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Medicaid Medical Eligibility Determination for Long Term Care
Individuals seeking Long Term Care services covered by the Medicaid Program, which include both nursing home care and Choices for Independence home and community based services, must meet specified medical and financial eligibility requirements. Medical eligibility is determined through an application and assessment process administered by the Bureau of Elderly and Adult Services (BEAS) in accordance with medical criteria established by law. Financial eligibility is determined by the Division of Family Assistance (DFA) in accordance with defined criteria for income and resources specific to the Medicaid Long Term Care Program. The Bureau of Elderly and Adult Services and the Division of Family Assistance work together to determine ultimate eligibility decisions.

How to apply

To apply for a Long Term Care eligibility, contact the nearest regional NH ServiceLink Resource Centers Adobe Acrobat Reader Symbol located throughout the state. The ServiceLink Long Term Care Counselors will assist can help the applicant to navigate through with the application process.

The Long Term Care application process includes:

1) Complete a DFA Form 800, Application for Assistance
2) Undergo a DFA interview
3) Undergo an a Medical Eligibility Determination Assessment

Additional information

Questions pertaining to these changes or the application process, or requests for further information can be submitted by e-mail to LTC@dhhs.state.nh.us. Voice messages can be left by phoning (603) 271-9088. BEAS will make every attempt to provide timely response to all inquiries.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852


copyright 2010. State of New Hampshire