Nh medicaid coverage. Services may include exams, X-rays, fillings, extractions, and treatment for dental pain. Comprehensive dental services, including orthodontia. The Lamont administration opposes the proposal. Jul 7, 2025 · Big changes are coming in 2026 for more than 180,000 New Hampshire residents covered by Medicaid, following the recent passage of state's new budget. Over 187,000 New Hampshire residents receive health care coverage through Medicaid, with nearly half of recipients being children. Emergency SNAP benefits will end after the February, 2023, payment, and continuous Medicaid The New Hampshire Medicaid Handbook for members of NH Healthy Families tells you how our program works and what we offer. The Medicaid program covers the cost of nursing facility care for individuals unable to afford the cost and who have been found financially and medically eligible under NH Medicaid regulations for Long Term Care services. Learn what's covered and if you're eligible. The New Hampshire Department of Health and Human Services (DHHS), Bureau of Family Assistance (BFA), administers public assistance programs in accordance with state law, state administrative rules, and federal laws and regulations. Many people get coverage through their job or a family member's job. Department of Health and Human Services (DHHS) decides who is eligible for this program. NH Healthy Families exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Oct 28, 2025 · This look-up tool is a searchable database that allows you to look up a provider by National Provider Identifier (NPI), or by name and location. Know the deadlines: If you want coverage starting January 1, submit on time. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups. Explore health insurance options including Medicare, Medicaid, individual and family, short term and dental, as well as employer plans. NH Medicaid - A Guide to New Hampshire DHHS NH Medicaid is New Hampshire’s Medicaid program, which helps low-income families receive more affordable healthcare services. Communities deserve clear, accessible information about what is changing, why, and what families can do to protect their coverage. Visit us online today. Jul 10, 2024 · \New patient-first services reimbursable by the New Hampshire Medicaid Program include health risk assessments, preventive screenings, preventive mental health screening and counseling, comprehensive medication reviews, and coverage for care coordination performed in primary care offices. The Medicare Beneficiaries Savings Program is also referred to as the Buy-In program Find a complete list of covered services for your WellSense New Hampshire Medicaid health plan such as doctor's visits, telehealth options and more. Mar 16, 2026 · Medicaid eligibility income chart for nursing homes, assisted living, in-home care and other types of long term care. Medicaid State Plan Information and resources for the Medicaid State Plan, required by federal Medicaid regulations, to ensure that New Hampshire will receive matching federal funds for its Medicaid program All state Medicaid agencies are required to have an approved Title XIX/Medicaid State Plan. We are the dental benefits administrator for Northeast Delta Dental and the New Hampshire Department of Health and Human Services. MMIS is the software system that maintains eligibility information for all NH Medicaid recipients. Staying on top of your yearly renewal helps ensure your health care coverage continues without interruption. Show your Medicaid ID card each time you receive services. This Brief also analyzes research at the national level and from other states regarding the health, budgetary, and economic impacts of Medicaid Expansion. gov. Apr 23, 2025 · Seacoast Mental Health Center patients would lose Medicaid coverage for mental health and substance use treatment, and jobs could be lost or restructured if the present budget proposal were signed into law today, Couture added. NAMI NH’s Information & Resource Line can connect you with resources and support across the Granite State. AmeriHealth Caritas New Hampshire provides members with the care they need, when they need it. NH Medicaid NH Healthy Families provides health care coverage for NH Medicaid. The Navigator Pane provides guidance on health and human services programs in New Hampshire. Covering NH+1 Medicaid and CHIP accept applications year-round — don’t wait until the next open enrollment. If providers have questions after checking the MMIS online portal, please contact the state’s Medicaid Jul 1, 2025 · Not sure if you're covered by Medicaid? In New Hampshire, Medicaid provides health insurance through NH Healthy Families, Amerihealth Caritas NH, and WellSense Health Plan. By closing the coverage gap, Medicaid expansion removes barriers to accessing the affordable health New Hampshire's Federally Facilitated Health Insurance Marketplace The mission of the New Hampshire Insurance Department is to promote and protect the public good by ensuring the existence of a safe and competitive insurance marketplace