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NH Department of Health and Human Services (HHS) Bureau of Family Assistance (BFA)www.dhhs.nh.govBFA Form 800 rev 08/23APPLICATION FOR ASSISTANCE Welcome to the Department of Health & Human Services.
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False FAQ
Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows
In 2023, the Medically Needy Income Limit (MNIL), also called a Protected Income Level (PIL), is $591 / month for an individual and $675 / month for a couple.
In 2023, the Medically Needy Income Limit (MNIL), also called a Protected Income Level (PIL), is $591 / month for an individual and $675 / month for a couple.
Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)4$39,9005$46,7376$53,5737$60,4094 more rows
Proof of all sources of income for everyone living in the household (ex. pay stubs for the last 30 days, unemployment letter, court order [or letter from Family Court] verifying amount of child support, income tax return for self-employed persons only, social security, disability, pension).
Plan Options Household Size100%150%2$16,240$24,3603$20,420$30,6304$24,600$36,9005$28,780$43,1705 more rows
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.
NH Healthy Families provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services NH Healthy Families offers. Need help understanding these benefits and services? Call us at 1-866-769-3085 (TDD/TTY 1-855-742-0123).
Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows
In 2023, the Medically Needy Income Limit (MNIL), also called a Protected Income Level (PIL), is $591 / month for an individual and $675 / month for a couple.
In 2023, the Medically Needy Income Limit (MNIL), also called a Protected Income Level (PIL), is $591 / month for an individual and $675 / month for a couple.
Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)4$39,9005$46,7376$53,5737$60,4094 more rows
Proof of all sources of income for everyone living in the household (ex. pay stubs for the last 30 days, unemployment letter, court order [or letter from Family Court] verifying amount of child support, income tax return for self-employed persons only, social security, disability, pension).
Plan Options Household Size100%150%2$16,240$24,3603$20,420$30,6304$24,600$36,9005$28,780$43,1705 more rows
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.
NH Healthy Families provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services NH Healthy Families offers. Need help understanding these benefits and services? Call us at 1-866-769-3085 (TDD/TTY 1-855-742-0123).
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BFA Form 800 Application for Assistance | New...
BFA Form 800 Application for Assistance ... Portable Document Format (.pdf) . Visit nh.gov...
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