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New Hampshire Medicaid Application Guide

New Hampshire Medicaid · 800MA

Content verified 2026-07-17T00:00:00.000Z

Program overview

New Hampshire 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. The program works to ensure that eligible adults and children have access to needed health care services by enrolling and paying providers to deliver covered services to eligible recipients.

Specific income and resource limits are used to determine eligibility for each Medicaid group. While non-financial information is generally the same for each Medicaid group, there are some differences – for example, an application for services under the Aid to the Needy Blind eligibility group requires an individual to have a medical necessity determination of legally blind, while an application for services for seniors has no medical necessity requirement, but does have an age requirement.

NH Medicaid provides payment for health care services ranging from routine preventive medical care for children to institutional care for the elderly and includes comprehensive benefits such as doctor visits, hospitalization, prescription drugs, mental health services, dental care, vision care, and long-term care services.

The application process is streamlined through NH EASY at https://nheasy.nh.gov, where you can apply online or download forms to complete by mail. If you only want to apply for Medicaid, or for other insurance affordability programs available through the Marketplace, complete and submit the Application for Health Coverage & Help Paying Costs (Form 800MA). For assistance, call the DHHS Customer Service Center at 1-844-ASK-DHHS (1-844-275-3447).

Main application form

Application for Health Coverage & Help Paying Costs

Form 800MA

Additional forms

  • Application for Assistance · 800

    General assistance application for cash, SNAP, child care assistance and Medicaid

Where to submit

Applications can be submitted online at nheasy.nh.gov, mailed to your local DHHS District Office, or faxed to (603) 271-8604. The central mailing address is Central Scanning Unit, P.O. Box 181, Concord, NH 03302.

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New Hampshire Medicaid provides comprehensive health coverage for eligible residents and families. The program covers everything from routine medical care to long-term care services. To apply, you can use the streamlined NH EASY online portal at nheasy.nh.gov or complete Form 800MA for health coverage applications. The main application is the Application for Health Coverage and Help Paying Costs, form number 800MA. You'll need documents like Social Security cards, proof of income, bank statements, and immigration status if applicable. Applications can be submitted online, by mail to your local district office, or faxed. For assistance with your application, call the DHHS Customer Service Center at 1-844-ASK-DHHS. Income and resource limits determine eligibility, and the program serves a wide range of individuals and families who meet requirements.

Official resources

Related guides

Frequently asked questions

How do I apply for New Hampshire Medicaid in New Hampshire?

To apply for New Hampshire Medicaid in New Hampshire, complete Application for Health Coverage & Help Paying Costs (800MA), then submit it to Applications can be submitted online at nheasy.nh.gov, mailed to your local DHHS District Office, or faxed to (603) 271-8604. The central mailing address is Central Scanning Unit, P.O. Box 181, Concord, NH 03302..

What documents do I need to apply for New Hampshire Medicaid in New Hampshire?

You typically need to provide: Social Security cards for all applicants, Birth certificates for all family members, Proof of income (pay stubs, employment letters, benefit statements), Bank statements for all accounts, Immigration status documents (if applicable), Health insurance cards or coverage information, Medical bills and expenses, Rent receipts or mortgage statements, Utility bills, Vehicle registration and titles, Tax returns or tax documents, Disability determination letters (if applicable).

Where do I submit my New Hampshire Medicaid application in New Hampshire?

Submit your completed New Hampshire Medicaid application to Applications can be submitted online at nheasy.nh.gov, mailed to your local DHHS District Office, or faxed to (603) 271-8604. The central mailing address is Central Scanning Unit, P.O. Box 181, Concord, NH 03302..

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.