New Hampshire Medicaid
Last verified: June 2026
Informational resource — not affiliated with New Hampshire
H.R. 1 (signed July 4, 2025) adds new federal requirements — New Hampshire Medicaid is reviewing impacts
New Hampshire Medicaid: Granite Advantage Health Care Program
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).
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
- 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
Source: NH DHHS Division of Medicaid Services; NH Medicaid Care Management program documentation.
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 topics
How to apply
Income limits
Dental coverage
Seniors and long-term care
Medicaid renewal
CHIP
What does New Hampshire Medicaid cover?
Medicaid covers a broad range of health services. Federal law mandates certain benefits — inpatient and outpatient hospital care, physician services, lab work, X-rays, and nursing facility services, among others. States add optional services on top of those. Dental, vision, and long-term home care coverage vary by state.
The national benefits overview lists required and commonly optional services. Check the New Hampshire Medicaid website for the current state-specific benefit package.
How to apply
Most people can apply online through New Hampshire's Medicaid portal, by phone, or in person at a local eligibility office. The how to apply page walks through each method, what documents you'll need, and what to expect during the review period.
Under 42 CFR 435.912, states must process most standard Medicaid applications within 45 days (90 days for disability-based applications). New Hampshire must follow that federal timeline.