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Upcoming changes to Medicaid may impact access to care for Granite Staters in the coming months and years. The recently passed federal budget reconciliation bill includes drastic cuts to Medicaid, with nearly $1 trillion in spending reductions over the next ten years. Additionally, this legislation includes several new Medicaid policies to be implemented in the coming years, including establishing work requirements for Medicaid enrollees, requiring cost-sharing for enrollees of expansion programs, mandating twice-yearly eligibility review, and shortening the retroactive coverage window for new enrollees to 30 days. Further, the 2026-2027 NH State Budget includes similar changes to Medicaid, with new premiums, increased cost-sharing, and work requirements.
Though some provisions of the federal budget reconciliation bill take effect upon passage, the implementation of other policies may not occur for 2-4 years. New Hampshire’s Medicaid premiums are set to begin in July 2026, and though the state budget requires NH DHHS to submit a waiver to implement work requirements by January 2026, it is unclear when those requirements would come into effect. These changes, combined with the lack of clarity surrounding implementation timelines, have the potential to make it more difficult for Medicaid enrollees in New Hampshire to maintain coverage and access care – which is why it’s crucial to stay up to date and reach out with any questions you may have.
The NH Medicaid Matters Coalition has created a timeline to make it easier for NH Medicaid enrollees to understand upcoming changes to Medicaid and which populations will be impacted. You can view the timeline below, and click here to learn more from NH Medicaid Matters.
If you are already covered by Medicaid and have questions about your coverage, you can contact the number on the back of your Medicaid/insurance card.
Not sure if you have Medicaid? In New Hampshire, three managed care organizations provide healthcare coverage to individuals enrolled in the Medicaid program:
You can also contact the 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.
Interested in applying for Medicaid? To find out if you or your child are eligible for NH Medicaid, visit NH EASY.
NAMI NH’s Information & Resource Line can connect you with resources and support across the Granite State. Contact info@naminh.org or 1-800-242-6264 (press 4) to leave a confidential message.
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