Orlando Harmon
Medicaid is a federal and state-funded health care program that serves 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. To apply for Medicaid in New Hampshire, you can visit the NH EASY website to check your eligibility and apply online. You can also apply by printing out an application form, completing it, and mailing it to your local district office. Additionally, you can apply for Medicaid by calling the NH Department of Health and Human Services (DHHS) or by visiting their website.
| Characteristics | Values |
|---|---|
| Name of the program | NH Medicaid (Medical Assistance) |
| Administering body | New Hampshire Department of Health and Human Services (DHHS) |
| Type of program | Federal and state-funded health care program |
| Purpose | To ensure that eligible adults and children have access to needed health care services |
| Services covered | Routine preventive medical care for children, institutional care for the elderly and disabled, services for developmentally disabled individuals, services for individuals with acquired brain disorders, services at community mental health centers |
| Eligibility criteria | Low-income families, qualified pregnant women and children, individuals receiving Supplemental Security Income (SSI), household size, income, and resources |
| Application methods | Online, phone, mail, fax |
| Application form | Application for Health Coverage & Help Paying Costs (Form 800MA) |
| Contact number | 1-844-ASK-DHHS (1-844-275-3447) |
| Website | https://nheasy.nh.gov |
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What You'll Learn
Eligibility criteria for Medicaid in NH
The eligibility criteria for Medicaid in New Hampshire vary depending on the specific circumstances of the applicant, such as age, income, and medical condition. Here is a detailed overview of the eligibility criteria:
Income-Based Eligibility
Medicaid eligibility in New Hampshire is primarily determined by income, and each Medicaid group has specific income and resource limits. The income limits in New Hampshire are as follows: 318% of the federal poverty level (FPL) for children aged 0-18, 196% of FPL for pregnant women (coverage ends 60 days after birth), and 138% of FPL for adults under 65. These percentages are used to determine eligibility for individuals whose Medicaid eligibility is based solely on income.
Age-Based Eligibility
Age is another critical factor in determining Medicaid eligibility. For example, seniors aged 65 and over can apply for long-term care Medicaid, which includes coverage for nursing home care and community-based services. On the other hand, individuals under the age of 65 may fall under the Medicaid expansion group, with specific income limits applying to this category.
Medical Condition
Certain medical conditions can also impact Medicaid eligibility. For instance, the Aid to the Needy Blind eligibility group requires a determination of legal blindness, while programs for seniors may not have a medical necessity requirement but instead focus on age. Additionally, Medicaid covers services for individuals with developmental disabilities, acquired brain disorders, and mental health needs.
Citizenship and Residency
To be eligible for Medicaid in New Hampshire, individuals must be either US citizens or qualified aliens, and they must reside in the state, intending to remain there without receiving medical assistance from another state.
Work Requirements
Work requirements have been implemented for Medicaid expansion enrollees aged 19-64, unless they are exempt. These requirements mandate a certain number of community engagement hours, which must be reported to the state.
Other Considerations
New Hampshire also offers programs like In and Out Medical Assistance for individuals with incomes too high to qualify for Medicaid but insufficient to cover their medical bills. Additionally, specific medical assistance programs use Modified Adjusted Gross Income (MAGI) rules, which consider tax filing status and dependents to determine household size and income.
It is important to note that eligibility criteria may change over time, and applicants should refer to the most up-to-date information provided by the New Hampshire Department of Health and Human Services (DHHS) to ensure they meet the current eligibility requirements.
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How to apply online
To apply for Medicaid health insurance in New Hampshire online, you can follow these steps:
First, visit the New Hampshire Department of Health and Human Services (DHHS) website. Here, you will find information about eligibility requirements and the application process. The DHHS determines Medicaid financial eligibility and all non-financial eligibility, including disability determinations.
Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are among the mandatory eligibility groups. To determine eligibility, certain medical assistance programs use the Modified Adjusted Gross Income (MAGI) rules, which consider your federal tax filing status and claimed dependents to determine your household size and income.
If you are 65 or older or have Medicare, you can apply directly through the DHHS website or through HealthCare.gov. You can also apply for Medicaid by phone by calling 1-800-852-3345, extension 9700.
To apply online, click the "Apply Now" link as a new client applying for Medical Coverage. You will need to complete and submit the Application for Health Coverage & Help Paying Costs (Form 800MA). This form is available in English, Spanish, and Nepali. During the application process, you may also speak to a Family Services Specialist (FSS) about your situation, program requirements, and benefits.
After submitting your application, you should receive a welcome packet from your chosen plan, outlining your benefits.
