MEAD and MOAD Eligibility
Medicaid for Employed Adults with Disabilities (MEAD) and Medicaid for Employed Older Adults with Disabilities (MOAD) provide Medicaid (medical assistance) to adults with disabilities who are working and have a higher income to remain financially eligible for Medicaid.
Medicaid for Employed Adults with Disabilities (MEAD) is for ages 18 through 64. Medicaid for Employed Older Adults with Disabilities (MOAD) is for age 65 or older. Both MEAD and MOAD provide Medicaid (medical assistance) to adults with disabilities who are working. MEAD and MOAD have higher income and resource limits. Some individuals who are eligible for MEAD may be required to pay a health insurance premium.
Requirements for MEAD and MOAD are found on the Program Fact Sheet.
Protected Earned Income Resource
A Protected Earned Income Account is a separate bank account containing a recipient's job earnings. The money in this account is counted as a resource while receiving MEAD or MOAD but is not counted when the recipient leaves the program 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 or MOAD, 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
People with In & Out eligibility may enroll in MEAD or MOAD if they meet the eligibility criteria. A monthly premium may apply.
Medicaid Waiver Services
There is no waiver "cost-of-care" payment if you are enrolled in MEAD or MOAD. A monthly premium may apply.
Unemployment Grace Period
There is a six-month grace period to remain in MEAD or MOAD 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.
Changes in income may affect other benefits, such as Social Security, Supplemental Nutrition Assistance Program (SNAP) and Housing Assistance.
Contacts To Get Information About How Work Impacts Benefits
- Benefits Planners at Area Agencies for Developmental Services or Community Mental Health Centers; and
- Community Work Incentives Coordinators at Granite State Independent Living (GSIL) may also be able to provide assistance and may be reached at 1-877-809-7028 V/TTY.
Where to apply or get more information
- To find out if you are eligible, visit NH EASY. NH EASY is an EASY, fast, and secure way to look at and manage your benefits online. You may apply for all types of assistance we offer, including cash, Supplemental Nutrition Assistance Program (SNAP) and child care.
- Family Services Specialist at your local District Office.
- DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. ET.
- MEAD premium questions? Call 603-271-6191.
Right to an Administrative Appeal Hearing
If you disagree with any decision made on your benefits, you may request an Administrative Appeals hearing. Follow the instructions on the Request Form.