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Learn About Requirements for Medicaid in New Hampshire

Figuring out what are the requirements for Medicaid in New Hampshire is the first step a petitioner should take before applying for Medicaid benefits. Candidates who know how to qualify for Medicaid have a greater chance of meeting all eligibility requirements. Medicaid is a federally funded health care program that provides medical coverage to a wide range of needy families and individuals who qualify for medical assistance. The program requires anyone who is eligible for Medicaid to meet different requirements such as not exceeding the income and asset limit. To learn more about Medicaid benefits eligibility in NH, read the sections below.

What are the requirements for Medicaid in New Hampshire?

To meet New Hampshire Medicaid eligibility requirements, an applicant must be either a U.S. citizen or a qualified alien. Although they may not qualify to get Medicaid benefits, certain non-eligible aliens can receive various emergency medical services. Applicants must be current residents of New Hampshire in order to meet Medicaid requirements, but applicants are not required to have lived in New Hampshire for a set amount of time before applying for Medicaid benefits. In order to meet qualifications for Medicaid in NH, an applicant must have an income that does not exceed the program’s income minimum. Additionally, certain Medicaid programs may require documentation of medical necessity, age or other specific eligibility requirements. To learn more about requirements for Medicaid and required documentation, download our free guide.

What are the income requirements for Medicaid in New Hampshire?

Generally, those who are eligible for Medicaid benefits in New Hampshire are able to describe their financial status as low-income. However, specific income requirements for NH Medicaid will depend on the particular Medicaid program to which the candidate is applying. For programs such as Medicaid for Employed Adults with Disabilities (MEAD), the program will count an applicant’s income using non-IRS based federal and state rules. For these programs, the income requirements to qualify for Medicaid benefits are broken down in two sections: income and resources. To determine Medicaid eligibility for other groups, such as pregnant women and non-disabled adults between the ages of 19 and 65, the Division of Family Assistance (DFA) considers an applicant’s IRS-defined Modified Adjusted Gross Income (MAGI) and does not take resources into account.

When the state is determining New Hampshire Medicaid eligibility, most of a household’s income is counted together. Some forms of income that are considered in this process include:

  • Wages.
  • Rental income.
  • Social Security Benefits.
  • Self-employment income.
  • Unemployment or Veterans Benefits.

When calculating an applicant’s Medicaid benefits eligibility, the state doesn’t count all of an applicant’s income because it deducts certain expenses from an applicant’s total income. If the total income falls within the monthly income limit for the number of people in their household, the applicant is then considered income-eligible.

When determining who will qualify for Medicaid assistance in NH, some programs will count a household’s resources. The house an applicant lives in is not considered a resource, and neither is some furniture. Examples of resources that will be taken into account include:

  • Cash.
  • Stocks.
  • Bonds.
  • Some vehicles.
  • Bank accounts.
What are the medical requirements for Medicaid in New Hampshire?

Meeting certain medical eligibility requirements for New Hampshire Medicaid is required for some of the state’s Medicaid programs. Some applicants, including candidates for MEAD and the Aid to the Needy Blind program, will need to have their medical condition reviewed by a Department of Health and Human Services (DHHS) medical review team. For the petitioner to meet Medicaid eligibility requirements, the medical review team will have to verify the qualifying condition. When the medical review team finalizes its Medicaid eligibility decision, the applicant will be notified in writing. If an applicant happens to meet all NH Medicaid requirements and is found eligible in terms of income, then he or she will be able to use benefits for Medicaid services.

What are the Medicaid application guidelines in New Hampshire?

Candidates who meet New Hampshire Medicaid eligibility requirements can apply for Medicaid at any time. There is no deadline for Medicaid, so applications are always rolling. To qualify for Medicaid in NH, petitioners can apply online or by mail. Once an individual is approved for the program, he or she can receive Medicaid benefits immediately and can even use his or her benefits retroactively for up to three months. To learn more about applying for Medicaid benefits, download our free guide today.