New Hampshire Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Please contact TurningPoint phone at 1-855- 909-6222 or by fax at 1-603-836-8903. Dental services are not administered by NH Healthy Families. Non-participating providers must submit Prior Authorization for all services.

They must have limited income, limited assets, and a medical need for care. In 2023, a single individual applying for Nursing Home Medicaid in NH must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,500 3) Require the level of care provided in a nursing home facility.

NH Healthy Families provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services NH Healthy Families offers. Need help understanding these benefits and services? Call us at 1-866-769-3085 (TDD/TTY 1-855-742-0123).

NH Medicaid (Medical Assistance) is a federal and state funded health care program that serves a wide range of individuals and families who meet certain eligibility requirements.

Requests for services from a provider, facility, or vendor that is not in the NH Healthy Families network need to be approved by getting a prior authorization. Your healthcare provider can tell you if a medical service or prescription needs prior authorization.

Hospital presumptive eligibility (PE) is a policy option that allows hospitals to provide temporary Medicaid coverage to individuals likely to qualify for Medicaid.

NH Medicaid (Medical Assistance) Eligibility infants and children under the age of 19. pregnant women. parents/caretaker relatives. former foster care children. individuals age 19 and under 65 (Granite Advantage Health Care Program) family planning expansion category (limited coverage) individuals with blindness. refugees.

Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)4$39,9005$46,7376$53,5737$60,4094 more rows

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New Hampshire Application for Presumptive Eligibility for Medicaid