New Hampshire Medicaid Statistics

Enrollment

  • From 2006 to 2007, 16%of low-income women were enrolled in the New Hampshire Medicaid.
  • In 2012, 10% of New Hampshire Medicaid enrollees were elderly.

Costs Covered

  • Total Medicaid spending for New Hampshire in 2012 was $1 billion.
  • 43% of Medicaid spending for New Hampshire in 2011 went toward individuals with disabilities.
  • 24% of Medicaid spending for New Hampshire in 2011 went toward seniors over the age of 65.

CHIP

  • In September 2012, 27% of children in New Hampshire were enrolled in Medicaid.

Conditions

  • 40 percent of New Hampshire pregnancies were unintended in 2008.

Medicaid Expansion

  • An estimated 35,000 New Hampshire residents have access to Medicaid with the expansion.
  1. What is Medicaid?

Medicaid is a joint national and state-wide program that provides healthcare coverage to millions of Americans with low income. Those who are eligible must also meet other criteria in order to enroll. For example, pregnant women, elderly individuals, a parent or caretaker of a dependent child, women with breast cancer or cervical cancer may also qualify. More than 60 million people in the United States are currently enrolled in Medicaid.

The Children’s Health Insurance Program (CHIP) is an extension of this program, offering insurance to children under the age of 19. CHIP provides coverage that includes dental care, vision care, routine checkups, doctor office visits, prescribed medicine and more. In June 2013, almost six million children in the country were enrolled in CHIP.

Since 2014, Medicaid coverage has also been expanded in 28 states, thanks to the Affordable Care Act. Because of this provision, various states now offer greater access and health benefits to a number of people who were uninsured before. The federal government covers all the costs related to this expansion, but in a few years they will reduce their coverage to 90 percent. States will be responsible for the remaining portion. You can learn more by visiting the official Medicaid website.

  • How do I apply for Medicaid in New Hampshire?

The New Hampshire Department of Health and Human Services government website allows individuals to apply for Medicaid in one of several ways. As you review how to apply for Medicaid, it is worth noting that completing a Medicaid application online through the NH Easy government website is a popular choice. Once there, you will first need to create an account prior to completing an online application.

You can also print an application and mail it to a local NH Medicaid office. Keep in mind that you will need to fill out the Application for Health Coverage and Help Paying Costs. New Hampshire has 11 district offices you have the option of sending your application to: Claremont, Concord, Keene, Conway, Berlin, Laconia, Manchester, Littleton, Rochester, Southern District and Seacoast.

If you would prefer to speak to an NH Medicaid specialist in person, you can bring your application with you to a local Medicaid office and a customer service representative will guide you through the process. They will go over the eligibility requirements with you and ask you about your current financial situation. Make sure to have available any necessary documentation upon your visit.

New Hampshire Medicaid also allows potential enrollees to submit a Medicaid application via fax. Simply send it to 603-271-8604. After a sufficient amount of time has passed, you can inquire about the status of your application by calling 1-800-852-3345, extension 9700.

  • What does New Hampshire Medicaid cover?

Individuals who are enrolled in Medicaid in NH can take advantage of a multitude of medical benefits and services, depending on the type of plan they have. Although the amount, duration and other factors of each plan vary, Medicaid provides the following mandatory benefits: home health services, physician services, laboratory testing, X-ray services, inpatient hospital services, outpatient hospital services, family planning services, transportation to medical facilities, counseling for pregnant women to quit smoking, freestanding birth center services, certified pediatric and family nurse practitioner services, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT).

In addition to the aforementioned list, the state of New Hampshire may also offer these benefits: case management, podiatry services, speech services, hearing services, language disorder services, clinic services, prescription medicine, hospice, personal care, dental services, prosthetics, respiratory care services, private duty nursing services, occupational therapy, physical therapy, chiropractic services, self-directed personal assistance services, eyeglasses and dentures.

