Regular Medicaid Eligibility Operations Resume

Information and resources on Medicaid redeterminations and other health coverage options.

Medicaid Unwinding Data

Individuals received Medicaid coverage continuously during the COVID-19 federal public health emergency (PHE), even if they did not complete a redetermination of eligibility when it was due, or provide DHHS with requested information. Continuous coverage ended on March 31, 2023. 

 

What does this mean?

Medicaid recipients must now complete an annual redetermination or respond to Department requests for information about eligibility status to see if they are still eligible for Medicaid coverage. 

Individuals will receive a yellow notice in the mail or in their NH EASY accounts when it is time to complete their redetermination. They should follow the instructions included in the notice and complete a redetermination and/or provide the requested verifications. This is necessary to determine if individuals are still eligible for, and will be able to keep, their Medicaid coverage. Once the Department has determined eligibility for Medicaid coverage, individuals will receive a Notice of Decision on white paper.

Information Icon

Blue to Renew

Blue to Renew

Individuals whose Medicaid coverage ended for failing to complete a redetermination or to provide information requested by DHHS will receive a blue renewal reminder. Individuals can complete their redetermination or submit their missing information within 90 days to have their Medicaid re-opened with no break in coverage. 

 

Go to NH Easy to Check Your Medicaid Coverage
Information for Providers
Screenshot of Medicaid Unwind ASL Video

Medicaid Redeterminations: What You Need to Know (American Sign Language)

Length: 2:11 | Transcript: Medicaid Redeterminations: What You Need to Know (American Sign Language)

Pathways to Other Health Coverage

Individuals who are no longer eligible for Medicaid can explore other health coverage options, including:

  • Coverage through an employer
  • Coverage on a parent’s health plan (young adults up to age 26)
  • Coverage through the federal Marketplace (healthcare.gov)
  • For individuals in the military: Tricare or VA
Consumer Advisory: Watch for Medicaid Scams

Special Enrollment Periods

  • If you become ineligible for Medicaid coverage on or after April 1, 2023, and need to transition to other health coverage, you can enroll in Marketplace coverage outside of the annual open enrollment period. Read more about this temporary Special Enrollment Period from the Centers for Medicare and Medicaid Services (CMS).
     
  • If you are age 65 or older and lost your Medicaid coverage in 2023, you may be eligible for a six-month Special Enrollment Period (SEP) to allow you time to enroll in Medicare and avoid a monthly late enrollment penalty fee. For more information, please contact Servicelink at 1-866-634-9412 or visit www.servicelink.nh.gov for a free consultation. See the presentation from DHHS leadership for more information.

 

New Hampshire’s Navigators
 

NH Navigator logo

The NH Navigator is a grant-funded program that provides free health coverage enrollment assistance to people who are uninsured. Our certified Navigators help consumers enroll in qualified health plans through the Health Insurance Marketplace or, if eligible, Medicaid.  

For more information, call 1-877-211-NAVI or 603-931-3858, or go to acanavigator.com/nh/

 

HMC logo

HMC runs a federally funded program to provide no-cost, unbiased Marketplace health insurance assistance to New Hampshire residents. 

For more information, call 1-800-208-5164 or 603-309-2021; or visit hmcnh.com

Individuals can also visit the Federal Health Insurance Marketplace at healthcare.gov, or call the Marketplace Call Center at 1-800-318-2596 (TTY: 1-855-889-4325). 

 

Additional Resources

 

Need Help?

Contact the DHHS Customer Service Center toll-free at 1-844-ASK-DHHS and select option #3 (1-844-275-3447), Monday-Friday, 9:00 a.m. to 4:00 p.m. ET. (TDD: 1-800-735-2964)
 

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