brought about by the implementation of the Affordable Care Act. Granite Advantage Health Care is designed for low-income residents between the ages of 19 and 64 who aren't pregnant, don't qualify for Medicare and don't qualify for any other type of Medicaid. Benefits are provided by three managed care organizations: Well Sense Health Plan, New Hampshire Healthy Families and AmeriHealth Caritas New Hampshire.

Covered Services

New Hampshire's Medicaid program covers a mix of mandatory and optional benefits. Mandatory benefits are services that must be covered according to federal Medicaid guidelines. Optional benefits are services that a state chooses to cover even though the federal government doesn't require it. The following services are covered by New Hampshire Medicaid:

  • Inpatient hospital services
  • Home health services
  • Care provided by a doctor or mid-level practitioner
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Medical supplies
  • Dental care
  • Vision care
  • Hospice services
  • Adult medical day care
  • Services provided by a personal care attendant
  • Podiatry (foot care) services

Medicaid Costs

New Hampshire Medicaid requires some beneficiaries to share the cost of their health care by making copayments for certain services. Participants with incomes below 100% of the federal poverty level (FPL) don't have to make these copayments. Beneficiaries with incomes exceeding 100% of the FPL must pay $1 per prescription for preferred drugs and $2 per prescription for non-preferred drugs; however, there is a limit of $147 in copayments per quarter. Copayments are waived for Native Americans, tribal health programs, Alaska Natives who have ever been treated by the Indian Health Service and urban Indian clinics. Granite Advantage Health Plan has the same copayment requirements for its beneficiaries.

Who Is Eligible for Medicaid in New Hampshire?

New Hampshire Medical Assistance and Granite Advantage Health Plan have different eligibility requirements. Both programs are only available to U.S. citizens or lawfully admitted immigrants living in the state of New Hampshire. 

Medical Assistance

To qualify for traditional Medicaid, applicants must meet one of the following requirements:

  • Be aged 65+
  • Have some type of disability, including blindness
  • Be pregnant
  • Be responsible for a child up to 18 years old

The income limit for traditional Medicaid depends on household size, as outlined below.

Household Size

Annual Income Limit

1

$16,971

2

$22,930

3

$28,888

4

$34,846

5

$40,805

6

$46,763

7

$52,722

8

$58,680

Granite Advantage Health Plan

To qualify for Granite Advantage Health Plan, an applicant must meet the following requirements:

  • Be between 19 and 64 years old
  • Not be pregnant
  • Be ineligible for Medicaid or Medicare

The monthly income limit for Granite Advantage Health Plan depends on household size, as displayed in the following table:

Household Size

Monthly Income Limit

1

$1,346

2

$1,825

3

$2,304

4

$2,782

5

$3,261

How Do I Enroll in Medicaid in New Hampshire?

New Hampshire Medical Assistance

 

  • Visit the NH EASY gateway to fill out an online application.
  • Fill out Form 800 (Medicaid, SNAP and other forms of assistance) or Form 800MA (Medicaid and other insurance eligibility programs only). Form 800 should be mailed to a district office. The New Hampshire Department of Health and Human Services maintains a list of district offices on its website. Form 800MA should be mailed to the Central Medicaid Unit, 129 Pleasant Street, Concord, NH 03301. Form 800MA can also be faxed to (603) 271-8604.

Granite Advantage Health Plan

 

  • Visit the NH EASY gateway to fill out an online application.
  • Contact a local ServiceLink center to schedule an appointment.
  • Fill out an application on the gov website (ACA marketplace).
  • Fill out Form 800, "Application for Assistance," and mail it to a district office. 

Contact Information for New Hampshire Medicaid

Mail:

Office of Medicaid Business & Policy
NH Department of Health and Human Services
129 Pleasant Street
Concord, NH 03301

Telephone: (603) 271-4344 (Monday through Friday)