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  • Nh Dfa Form 778 2023

Get Nh Dfa Form 778 2023-2025

NH Department of Health and Human Services (DHHS) Bureau of Family Assistance (BFA)BFA Form 778 Rev 09/23AUTHORIZED REPRESENTATIVE (AR) DECLARATION You may choose an Authorized Representative (AR).

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Plan Options Household Size100%150% 2 $16,240 $24,360 3 $20,420 $30,630 4 $24,600 $36,900 5 $28,780 $43,1705 more rows

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.

Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year) 5 $48,652 6 $55,807 7 $62,963 8 $70,1184 more rows

Someone who you choose to act on your behalf with the Marketplace, like a family member or other trusted person.

The asset limits for the Medically Needy Pathway are $2,500 for an individual and $4,000 for a couple. 2) Asset Spend Down – Seniors who have assets over Medicaid's limit can “spend down” countable assets on non-countable ones to become asset-eligible.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232