through the development and enforcement of the insurance laws of the State of New Hampshire. This includes a wide range of benefits, such as transportation services, a 24-hour nurse advice line, telehealth behavioral services, and vision and hearing coverage. Jun 10, 2024 · Health coverage options are available for people who have recently been laid off or lost their employer sponsored health insurance benefits: Granite Advantage Health Care Program: Medicaid Expansion coverage for no or low income individuals, ages 19-64 Children’s Medical Assistance (ages 0-18) Medicaid for pregnant women Medically frail Health Insurance Marketplace (HealthCare. To reduce NH Medicaid spending while still ensuring access to quality care, the Department of Health and Human Services (DHHS) implemented NH Medicaid Pharmacy Benefit Program initiatives as indicated below. Learn more about New Hampshire Medicaid today. It offers comprehensive coverage, including for physical and mental health care, dental, and Medicaid Dental Services: New Hampshire Smiles Program for Adults Information and resources for the Adult New Hampshire Smiles Program NH DHHS selected Northeast Delta Dental, in partnership with DentaQuest, to provide dental services for the adult dental benefit. We also offer pharmacy, maternity care, and integrated care management benefits. Politics Access to NH Medicaid coverage is changing. 3 days ago · New Hampshire is entering one of the most consequential years for Medicaid in recent history. A joint federal and state insurance program that provides free or low-cost health coverage to children and pregnant women in families that earn too much to qualify for Medicaid. Jan 16, 2026 · An overview of New Hampshire Medicaid (Medical Assistance) long term care programs, benefits and eligibility requirements including nursing home care, assisted living and in-home care. It is available to adults aged 19 to 64 who earn $22,025 or less per year (or $45,540 for a family of four). For Family and Friends Program mileage reimbursement, the driver will need a valid driver's license and complete a driver registration form. This manual contains the official BFA policy governing the administration of the following categories and programs. This page outlines NH Medicaid (Medical Assistance) criteria for adults. But starting in July 2026, individuals making 100% of the federal poverty line, and families with children making at least 255% of the federal poverty line, will begin paying monthly premiums. All plans offer this payment option, and participation is voluntary. Before choosing WellSense's New Hampshire Medicaid plan, you must qualify for Medicaid, a program that helps people pay for their healthcare coverage. View common programs and learn more about your potential coverage by clicking the button below. Seek free help from certified assisters to compare plans, check eligibility and apply correctly. Information and resources for the New Hampshire Smiles Program, providing dental benefits through NH Medicaid. For a quick assessment, use our Medicaid Eligibility Calculator to estimate your qualification. In New Hampshire, most Medicaid recipients are enrolled in managed care. Jun 9, 2025 · New Hampshire Ranks 1st in Child Well-Being, but 1 in 4 Children Risk Losing Medicaid Coverage June 9, 2025 3 days ago · State legislators propose to expand emergency Medicaid coverage for immigrants without legal immigration status. To apply for all types of assistance, including cash, SNAP, child care assistance, and Medicaid, complete BOTH of the following forms: Jun 30, 2025 · Renewing Your Medicaid Eligibility Information and resources on Medicaid redeterminations and other health coverage options. View some of NH Healthy Families' benefits below. The look-up tool will return information on services and procedures provided to beneficiaries enrolled in Original Medicare (fee-for-service). We would like to show you a description here but the site won’t allow us. Medicaid for Employed Adults with Disabilities (MEAD) and Medicaid for Employed Older Adults with Disabilities (MOAD) provide Medicaid (medical assistance) to adults with disabilities who are working and have a higher income to remain financially eligible for Medicaid. To find out if you or your child are eligible for NH Medicaid, visit NH EASY. Benefits Overview NH Healthy Families offers health insurance plans with comprehensive healthcare services that suit the needs of families and individuals throughout New Hampshire. If you select this payment option, each month you’ll continue to pay your plan premium (if you have one), and you’ll get a bill from your health or drug plan to pay for your prescription drugs (instead of paying the pharmacy). There are several different ways to get health insurance. Based on legislation passed by Congress in December 2022, these benefits flexibilities will be ending. What services are covered by Medicaid in New Hampshire? Learn about the types of NH Medicaid insurance available and their respective costs. Kelly New Hampshire