New Hampshire Medicaid redetermination and renewals
Everyone enrolled in New Hampshire Medicaid must have their eligibility redetermined once every 12 months. And starting in 2027, adults who are covered under New Hampshire’s Medicaid expansion will have their eligibility redetermined every six months, due to changes in federal law. Learn how Medicaid eligibility redeterminations in New Hampshire may impact you and your family. We can help you stay covered.
How does Medicaid eligibility redetermination work in New Hampshire?
As is the case nationwide, New Hampshire Medicaid is required to redetermine each enrollee’s eligibility annually. And adults who are covered under Medicaid expansion will have their eligibility redetermined twice a year starting in 2027.1
If you’re no longer eligible, or if you fail to respond to a request for more information during the eligibility redetermination process, your coverage will be terminated instead of being renewed.
Under federal rules, states are required to attempt to automatically renew an enrollee’s Medicaid coverage using data the state already has on file. (This is called an ex parte renewal.)2 If the state doesn’t have enough information to determine whether the person is still eligible, a renewal notice is sent to the enrollee, requesting the additional information that’s needed.
Of the people whose New Hampshire Medicaid coverage was renewed in late 2024 and early 2025, about 85% were renewed on an ex parte basis,3 meaning the enrollee didn’t have to provide any additional information, and their coverage was automatically renewed.
But if the state can’t automatically renew your coverage, you’ll receive a yellow notice in the mail. If you don’t provide the requested information by the indicated deadline, your coverage will end.
How complete a renewal to keep your Medicaid coverage in New Hampshire
- Keep an eye on your mailbox – If New Hampshire Medicaid can’t automatically renew your coverage, you’ll receive a yellow notice indicating what information is needed, the documentation you’ll need to provide, and the deadline.
- Sign up for a NH Easy account – The NH Easy Gateway to Services is New Hampshire’s electronic application system. If you’re required to submit documentation to verify your Medicaid eligibility, you can upload the documents via the NH Easy site. The NH Easy site also allows you to check your eligibility and track your application status. In addition to Medicaid, you can also use the online system to apply for programs such as the Supplemental Nutrition Assistance Program (SNAP) and child care assistance.
- Provide requested verifications – DHHS may want more information about your income and resources, and residency – the main criteria New Hampshire uses to determine Medicaid eligibility. Respond right away to any requests for information, whether they come in the mail or to your NH Easy account.
- Appeal the decision, if necessary – You can appeal the decision to end your Medicaid coverage if you believe you still qualify for coverage. You need to file the appeal within 30 days of the date printed on the notice of decision you get.
No longer eligible to renew Medicaid in New Hampshire? You have options for health insurance in NH.
Get coverage through your job
You may be able to get health insurance through your employer, or through the employer of your spouse or parent (until you’re 26). The termination of your Medicaid will trigger a special enrollment window for employer-sponsored coverage. But don’t wait to act – that window only lasts for 60 days for people who have lost Medicaid coverage.
A New Hampshire marketplace plan
If your Medicaid ends, you can transition to a plan offered through the New Hampshire health insurance Marketplace. Marketplace plans include essential benefits required by the Affordable Care Act (ACA). You qualify for a special enrollment period for these plans when you lose Medicaid coverage. You may even qualify for financial assistance to help cover the cost of marketplace coverage.
See if you qualify for financial help
If you are eligible for employer coverage, but you can’t afford it, see if you qualify for financial help. Use our Employer Health Plan Affordability Calculator to see your potential savings on an ACA Marketplace plan.
Are you eligible for Medicare?
If you are aged 65 or older, you may qualify for Medicare, a federal health insurance program. Medicare also covers some people younger than 65 who have permanent disabilities like end-stage renal disease (ESRD) or Lou Gehrig’s disease (ALS). If you’re eligible for Medicare but hadn’t enrolled because you had Medicaid, you’ll have a special enrollment period to transition to Medicare when your Medicaid ends.
Frequently Asked Questions about New Hampshire Medicaid redeterminations and renewals
When might I lose Medicaid coverage?
If you receive a yellow notice from New Hampshire Medicaid indicating that your eligibility is being redetermined, it will include a response deadline. This is the date that your coverage will end if you don’t respond or if the state receives your information and determines that you no longer meet the eligibility rules for Medicaid.
How can I determine if I'm still eligible for Medicaid coverage in New Hampshire
If you are mailed a yellow notice from the New Hampshire Department of Health and Human Services (DHHS), respond right away. You can complete your redetermination by mail or online through the NH Easy Gateway to Services. If you don’t already have an NH Easy account, you can create one online at nheasy.nh.gov. Once you have an account, you can upload verifications and other information you have been asked to provide.
Resources:
- Send requested verifications: Centralized Scanning Unit, PO Box 181, Concord, NH 03302.
- Find a local office: Visit the DHHS website.
- For additional help: DHHS Customer Service Center (1-844-275-3447)
Footnotes
- “Implementation of Eligibility Redeterminations,” Section 71107 of the “Working Families Tax Cut” Legislation (Public Law 119-21)” Centers for Medicare & Medicaid Services. Mar. 6, 2026 ⤶
- “Basic Requirements for Conducting Ex Parte Renewals of Medicaid and CHIP Eligibility” Centers for Medicare & Medicaid Services. Nov. 26, 2024 ⤶
- “DHHS Medicaid Enrollment and Eligibility, MCAC Discussion, November 2024 Report” New Hampshire Department of Health & Human Services. Accessed Mar. 29, 2026 ⤶
