How to Get New Hampshire Medicaid Benefits?

Published on

We have scoured the internet to provide you with all you need to know about New Hampshire Medicaid Benefits.

Medicaid is a joint federal-state initiative that covers health insurance for low-income people who qualify, including children, pregnant women, the elderly, and people with disabilities. It is simple to apply for Medicaid in person, over the phone, or online.

This post will teach you all you need to learn about Medicaid in New Hampshire.

What is the New Hampshire Medicaid Program?

Medicaid is a service for people and families with income and resources within specific parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.

Who is eligible for the New Hampshire Medical Program?

New Hampshire Medicaid offers limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package partial financial help with Medicare premiums, copayments, or coinsurance through the Medicare Savings Plan.

  • Expectant mothers
  • People who are blind or disabled or who have a spouse who is blind or disabled; 
  • People whom someone adopts;
  • People whom someone adopted; 
  • People who are blind or disabled or have a spouse who is disabled.

The Annual Household Income Limits (before taxes)

Household Size*The Maximum Income Level (Per Year)
1$18,075
2$24,353
3$30,630
4$36,908
5$43,186
6$49,463
7$55,741
8$62,018

*For households with more than eight people, add $6,277  per additional person.

How do I contact Medicaid in New Hampshire?

Phone

1-844-275-3447

Mailing Address

Division of Medicaid Services

NH Department of Health & Human Services, 129 Pleasant Street, Concord, NH 03301

What are the Medicaid plans in New Hampshire?

Medicaid Care Management program

Except for those who require long-term services and support, the Medicaid Care Management program started enrolling all Medicare beneficiaries in managed care organizations (MCOs). 

Acute medical treatments, primary care, mental health services, and pharmacies will all be covered in the program’s initial phase. 

Alternative Benefit Plan (ABP)

Existing Medicaid Disease Management programs must automatically enroll this population. New Hampshire will mandate that plans enter into contracts with additional providers as necessary to guarantee adequate access to the ABP’s services.

Recent Programs

Currently, the state has agreements with two international for-profit plans and one local, not-for-profit plan.

  • Meridian Health Plan and New Hampshire Healthy Families, owned by Centene.
  • Well Sense Health Plan, owned by Boston Medical Center HealthNet Plan.

How do I apply for New Hampshire Medicaid?

Call: 1-844-275-3447 to enroll. 

Apply in person: Division of Medicaid Services, NH Department of Health & Human Services

Online:  Visit the New Hampshire Medicaid website.

Mail:  129 Pleasant Street, Concord, NH 03301.

What is covered by New Hampshire Medicaid?

New Hampshire Medicaid offers the following services:

Ambulatory surgeryHospital stays
Audiology servicesLaboratory tests
Behavioral health servicesVision care
Women’s health careNon-emergency transportation
DialysisOrthotic and prosthetic devices
Doctor visitsOccupational therapy
Smoking cessation servicesPharmacy (medications)
Emergency carePhysical rehabilitation
Family planning servicesPreventive care
Hearing aidsHospital outpatient care
Home health careX-rays and other radiology services

Can I have both New Hampshire Medicaid and Medicare?

You can sign up for both Medicare and Medicaid if you are eligible for both. Medicare eligibility is determined by age and disability, but Medicaid eligibility is determined by income.

New Hampshire Waiver

Following are the waivers of New Hampshire:

  • DLTSS Acquired Brain Disorder (ABD) Waiver
  • DLTSS Developmental Disabilities (DD) Waiver 
  • DLTSS In Home Support (IHS) Waiver for Children with Developmental Disabilities 

Copayments?

They do not have to pay a copayment; when a member is: 

  • under 21 years old; 
  • pregnant; 
  • Held by the state
  • Placed under government supervision
  • Native American participants who qualify for Contract Health funding
  • Services or Tribal Union of Indian Health Services
  • Residing in one of the facilities listed below and funding a portion of their care:
  • The hospital (inpatient)·
  • A facility for skilled nursing
  • A nursing home

What is not covered by New Hampshire Medicaid?

Medicaid does not provide coverage for private podiatrists, chiropractors, naturopaths, psychologists, or therapists (physical therapists, audiologists, or speech therapists).

Bandages, adult diapers, and other disposable items are frequently excluded from coverage, as well as cosmetic surgery and other elective procedures.

What is the highest income limit for New Hampshire Medicaid?

The MMMNA in New Hampshire costs $2,288.75. Income from an applicant’s spouse may be transferred to a non-applicant whose monthly payment is less than $2,288.75 to raise.

What if a person’s income is too high to qualify for regular Medicaid benefits?

If your income is too high, you may still be eligible for New Hampshire Medicaid, thanks to the asset spend down option. Paying down your surplus assets on non-countable ones will allow you to qualify.

What documents do I need to apply for Medicaid?

The following documents are required:

  • The Social Security Number;
  • Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
  • Evidence of all income sources, both legal and illegal 
  • Proof of origins 
  • Proof of residency 
  • Including the Medicare card, any insurance cards
  • Pregnancy (doctors’ certification of the pregnancy and, if applicable, the expected delivery date);
  • When non-parents apply for Medicaid on their behalf, they must provide proof of their financial position.

What is the best Medicaid in New Hampshire?

The best plan for you is the one that meets your demands and offers the most benefits in terms of health insurance and monetary help because it varies from person to person.

Where do I find the letter showing the reason(s) for denial or discontinuance from New Hampshire Medicaid?

By signing into your account at Portal, you can see the progress of your New Hampshire Medicaid application.


Photo of author
Editor
Sabrina is a former campaign manager who has decided to focus her effort to help people contact senators and get help. She leads our Editorial Team with Ronald and Lawrence to curate content and resources that help us navigate the system.

Leave a Comment