Although dental services may be an optional benefit for adults, depending on the plan you have, it is part of a full list of services with the Children’s Health Insurance Program (CHIP). At a minimum, dental care for children includes the following: teeth restoration, dental health care, pain relief, infections relief and dental examinations.

  • Who is eligible for Medicaid in New Hampshire?

The state of New Hampshire looks at two different sets of criteria to determine who is eligible for NH Medicaid: financial requirements and general requirements. When it comes to financial requirements, New Hampshire Medicaid looks at whether or not an individual or family has low income. This may include potential income, as well as household income.

Review the 2015 New Hampshire Medicaid income requirements below:

  • 1 person = $11,770
  • 2 family members = $15,930
  • 3 family members = $20,090
  • 4 family members = $24,250
  • 5 family members = $28,410
  • 6 family members = $32,570
  • 7 family members = $36,730
  • 8 family members = $40,890
  • Add $4,160 for each additional person for families with more than eight family members.

General eligibility requirements may consist of the following:

  • You are either a United States citizen or legal qualified immigrant.
  • You are a resident of New Hampshire.
  • You fall within a certain age group.
  • You can provide proof of your Social Security Number.

Additionally, the following medical requirements will also determine your eligibility:

  • You are a senior over the age of 65.
  • You are a pregnant woman.
  • You are a woman with cervical cancer.
  • You are a woman with breast cancer.
  • You are the parent of a child who resides in your home.
  • You are the caretaker of a child who resides in your home.
  • You are a blind individual.
  • You have a disability.

Should you be considered eligible to apply for New Hampshire Medicaid, you will then receive a written letter stating so. A professional Medical representative will be able to assist you in exploring your plan benefits once you are enrolled in Medicaid. 

  • What is the Medicaid expansion? Did my state accept the Medicaid expansion?

The Affordable Care Act made it possible for Medicaid to have extended coverage in 28 states across the country. With this type of expansion, millions of individuals who were previously uninsured now are eligible for Medicaid. Although there are currently 19 states that have chosen not to implement expanded Medicaid, New Hampshire is not one of them. New Hampshire’s expanded coverage has allowed an estimated 35,000 individuals to sign up for a Medicaid plan.

Other states that have gotten on board with Medicaid expansion include New York, Vermont, Washington, Arkansas, California, Arizona, Delaware, Hawaii, Minnesota, Michigan, Iowa, Kentucky, West Virginia, Rhode Island, Massachusetts, Maryland, New Mexico, Pennsylvania, Connecticut, Colorado, Oregon, Ohio and more. The four states that are currently considering expansion are Utah, Tennessee, Indiana and Wyoming.

A total of roughly four million Americans are part of what is known as the “coverage gap,” due to the fact that 19 states have chosen not to expand their Medicaid program. For example, in North Carolina alone, 357,000 individuals fall under this coverage gap, and in Georgia an estimated 282,000 do. 49 percent of those in the coverage gap are female, and 51 percent are male. Additionally, 76 percent are adults without children and 24 percent are parents.

  • How do I contact New Hampshire Medicaid?

If you decide you would like to enroll in Medicaid in NH, you can call the New Hampshire Department of Health and Human Services Medicaid phone number at 1-800-852-3345, extension 9700 for further assistance. You can also speak to a Medicaid representative over the phone to inquire about changing your plan benefits or to get specifics about assistance for a medical need. To send your query or request via mail, you can write to the New Hampshire Department of Health and Human Services at the following address:

129 Pleasant Street
Concord, NH 03301-3852

The NHDHHS website has 12 different District Offices you can get reach out to in person for further information. Visit the District Offices page to get contact details about each location, such as their physical address, toll-free phone number, local phone number, fax number and even driving directions.

If you would like to reach New Hampshire Medicaid by fax, send your written letter or document to 603-271-8604. Each District Office also has their own fax number for your perusal. Additionally, it is also important to note that if you are in the process of filling out an application, you will be able to find several forms in three languages on the New Hampshire Department of Health and Human Services website: English, Spanish and Nepali.

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