Medicaid Plans provide essential health coverage through managed care options like NH Healthy Families, Well Sense Health Plan, AmeriHealth Caritas, and Granite Advantage. Look out for yellow mail, your Medicaid redetermination notice is printed on yellow paper. Learn about the New Hampshire Health Protection Program (NHHPP), a Medicaid-funded health care program that expands coverage to low-income NH residents. Oct 30, 2025 · This comprehensive resource focuses on New Hampshire Medicaid eligibility in 2026, including an age-based chart, income limits, and asset rules. nh. NH Medicaid is required to have rules for transportation. Zolgensma® a prescription gene therapy billed by providers through the plan, is covered by New Hampshire Medicaid for eligible members. Access to services is through providers who are enrolled in NH Medicaid. . Medicaid serves as the nation's largest funding source for mental health and substance use treatment, providing access to vital services including This guide provides comprehensive information about Medicaid eligibility in New Hampshire. From Berlin to Nashua and everywhere in between, Granite State families are feeling the strain of Mar 13, 2026 · Mobile Dental Clinic operated by Solvere Health, in partnership with DentaQuest and Northeast Delta Dental is a fully equipped clinic that brings comprehensive dental services directly to communities across New Hampshire to help reduce barriers to care. The Program pays for some or all of the associated costs of Medicare, specifically the Medicare Insurance Premiums and deductibles. Others are covered through public programs like Medicare and Medicaid. WellSense is a nonprofit health insurance plan serving more than 680,000 Medicaid, Medicare and Individual & Family plan members across Massachusetts and New Hampshire. Apr 1, 2023 · The pharmacy will bill New Hampshire Medicaid for these medications. RENEWING YOUR MEDICAID COVERAGE CMS has allowed the Department of Health and Human Services to use certain Medicaid renewal flexibilities to streamline the Medicaid renewal process. Learn about eligibility and how to apply for or renew coverage. You can apply for or re-enroll in Medicaid or CHIP any time of year. Because of federal flexibilities tied to the COVID-19 public health emergency (PHE), some individuals had their Medicaid coverage renewed automatically without having to provide the Department with additional information. Medicaid for children ages 0-19 provides a full range of health and dental services to eligible children at no cost to the family. The Medicare Beneficiaries Savings Program assists low-income elderly or disabled individuals who are eligible for Medicare through the Social Security Administration (SSA). Different regulatory agencies have responsibility for other types of DentaQuest provides dental coverage to Medicaid-eligible adults ages 21 and over who are members of the New Hampshire Smiles Adult Dental Program. Find out how to qualify for Medicaid at Healthcare. The program covers everything from routine checkups and heart surgeries to cancer treatments and at-home nursing care. Jan 31, 2023 · Concord, NH – The New Hampshire Department of Health and Human Services (DHHS) announces its plans to resume regular Medicaid eligibility and enrollment operations beginning on April 1, 2023. While coverage is provided for multiple groups of New Hampshire residents, our focus is on long-term care Medicaid eligibility for elders, aged 65 and over. For a full list, contact your Medicaid health plan. Learn how the Affordable Care Act (ACA) impacts health coverage in New Hampshire, including enrollment options, premium tax credits, Medicaid expansion, and local resources for individuals and families. Some people buy coverage on their own. If you have questions, please refer to the resources below. Jan 17, 2023 · This Issue Brief reviews the impacts of Medicaid Expansion on health coverage for Granite Staters and the funding mechanisms used to support this coverage in New Hampshire. The Department of Health and Human Services (DHHS) decides who is eligible for this program. Medicaid eligibility limits as a percent of the federal poverty level (FPL)* *The FPL in 2025 is $26,650 for a family of three and $15,650 for an individual. Income eligibility levels are tied to the federal poverty level (FPL). View online or download now. Learn about Benefits and Services available from NH Healthy Families for health insurance and Medicaid in New Hampshire. Learn more about New Hampshire Medicaid options and plans available through New Hampshire Healthy Families. They do more than just enrollment—they guide you through every step of the application, help you compare plans, and determine if you qualify for financial assistance to lower your monthly costs. Learn how to enroll in Medicaid health plans in New Hampshire by visiting us online and sign up for Medicaid in New Hampshire with NH Healthy Families. has expanded coverage to low-income adults. Here are a few. NH Managed Care Resources Parents Partnering with Managed Care Plans Non-Emergency Medical Transportation Program through Medicaid NH Medicaid programs Children’s Medicaid (CM) provides health and dental coverage for children under age 19 whose family income is less than or equal to 196% of the federal poverty guidelines. Explore key characteristics of Medicaid and CHIP in , including documents and information relevant to how the programs have been implemented by within federal guidelines. NH EASY is an EASY, fast, and secure way to look at and manage your benefits online. Yet a new Medicaid and the Children’s Health Insurance Program (CHIP) provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities. 