Applying for Medicaid in New Hampshire does not have to be complicated. Whether you are an adult, a parent, pregnant, or applying on behalf of a child, the state offers several ways to submit your application. New Hampshire expanded Medicaid through the Granite Advantage Health Care Program, which means more residents can qualify for free or low-cost health coverage than ever before. This guide walks you through the eligibility requirements, income limits, and the exact steps to apply.
If you are not sure whether you qualify, try our free benefits screener to check your eligibility in minutes.
What Is Medicaid in New Hampshire?
Medicaid in New Hampshire is a joint federal and state program that provides health coverage to low-income residents. The state administers Medicaid through the New Hampshire Department of Health and Human Services (DHHS).
In 2014, New Hampshire expanded Medicaid under the Affordable Care Act through the Granite Advantage Health Care Program. This expansion extended coverage to adults ages 19 to 64 who were previously ineligible. As of mid-2025, approximately 60,900 residents were enrolled through the expansion program, and roughly 178,000 total residents were covered by Medicaid or CHIP statewide.
For a broader look at all available programs, visit our New Hampshire Benefits Overview.
Who Is Eligible for New Hampshire Medicaid?
Eligibility depends on your age, income, household size, and category. New Hampshire Medicaid covers the following groups:
- Adults ages 19 to 64 through the Granite Advantage Health Care Program
- Children under 19 through Medicaid and CHIP
- Pregnant women
- Seniors age 65 and older
- People with disabilities
You must also be a resident of New Hampshire and a U.S. citizen or qualified non-citizen.
New Hampshire Medicaid Income Limits (2025-2026)
Income limits are based on the Federal Poverty Level (FPL) and vary by category. The table below shows approximate annual income limits. These figures are based on 2025 FPL guidelines and may be adjusted when new guidelines are released.
Adults (Ages 19 to 64) via Granite Advantage
| Household Size | Annual Income Limit (138% FPL) |
|---|---|
| 1 | $20,815 |
| 2 | $28,166 |
| 3 | $35,517 |
| 4 | $42,868 |
| 5 | $50,219 |
| 6 | $57,570 |
Note: The federal standard for Medicaid expansion is 133% FPL with a 5% income disregard, which effectively equals 138% FPL.
Children (Under Age 19)
| Category | Income Limit |
|---|---|
| Standard Children's Medicaid | Up to 196% FPL |
| Expanded Children's Coverage | 196% to 318% FPL |
| CHIP | Up to 300% FPL |
For a family of four, 318% FPL is approximately $98,850 per year, meaning many middle-income families may qualify for children's coverage.
Pregnant Women
Pregnant women may qualify for Medicaid with household incomes up to approximately 196% FPL. For an individual, that is roughly $30,500 per year. Coverage includes prenatal care, delivery, and postpartum services.
Seniors and People with Disabilities
For residents age 65 and older or those with qualifying disabilities, Medicaid eligibility involves both income and asset tests. The rules for this group are more complex, and it is best to contact DHHS directly or use our screener for guidance.
How to Apply for Medicaid in New Hampshire: Step by Step
New Hampshire offers four ways to apply for Medicaid. Choose the method that works best for you.
Step 1: Gather Your Documents
Before you start, collect the following information for everyone in your household:
- Social Security numbers
- Proof of income (pay stubs, tax returns, or benefit statements)
- Proof of New Hampshire residency (utility bill, lease, or mail)
- Proof of citizenship or immigration status
- Date of birth for all household members
- Information about current health insurance (if any)
Step 2: Choose Your Application Method
Option A: Apply Online (Recommended)
Visit the NH EASY portal at nheasy.nh.gov to create an account and submit your application electronically. This is the fastest way to apply.
Option B: Apply Through HealthCare.gov
You can also apply through the federal marketplace at HealthCare.gov. If your income qualifies you for Medicaid rather than marketplace coverage, your application will be forwarded to NH DHHS automatically.
Note: If you are 65 or older or have Medicare, apply directly through NH EASY rather than HealthCare.gov.
Option C: Apply by Phone
Call 1-800-852-3345, extension 9700 during business hours. A representative can help you complete your application over the phone.
