NH Public Health Insurance Options
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Public Health Insurance in New Hampshire
The NH Healthy Kids program provides low-cost and free health coverage options for New Hampshire's uninsured
children and teens. New Hampshire Healthy Kids provides access to affordable, quality health and dental coverage to
uninsured children and teens in New Hampshire. For more information see the brochures on the right.
New Hampshire Medicaid is a federal and state funded program that serves individuals and families who meet financial
and other eligibility requirements. The New Hampshire state insurance program under Medicaid for children ages 0-19
is called Healthy Kids Gold. This program provides a full range of health and dental services to eligible children at no
cost to the family. Under Healthy Kids Gold a child will receive care from doctors, dentists and health care providers
who are contracted with the NH Department of Health and Human Services.
In order to be eligible for Healthy Kids Gold, a family must meet certain income and resource limits (see Income
Guidelines on right). However, NH Medicaid will also provide assistance if someone is medically eligible. The medical
eligibility determination is made by a team of professionals who review all medical records and other medical
documents related to the applicant’s condition.
Eligibilities
Home Care for Children with Severe Disabilities (HCCSD) (Often called “Katie Beckett”) is for children with severe
disabilities up to age 19 whose medical disability is so severe that they qualify under Social Security eligibility and for
institutional care, but who are being cared for at home. Only the income and resources of the child are counted towards
eligibility for this program.
Healthy Kids Gold for Adults ages 19-21 yrs Children with special medical needs may be eligible to continue
coverage through the Aid to the Permanently and Totally Disabled (APTD) or Aid to the Needy Blind (ANB) eligibilities
with the same benefits of Healthy Kids Gold until the age of 21.
Aid to the Needy Blind (ANB) a category of eligibility that requires an individual (child or adult) to be diagnosed as
legally blind. The visual acuity in the better eye can be no greater than 20/200.
Aid To The Permanently Disabled (APTD)
When a person turns 18 years old, Medicaid considers them an adult. Eligibility for Medicaid is based on income and
assets as well as medical condition. An adult applying for Medicaid must have a severe, impairing health condition that
has lasted and is expected to last for a minimum of 48 months (4 years) and have income levels at or below poverty
level with assets (savings account, trust etc) below $1,500. This Medicaid eligibility is called Aid to the Totally and
Permanently Disabled (APTD). If a person is working and their income is too high for this program, but they still qualify
medically, they may qualify for Medicaid for Employed Adults with Disabilities or MEAD.
Medicaid for Employed Adults with Disabilities (MEAD) provides Medicaid coverage to adults with disabilities who
are working and who would not otherwise be financially eligible for Medicaid. MEAD was designed to allow individuals
with disabilities to increase their working income and have higher resource limits.
The NH Healthy Kids program provides low-cost and free health coverage options for New Hampshire's uninsured
children and teens. New Hampshire Healthy Kids provides access to affordable, quality health and dental coverage to
uninsured children and teens in New Hampshire. For more information see the brochures on the right.
New Hampshire Medicaid is a federal and state funded program that serves individuals and families who meet financial
and other eligibility requirements. The New Hampshire state insurance program under Medicaid for children ages 0-19
is called Healthy Kids Gold. This program provides a full range of health and dental services to eligible children at no
cost to the family. Under Healthy Kids Gold a child will receive care from doctors, dentists and health care providers
who are contracted with the NH Department of Health and Human Services.
In order to be eligible for Healthy Kids Gold, a family must meet certain income and resource limits (see Income
Guidelines on right). However, NH Medicaid will also provide assistance if someone is medically eligible. The medical
eligibility determination is made by a team of professionals who review all medical records and other medical
documents related to the applicant’s condition.
Eligibilities
Home Care for Children with Severe Disabilities (HCCSD) (Often called “Katie Beckett”) is for children with severe
disabilities up to age 19 whose medical disability is so severe that they qualify under Social Security eligibility and for
institutional care, but who are being cared for at home. Only the income and resources of the child are counted towards
eligibility for this program.
Healthy Kids Gold for Adults ages 19-21 yrs Children with special medical needs may be eligible to continue
coverage through the Aid to the Permanently and Totally Disabled (APTD) or Aid to the Needy Blind (ANB) eligibilities
with the same benefits of Healthy Kids Gold until the age of 21.
Aid to the Needy Blind (ANB) a category of eligibility that requires an individual (child or adult) to be diagnosed as
legally blind. The visual acuity in the better eye can be no greater than 20/200.
