New Hampshire Medicaid
Updated August 2026
New Hampshire's Medicaid expansion program is called the Granite Advantage Health Care Program. It covers adults ages 19–64 with household income at or below 138% of the Federal Poverty Level — the ACA expansion threshold (ACA § 1396a). The program is administered by the Division of Medicaid Services within the New Hampshire Department of Health and Human Services (DHHS).
Granite Advantage work requirements begin January 1, 2027
H.R. 1 (signed July 4, 2025) requires Granite Advantage (expansion) members ages 19–64 to complete 80 hours per month of work, school, job training, or volunteering to keep coverage, starting January 1, 2027. Current members' requirements and more frequent (6-month) renewals begin at their first redetermination in 2027; new applicants must meet the requirement starting January 1, 2027. Many members — including parents of children 13 or younger, people who are pregnant or postpartum, and people who are medically frail — are exempt. Details are at dhhs.nh.gov/programs-services/stay-covered-new-hampshire or by calling 1-844-275-3447.
New Hampshire Medicaid: Granite Advantage Health Care Program
New Hampshire was one of the last states to expand Medicaid. Granite Advantage launched in November 2018 after a federal waiver tied to work requirements was struck down in court. The state later dropped the work requirement, and the program now operates as standard ACA expansion Medicaid.
NH Medicaid serves multiple populations beyond Granite Advantage: children, pregnant women, seniors, people with disabilities, and working parents at varying income thresholds. Long-term care and waiver services operate under fee-for-service (not managed care).
How NH Medicaid is delivered
Most NH Medicaid services are delivered through managed care organizations. Three MCOs currently hold contracts for the NH Medicaid Care Management program:
AmeriHealth Caritas New Hampshire: Managed care plan for Granite Advantage and standard Medicaid members across NH.
NH Healthy Families: A Centene-subsidiary MCO serving NH Medicaid members with integrated care management.
WellSense Health Plan: A Boston Medical Center Health System affiliate operating as a regional managed care plan in NH.
Long-term care services, home and community-based waiver services (including the Choices for Independence waiver), and certain specialty services are delivered through fee-for-service rather than through the MCOs.
Who qualifies for New Hampshire Medicaid
Source: NH DHHS Division of Medicaid Services; NH Medicaid Care Management program documentation.
- Adults 19–64 with income at or below 138% FPL (Granite Advantage expansion)
- Children under 19 with income at or below 318% FPL (NH Healthy Kids/CHIP)
- Pregnant women with income at or below 196% FPL
- Parents and caretaker relatives meeting household income and asset standards
- Individuals receiving SSI (automatically eligible)
- Seniors and people with disabilities meeting ABD income and resource criteria
- NH resident and U.S. citizen or qualified non-citizen
How to apply for New Hampshire Medicaid
Apply online through NH EASY at nheasy.nh.gov. NH EASY is the state's integrated eligibility system for Medicaid, SNAP, and other benefits. You can also call DHHS at 1-844-ASK-DHHS (1-844-275-3447), TDD 1-800-735-2964, Monday–Friday 8 a.m.–4 p.m., or apply in person at a local DHHS district office. The DHHS central address is 129 Pleasant Street, Concord, NH 03301.
New Hampshire Medicaid
Visit the official New Hampshire Medicaid website Check your New Hampshire Medicaid eligibilityRelated guides
What Is Medicaid?
An overview of how the program works, who runs it, and who it covers.
Read more →Eligibility Requirements
The income, household, age, and state rules that determine who qualifies.
Read more →How to Apply
A step-by-step walkthrough of the application process and what you'll need.
Read more →