14 hours ago · An official New Hampshire Government web site. You can also view more information in our Member Handbook, Effective February 1, 2026 (PDF). Whether you’re reviewing your current plan, checking eligibility for Medicaid or CHIP, or preparing for the next Open Enrollment — you’re in the right place. Individuals seeking Long Term Care services covered by the Medicaid Program, which include both nursing home care and Choices for Independence home and community based services, must meet specified medical and financial eligibility requirements. Medicaid Care Management (MCM), or managed care, delivers New Hampshire Medicaid health benefits and additional services through contracts between the Department of Health and Human Services (DHHS) and managed care organizations (MCOs) or Medicaid Health Plans. Call (800) 318-2596 to be connected with a trained health coverage navigator who can help you understand your options Jul 7, 2025 · New Hampshire residents covered by Medicaid – which includes low-income adults and people with disabilities – do not pay any premiums now. gov) COBRA NH Throughout the COVID-19 pandemic, the Department of Health and Human Services (DHHS) has provided flexibilities in the nutrition and medical assistance programs offered to New Hampshire residents. Medicaid Fee for Service is a Medicaid benefits pathway for individuals who are not mandatory enrollees of Medicaid Care Management (MCM). About 50 percent of adults in New Hampshire 65 and older with Medicaid long-term care coverage receive home and community-based services, including from home care aides. Last year, Congress passed legislation ending this continuous coverage, which is now set to end on March 31, 2023. From Berlin to Nashua and everywhere in between, Granite State families are feeling the strain of rising health care costs, and Medicaid is often their only pathway to access the care they need. Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act. The Children's Health Insurance Program (CHIP) covers children. 3 days ago · As members of the NH Medicaid Matters Coalition — more than 80 health care providers, advocates, and community organizations — we work directly with patients affected by these decisions. gov; Apply by printing out one of the following Applications, completing it, and mailing it in to your local District Office. These plans serve children, adults, pregnant women, seniors, and people with disabilities across New Hampshire. The mission of the Division of Medicaid Services (DMS) is to serve the healthcare needs of New Hampshire Medicaid beneficiaries through an effectively and efficiently run Medicaid Care Management and Fee For Service Program. Annual Medicaid redeterminations are required to determine ongoing eligibility for coverage. Checking Eligibility for Medicaid Recipients It is important that providers check and confirm eligibility and health plan enrollment prior to providing services to Medicaid recipients. Mar 12, 2026 · NH Medicaid's Open Enrollment period happens every August, which is when you can switch to a different Medicaid plan if desired. It's easy to apply! You can: Apply online at https://nheasy. Medicaid also provides services through several waivers and other programs. Nov 14, 2023 · Medicaid NH Healthy Families provides health care coverage for NH Medicaid. Covering New Hampshire is your free, unbiased resource for understanding health coverage in the Granite State. Medicaid Contact Directory A list of contacts within the Division of Medicaid Services Interested in Applying for Medicaid? To find out if you or your child are eligible for NH Medicaid, visit NH EASY. NH Healthy Families provides health care coverage for New Hampshire Medicaid. Mar 12, 2026 · The Granite Advantage Health Care Program, more commonly known as Medicaid expansion, is a unique New Hampshire solution that ensures all Granite Staters have access to health insurance. The local center, which includes community outreach, housing, job support, nutrition and mobile crisis unit staff, currently has 28 job openings. Most Medicaid eligibility and all CHIP eligibility is based on modified adjusted gross income (MAGI). Learn about this federal-state program on ToBenefit. NH Medicaid plans like Wellsense NH and New Hampshire Healthy Families have certain eligibility guidelines. This fact sheet provides an overview of eligibility, income, and