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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.

Finding a New Hampshire Medicaid provider

Because NH Medicaid Care Management is delivered through managed care for most members, provider search happens at the plan level rather than through a state-run directory. AmeriHealth Caritas New Hampshire, NH Healthy Families, and WellSense Health Plan each run their own "Find a Provider" search restricted to their own network — for example, WellSense's is at wellsense.org/members/nh/new-hampshire-medicaid/find-a-provider. Check your NH Medicaid ID card to see which of the three plans you're enrolled in before searching, since the same doctor may be in-network with one plan but not another.

Members receiving long-term care or Choices for Independence waiver services, which are delivered fee-for-service rather than through an MCO, should contact DHHS directly rather than searching a plan directory.

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