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Medicaid Coverage Policies for New Hampshire

New Hampshire's Department of Health and Human Services (DHHS) administers the state's Medicaid program that provides health care services to needy individuals and families who satisfy certain eligibility requirements. New Hampshire has established three sets of eligibility requirements -- general, financial and medical -- to determine eligibility for the state's Medicaid program.

  1. General Requirements

    • As a preliminary matter, DHHS requires that in order to qualify for Medicaid, the applicant must either be a United States citizen or a qualified alien. The applicant must be a New Hampshire resident, although there is no requirement to reside in the state for any specified period of time. A Social Security number must be provided to receive assistance under most of the state's Medicaid programs.

    Financial Requirements: Income

    • New Hampshire looks to income and resources when making an eligibility determination for Medicaid. As of January 1, 2010, an individual with a household monthly income of $591 or less per month was eligible for Medicaid; a family of two was subject to an income cutoff of $675 per month to be eligible. DHHS provides that Medicaid applicant's should be prepared to explore all potential sources of income, including Social Security benefits and/or retirement benefits, including pensions.

    Financial Requirements: Resources

    • In addition to income, certain Medicaid programs also look to the applicant's resources, including cash, stocks, bonds and unoccupied real estate. Certain resources, however, are not included, such as the applicant's primary residence, the value of the furniture in the home and certain vehicles.

    Medical Requirements

    • DHHS provides that, in addition to general and financial qualifications, certain Medicaid benefits require an assessment of the applicant's medical condition. A medical review team comprised of medical doctors, psychiatrists, clinical psychologists and nurses review an applicant's medical records and documentation to determine Medicaid eligibility on a case-by-case basis.

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