resource requirements for the following programs: Financial Assistance to Needy Families, the State Supplement Program (Old Age Assistance, Aid to the Permanently & Totally Disabled, and Aid to the Needy Blind), Medicaid (Modified Adjusted Gross Income [MAGI] and non-MAGI categories, including Qualified Medicare Beneficiaries and Protect New Hampshire Health NH Medicaid (Medical Assistance) is a popular health insurance program that allows New Hampshire children, adults, pregnant women, older adults, and people with disabilities to get the health care they need, so their families and communities can be productive and healthy. To participate in NH Medicaid (Medical Assistance), federal law requires the Department to cover certain groups of individuals. New Hampshire Medicaid enrollees can receive coverage for numerous types of treatments and services, including routine medical care, diagnostics, and hospice services. Mar 4, 2026 · New Hampshire Medicaid Long-Term Care Definition Medicaid is a health insurance program for low-income individuals of all ages. Prime Therapeutics State Government Solutions (Prime) is the Pharmacy Benefit Administrator for NH Medicaid. It covers essential services like doctor visits, hospital care, prescriptions, and long-term care, helping our residents access the care they need to get healthy, stay healthy, and live in our communities. These flexibilities are ending on June 30, 2025. Learn who’s eligible to enroll in New Hampshire's Medicaid program, how to apply, the status of Medicaid expansion and the effects of Medicaid disenrollment. Apr 23, 2025 · PORTSMOUTH — Proposed cuts to New Hampshire’s Medicaid reimbursement rate for medical providers could lead to the loss of coverage for hundreds, if not thousands, of patients seen by the Seacoast Mental Health Center annually, the clinic’s longtime president warns. The New Hampshire House of with drug coverage) can use this payment option. 1 day ago · The federal government has long required states to offer dental coverage for children enrolled in Medicaid, the joint state-federal health program for people who are low-income or disabled. Whether you're a child, parent, pregnant woman, or adult, this guide will help you understand if you qualify for New Hampshire Medicaid coverage and how to apply. NH Medicaid (Medical Assistance) Eligibility for Children Information and resources regarding medical assistance eligibility for children offered by Medicaid It is the goal of the Department of Health and Human Services (DHHS) to ensure that each child in New Hampshire has access to quality health care. Apply for Medicaid on NH Easy today! Mar 12, 2026 · NH Medicaid provides health care coverage to working Granite Staters. NH Medicaid members who are employed or have a family member who is employed may be eligible for health insurance premium assistance through NH Medicaid. State insurance regulators provide oversight for some of these types of health insurance. New Hampshire Medicaid New Hampshire Medicaid is a federal and state-funded insurance program that serves individuals and families who meet financial and other eligibility requirements. Plus, their unique "Coverage to Care" program checks in with Visit NH Healthy Families today to learn what Medicaid pharmacy benefits in New Hampshire are covered, which drugs are covered, how to get medications and more. Jul 7, 2025 · Big changes are coming in 2026 for the more than 180,000 New Hampshire residents covered by Medicaid, following the recent passage of the state’s new budget, signed into law by Gov. Nov 21, 2025 · Medicaid insures people with a low income. NH Healthy Families provides health care coverage for NH Medicaid and Granite Advantage Health Care Program (Granite Advantage). Providers need to know you have NH Medicaid in order to know which health care services are covered. Sep 23, 2025 · Information and resources for the NH Medicaid (Medical Assistance) program, a federal and state funded health care program that serves a wide range of individuals and families who meet certain eligibility requirements. Behavioral Health - Mental Health and Substance Misuse Behavioral health means the promotion of mental health, resilience and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these illnesses, along with their families and communities. NH Healthy Families provides health care coverage for NH Medicaid. by Olivia Richardson New Hampshire Public Radio July 7, 2025 Find In Person Help NH Navigator is your free, non-biased expert for enrolling in NH Medicaid and the ACA Health Insurance Marketplace. Here’s what you need to know. Explore Medicaid in New Hampshire: eligibility, benefits, and how to apply for health coverage. Visit us online and enroll today. This includes Medical Assistance (Medicaid) and Medicaid NH Medicaid (Medical Assistance) Eligibility The Department of Health and Human Services determines Medicaid financial eligibility and all non-financial eligibility, including disability determinations. xrsk wbxkvc sprq inylns bhd wsv jijqp zkgt doydrfe pdqb