New Hampshire Medicaid is a federal and state-funded health care program that serves many needy individuals and families who meet specific eligibility requirements. The program ensures that eligible adults and children have access to needed healthcare services by enrolling and paying providers to deliver covered services to eligible recipients.

Medicaid in New Hampshire offers eligible individuals a comprehensive range of healthcare services. These services include but are not limited to:

1. Physician Services: Consultations and treatments provided by doctors.
2. Hospital Services: Inpatient and outpatient hospital care.
3. Home Health Care: Medical services provided at home.
4. Laboratory and X-Ray Services: Diagnostic services, including lab tests and imaging.
5. Rural Health Clinic Services: Healthcare services in rural areas.
6. Prescription Drugs: Medication prescribed by healthcare professionals.
7. Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy: Rehabilitation services for various physical and communicative conditions.
8. Adult Medical Day Care: Daytime care for adults with medical needs.
9. Medical Transportation: Transportation to medical appointments.
10. Medical Supplies and Durable Medical Equipment: Supplies and equipment for medical care.
11. Dental Services: Dental care (specifically under the NH Smiles Program).
12. Psychotherapy: Mental health therapy.
13. Podiatry: Foot care services.
14. Interpreters for Covered Services: Language interpretation for medical services.
15. Advanced Practice Registered Nurse (APRN) and Certified Midwife Services: Healthcare services provided by APRNs and midwives.
16. Private Duty Nursing: One-on-one nursing care.
17. Family Planning Services: Services and counseling for family planning.
18. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT): Services for children and teenagers.
19. Newborn Home Visits: Home healthcare services for newborns.
20. Extended Services to Pregnant Women: Additional healthcare services for pregnant women.
21. Personal Care Attendant: Assistance with daily living activities.
22. Vision Care and Audiology Services: Eye and hearing care.
23. Nursing Facility Services: Care in a nursing facility.
24. Home and Community-Based Care Services: Services that support individuals living at home or in the community.
25. Hospice Services: End-of-life care.
26. Substance Use Disorder Treatment: Treatment for addiction and substance abuse.

This wide range of services ensures that eligible individuals in New Hampshire have access to necessary medical and supportive care.

Eligibility for Medicaid in New Hampshire is determined by the Department of Health and Human Services (DHHS) and encompasses several groups and criteria:

Eligible Groups

1. Infants and Children under 19: Children up to 19.
2. Pregnant Women: Special coverage for healthcare during pregnancy.
3. Parents/Caretaker Relatives: Parents or individuals who are primary caretakers of children.
4. Former Foster Care Children: Individuals previously in foster care.
5. Individuals aged 19 to under 65 (Granite Advantage Health Care Program): Specific program for adults under 65.
6. Family Planning Expansion Category: Limited coverage focusing on family planning.
7. Individuals with Blindness: Special provisions for those who are legally blind.
8. Refugees and Non-Citizens: Coverage for refugees and certain non-citizens.
9. Seniors: Individuals who are elderly.
10. Individuals with Disabilities: Coverage for those with various disabilities.
11. Individuals Requiring Long-Term Care Services: For those needing sustained long-term care.

Eligibility Criteria

1. Income: Specific income limits are set for each group to qualify.
2. Resources: The amount of resources (like savings and property) considered depends on the eligibility group.
3. Non-Financial Criteria: Includes residency in New Hampshire and other factors. Each group has specific requirements, such as an age requirement for seniors and a medical necessity determination of being legally blind for the Aid to the Needy Blind group.

Disability Determinations

DHHS also makes disability determinations for several programs, including:

• Aid to the Permanently and Totally Disabled (APTD)
• Home Care for Children with Severe Disabilities (HC-CSD) ("Katie Beckett" option)
• Aid to the Needy Blind (ANB)
• Medicaid for Employed Adults with Disabilities (MEAD)
• Medicaid for Employed Older Adults with Disabilities (MOAD)

In and Out Medical Assistance

This helps those whose income is too high for regular Medicaid but insufficient to cover medical bills. It involves a "Spenddown" process, where Medicaid assists with bills after qualifying medical expenses reach a certain amount.

For specific details regarding income, resources, and non-financial requirements, it's advised to refer to the NH Medicaid eligibility pages. Each type of medical assistance has its own set of detailed eligibility criteria.

To apply, visit NH EASY. NH EASY is an online portal that you can use for various types of assistance, including NH Medicaid. It offers a fast, secure, and user-friendly way to manage and view your benefits online.

Through NH EASY, you can apply for Medicaid and other assistance programs like cash assistance, the Supplemental Nutrition Assistance Program (SNAP), and child care assistance.

If you need someone to assist you with the application process or manage your benefits, you and that person must complete the Authorized Representative (AR) Declaration Form. This form allows another person to act on your behalf in dealings with NH Medicaid.

Before starting the application process, remember to gather all necessary documentation related to your income, residency, and other eligibility criteria. This will help ensure a smoother and more efficient application experience.

Renewing Medicaid in New Hampshire involves confirming your continued eligibility for the program.

You will typically receive a notification from the New Hampshire Department of Health and Human Services (DHHS) when it's time to renew your Medicaid coverage. This notification includes instructions on how to proceed.

You'll need to review your current information and update any changes in circumstances like income, family size, address, or employment status. Accurate and up-to-date information is crucial for determining your continued eligibility.

The renewal process may involve filling out a form similar to the initial application. This can be done online through the NH EASY portal, by mail, or in person at a local DHHS office.

Be prepared to submit any required documentation that verifies your income, residency, and other eligibility criteria. This could include pay stubs, tax returns, proof of residency, etc.

After submitting your renewal application, DHHS will review it and notify you of their decision. If your application is approved, you'll receive information about the coverage period and any changes in your benefits.

Pay close attention to renewal deadlines. Failing to renew on time may result in a lapse in coverage.

If there are any changes in your circumstances between renewal periods, you should report them to DHHS promptly, as they may affect your eligibility.