New Hampshire MedicaidUpdated April 8, 2021 Medicaid
New Hampshire Medicaid is a federal and state-funded health care program that serves a wide range of needy individuals and families who meet certain eligibility requirements.
The program works to ensure that eligible adults and children have access to needed health care services by enrolling and paying providers to deliver covered services to eligible recipients.
|Program Name||New Hampshire Medicaid|
|Phone||800-852-3345 ext. 4344|
|Appeal a Denial||Administrative Appeals Unit|
|Find a Local Office||District Offices|
To be eligible for New Hampshire Medicaid, you must be a resident of the state of New Hampshire, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
|Household Size*||Maximum Income Level (Per Year)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Certified midwife||Personal care attendant|
|Durable medical equipment||Physician|
|Home health||Pregnancy and maternity|
|Hospice services||Prescription drugs|
|Hospital||Private duty nursing|
|Medical supplies||Rural health clinics|
|Medical transportation||Vision care|
|Preferred Prescription Drug||$1|
|Non-Preferred Prescription Drugs||$2|
Enrollees with incomes under 100% FPL are not charged a copay.
If you are required to make copayments under your plan, there is a limit to how much you have to pay per quarter (every three months).
|Quarter 1||January 1 - March 31|
|Quarter 2||April 1 - June 30|
|Quarter 3||July 1 - September 30|
|Quarter 4||October 1 - December 31|
This means that the most you are required to pay for copayments during any quarter of the calendar year is $147.
Once you pay $147 in copayments during that quarter, you don't have to pay any more copayments for the rest of the quarter. However, at the beginning of the next quarter, you will have to start paying copayments again until you pay a total of $147 out of pocket.