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Medicaid for Employed Adults with Disabilities

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.

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Eligibility requirements:

  • Age Requirement: 18 through 64;
  • Employment Status: Employed or self-employed for pay;
  • Contributing to FICA or paying self-employment taxes;
  • Medical Criteria: Meets the blindness or disability criteria established by the State of NH;
  • Net Income limits (monthly): $4,684.00 (group size 1), $6,342.00 (group size 2) From 3-01-2019 to 2-28-2020; and
  • Countable Resources Limits: $29,254.00 (group size 1); $43,878.00 (group size 2) From 3-01-2019 to 2-28-2020.

Resources not counted include:

  • Retirement Accounts (spouse’s Retirement Accounts are counted);
  • MEAD Employability Accounts are accounts for purchasing certain goods and services not covered by Medicaid that assist their employability;
  • Medical Savings Accounts

MEAD Protected Earned Income Resource
A MEAD Protected Earned Income Account is a separate bank account containing a MEAD recipient's job earnings. The money in this account is counted as a resource while receiving MEAD but is not counted when the recipient leaves MEAD and is eligible for Medicaid under another eligibility category.

MEAD Premium Costs
Monthly premium costs begin when your monthly "net" income reaches over 150% of the Federal Poverty Level. Premiums are tiered to income levels. Premium payments are due the first day of each month. Health insurance and Medicare costs for you and members of your family may be subtracted from the premium cost.

Retroactive Medicaid Coverage
Retroactive Medicaid coverage may be requested for up to three months prior to your Medicaid application. If you were not working prior to your application for MEAD you may be eligible for retroactive coverage in another category of Medicaid. Premium costs for retroactive months along with first monthly premium payment is included in your first billing.

Medicaid In & Out Eligibility and MEAD
People with In & Out eligibility may enroll in MEAD if they meet the eligibility criteria. There is no "spend down" in MEAD. A monthly premium may apply.

Medicaid Waiver Services and MEAD
There is no waiver "cost-of-care" payment if you are enrolled in MEAD. A monthly premium may apply.

Unemployment Grace Period
There is a six-month grace period to remain in MEAD if you meet the criteria. An additional 6-month extension period may be granted if you meet the criteria.

Employer Health Insurance
State law requires the individual to be enrolled in employer-sponsored health insurance, if free of charge.

MEAD and Other Benefits
Changes in income may affect other benefits, such as Social Security, Food Stamps, & Housing Assistance.

Contacts To Get Information About How Work Impacts Benefits

  • Benefits Planners at Area Agencies for Developmental Services or Community Mental Health Center; and
  • Community Work Incentives Coordinators at Granite State Independent Living (GSIL) may also be able to provide assistance and may be reached at (877) 809-7028 V/TTY.

Where to apply and get more information:

  • Family Services Specialist at your local District Office;
  • Work Incentives Coordinator at Granite State Independent Living – (877) 809-7028 V/TTY; and
  • Medicaid Client Services provides assistance on Medicaid coverage questions – (800) 852-3345, ext. 4344.
  • MEAD premium questions please call (603) 271-6191

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New Hampshire Department of Health and Human Services
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