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How to apply by mail
To apply for Medicaid health insurance in New Hampshire by mail, you can follow these steps:
First, you need to download a paper application form. You can find the application form on the New Hampshire Department of Health and Human Services website, which is the state's official website for Medicaid applications. The website provides the form in English, Spanish, and Nepali. Print out the form and fill it out.
If you are only applying for Medicaid, you need to complete and submit the Application for Health Coverage & Help Paying Costs (Form 800MA). However, if you are applying for all types of assistance, including cash, SNAP, and child care assistance, you need to complete both the Application for Health Coverage & Help Paying Costs (Form 800MA) and the Application for Additional Types of Assistance.
Once you have completed and signed the relevant forms, you can mail them to your local District Office. You can find the address of your local District Office on the New Hampshire Department of Health and Human Services website. Alternatively, you can call 1-844-ASK-DHHS (1-844-275-3447) to ask about your local District Office.
You can also apply for Medicaid in New Hampshire by phone or online. To apply by phone, call 1-800-852-3345, extension 9700. To apply online, go to the New Hampshire Department of Health and Human Services website and click the "Apply Now" link as a new client applying for Medical Coverage.
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Medicaid financial eligibility
The Department of Health and Human Services (DHHS) determines Medicaid financial eligibility in New Hampshire. The DHHS uses three basic criteria to make an eligibility determination for Medical Assistance.
Income and Resource Limits
Specific income and resource limits are used to determine eligibility for each Medicaid group. While non-financial information is generally the same for each Medicaid group, there are some differences. For example, an application for services under the Aid to the Needy Blind eligibility group requires an individual to have a medical necessity determination of being legally blind, while an application for services for seniors has no medical necessity requirement but does have an age requirement.
Modified Adjusted Gross Income (MAGI) Rules
Certain medical assistance programs use MAGI rules to determine eligibility. MAGI rules use IRS-defined concepts of income and household. This means that your federal tax filing status and who you claim as tax dependents determine your household size and whose income is counted.
Non-MAGI Medical Assistance Programs
Eligibility for Non-MAGI medical assistance programs is determined by your household size (based on who you are related to or married to and who lives with you in your home), income, and resources using non-IRS-based federal and state rules.
Refugee Medical Assistance (RMA) and Emergency Medicaid for Noncitizens
You must meet certain requirements to be eligible for Non-MAGI categories of medical assistance. DHHS will inform you of these requirements at the time of application. Citizenship Status/Immigration & Identity: You must be either a US citizen or a qualified alien, and you must be who you say you are. There are some emergency medical services available for certain non-qualified aliens. Contact a DHHS District Office for more information. Residency: You must live in New Hampshire, intend to remain in New Hampshire, and not be getting medical assistance from another state. A student entering New Hampshire for educational purposes is not considered a resident of New Hampshire. Age: You must meet any age requirements for the program. If a program has an age limit, you must be within that range. Social Security Number (SSN): You must furnish an SSN or proof of an application for an SSN.
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Non-financial eligibility
To apply for Medicaid health insurance in New Hampshire, you must meet certain eligibility requirements. While financial eligibility is a key factor, there are also non-financial criteria that must be fulfilled. The New Hampshire Department of Health and Human Services (DHHS) determines both financial and non-financial eligibility, including disability determinations.
Secondly, residency requirements must be met. To qualify for Medicaid in New Hampshire, you must be a resident of the state, intending to remain in the state, and not receiving medical assistance from another state. It's important to note that students entering New Hampshire solely for educational purposes are not considered residents for Medicaid eligibility.
Additionally, certain programs under Medicaid have specific age requirements. For instance, the Aid to the Needy Blind program mandates a medical necessity determination of legal blindness, while senior services have an age requirement but no medical necessity criterion.
Lastly, specific program requirements must be fulfilled for non-financial eligibility. For example, the Modified Adjusted Gross Income (MAGI) rules determine eligibility for some adult medical assistance programs. These rules consider your federal tax filing status, tax dependents, and household size to assess whose income is counted.
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Frequently asked questions
You can apply for Medicaid in New Hampshire by filling out an application form. You can apply online at https://nheasy.nh.gov or by printing out the form, completing it, and mailing it to your local District Office. You can also call 1-800-852-3345, extension 9700, and apply for Medicaid by phone.
Medicaid in New Hampshire is available to low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI). To find out if you are eligible, visit NH EASY, which allows you to check your benefits online.
Medicaid in New Hampshire covers a range of health care services, including routine preventive medical care for children, institutional care for the elderly and disabled, services for individuals with developmental disabilities, and community mental health services.