Option D: Apply by Paper
Download a paper application from the DHHS website. Completed applications can be:
- Faxed to (603) 271-8604
- Mailed to your local DHHS district office
Paper applications are available in English, Spanish, and Nepali.
Step 3: Submit Your Application
Review your application carefully before submitting. Make sure all information is accurate and complete. Missing information can delay the process.
Step 4: Wait for a Decision
After submitting, DHHS will review your application and verify your information. You may be contacted if additional documentation is needed. Keep your phone and mail accessible during this time.
Step 5: Choose a Managed Care Plan
If approved, you will need to select a managed care plan. New Hampshire Medicaid offers three managed care options:
- AmeriHealth Caritas New Hampshire
- New Hampshire Healthy Families
- Well Sense Health Plan
If you do not choose a plan within the required timeframe, one will be assigned to you. You can change plans during the first 90 days of enrollment.
What Does New Hampshire Medicaid Cover?
Medicaid in New Hampshire covers a wide range of health services, including:
- Doctor visits and specialist care
- Hospital stays (inpatient and outpatient)
- Prescription medications
- Mental health and substance use disorder treatment
- Preventive care and screenings
- Lab tests and X-rays
- Emergency services
- Maternity and newborn care
- Dental care (limited for adults, comprehensive for children)
- Vision care
- Transportation to medical appointments
The Granite Advantage program provides the same essential health benefits as marketplace plans.
Tips for a Successful Application
- Apply as soon as possible. You can apply at any time of year since Medicaid has no open enrollment period.
- Report all income accurately. Include wages, self-employment income, Social Security, unemployment, and other sources.
- Include all household members. Even if not everyone is applying, household size and income affect eligibility.
- Respond quickly to requests. If DHHS asks for more documents, submit them promptly to avoid delays.
- Keep copies of everything. Save your confirmation number and any documents you submit.
- Update your information. If your income, address, or household size changes after enrollment, report it to DHHS within 10 days.
What If You Are Denied?
If your application is denied, you have the right to appeal. Your denial letter will include instructions on how to request a fair hearing. Common reasons for denial include income that exceeds the limit, missing documentation, or incomplete applications. You can reapply at any time if your circumstances change.
Medicaid vs. Marketplace Coverage in New Hampshire
If your income is too high for Medicaid but too low to comfortably afford health insurance, you may qualify for subsidized marketplace coverage through HealthCare.gov. New Hampshire uses the federal marketplace, and insurers include Anthem, Ambetter, WellSense, and Harvard Pilgrim Health Care.
Use our free screener to see if you qualify for Medicaid, marketplace subsidies, or other assistance programs.
Frequently Asked Questions
How long does it take to get approved for Medicaid in New Hampshire?
Processing times can vary. Federal rules require states to process applications within 45 days for most applicants and 90 days for disability-related cases. Submitting a complete application with all required documents helps speed up the process.
Can I apply for Medicaid at any time?
Yes. Unlike marketplace health insurance, Medicaid has no open enrollment period. You can apply year-round.
Do I need to meet a work requirement for Granite Advantage?
No. New Hampshire briefly implemented a work requirement in 2019, but it was overturned by a federal court. There is no work requirement currently in effect.
Is there an asset test for New Hampshire Medicaid?
For adults under 65 applying through the Granite Advantage program, there is no asset test. However, seniors and people with disabilities may be subject to asset limits.
Can undocumented immigrants get Medicaid in New Hampshire?
Undocumented immigrants are generally not eligible for full Medicaid coverage. However, emergency Medicaid may cover emergency medical conditions regardless of immigration status.
What is NH EASY?
NH EASY is the online portal where New Hampshire residents can apply for benefits including Medicaid, SNAP (food assistance), and other programs. You can access it at nheasy.nh.gov.
Can I apply for other benefits at the same time?
Yes. When you apply through NH EASY, you can apply for multiple programs at once, including SNAP, TANF, and child care assistance. Our benefits screener can help you identify all the programs you may qualify for.
Get Started Today
Applying for Medicaid in New Hampshire is free and can be done online, by phone, or by mail. If you think you or your family might qualify, do not wait. Start by checking your eligibility with our free benefits screener, or visit NH EASY to begin your application today.
For more information about benefits available in New Hampshire, see our New Hampshire Benefits Overview.