Aid To The Permanently Disabled (APTD)
When a person turns 18 years old, Medicaid considers them an adult. Eligibility for Medicaid is based on income and
assets as well as medical condition. An adult applying for Medicaid must have a severe, impairing health condition that
has lasted and is expected to last for a minimum of 48 months (4 years) and have income levels at or below poverty
level with assets (savings account, trust etc) below $1,500. This Medicaid eligibility is called Aid to the Totally and
Permanently Disabled (APTD). If a person is working and their income is too high for this program, but they still qualify
medically, they may qualify for Medicaid for Employed Adults with Disabilities or MEAD.
Medicaid for Employed Adults with Disabilities (MEAD) provides Medicaid coverage to adults with disabilities who
are working and who would not otherwise be financially eligible for Medicaid. MEAD was designed to allow individuals
with disabilities to increase their working income and have higher resource limits.
| 2011 Income Guidelines |
| NH DHHS specific resource requirements for various programs 1/2012 |
Applying for NH Medicaid
The NHDHHS, Division of Family Assistance administers programs and services for eligible NH residents by
providing financial, medical, food & nutritional assistance, help with child care costs and emergency help to obtain and
keep safe housing. Family Assistance staff determines initial and continuing eligibility, the amount of benefits and
deliver benefits using federal and NH guidelines and policies. Application can be done at field offices called District
Offices (DO'S).
The Division of Family Assistance recently launched NH EASY, New Hampshire's Electronic Application System.
Learn how to apply for assistance, check eligibility, track your application status and more by visiting the NH EASY
web page.
The NHDHHS, Division of Family Assistance administers programs and services for eligible NH residents by
providing financial, medical, food & nutritional assistance, help with child care costs and emergency help to obtain and
keep safe housing. Family Assistance staff determines initial and continuing eligibility, the amount of benefits and
deliver benefits using federal and NH guidelines and policies. Application can be done at field offices called District
Offices (DO'S).
The Division of Family Assistance recently launched NH EASY, New Hampshire's Electronic Application System.
Learn how to apply for assistance, check eligibility, track your application status and more by visiting the NH EASY
web page.
| Medicaid Expansion Under Affordable Care Act Under the new health care reform law, Medicaid will cover more people who are low-income, disabled, or elderly. Click this video to learn more. |
| Medicaid Works: A Review of How Public Insurance Protects the Health and Finances of Children and Other Vulnerable Populations |
This report briefly reviews the
evidence about the effective-
ness of Medicaid and the
Children’s Health Insurance
Program (CHIP) in addressing
the health and financial needs
of vulnerable Americans,
including children and other
vulnerable populations, including
low-income parents, pregnant
women, seniors and people with
disabilities.
evidence about the effective-
ness of Medicaid and the
Children’s Health Insurance
Program (CHIP) in addressing
the health and financial needs
of vulnerable Americans,
including children and other
vulnerable populations, including
low-income parents, pregnant
women, seniors and people with
disabilities.
| Health Disparities Chart Book on Disability and Racial and Ethnic Status in the United States By NH Institute on Disabilities |
Resources
Catalyst Center - Medicaid Tutorial
The Catalyst Center has a new tutorial about Medicaid and the
Children's Health Insurance Program (CHIP). Learn about public
health programs, why they are important for CYSHN, eligibility
changes under health reform, and partnerships to improve
services in this new tutorial on Medicaid/CHIP
The Catalyst Center has a new tutorial about Medicaid and the
Children's Health Insurance Program (CHIP). Learn about public
health programs, why they are important for CYSHN, eligibility
changes under health reform, and partnerships to improve
services in this new tutorial on Medicaid/CHIP
Kaiser Family Foundation - A Guide to the Medicaid Appeals
Process
This background brief provides a comprehensive look at the appeals process
for the Medicaid program, which differs significantly from those available
through the Medicare program and private health insurance. The Medicaid
appeals process provides redress for individual applicants and beneficiaries
seeking eligibility for the program or coverage of prescribed services, but the
process is multi-layered and can be complex to navigate. The guide describes
Medicaid's appeals system, including the fair hearing process and the appeals
process required for Medicaid managed care organizations. As coverage
expands under health reform and efforts proceed to integrate services for
dual eligibles, who are enrolled in both Medicare and Medicaid, protections
through the appeals process will be increasingly important.
Process
This background brief provides a comprehensive look at the appeals process
for the Medicaid program, which differs significantly from those available
through the Medicare program and private health insurance. The Medicaid
appeals process provides redress for individual applicants and beneficiaries
seeking eligibility for the program or coverage of prescribed services, but the
process is multi-layered and can be complex to navigate. The guide describes
Medicaid's appeals system, including the fair hearing process and the appeals
process required for Medicaid managed care organizations. As coverage
expands under health reform and efforts proceed to integrate services for
dual eligibles, who are enrolled in both Medicare and Medicaid, protections
through the appeals process will be increasingly important.