New Hampshire Medicaid Program Overview
Enrollment, funding, and managed care facts for New Hampshire Medicaid.
Get New Hampshire's Medicaid Fee Schedule →Enrollment
New Hampshire Medicaid covered approximately 0.17-0.20M people. Two independent sources give different-period figures for total New Hampshire Medicaid/CHIP enrollment: KFF's state indicator (168,682, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (199,513 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
New Hampshire has adopted ACA Medicaid expansion, effective 2014-08-15.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), New Hampshire's Federal Medical Assistance Percentage (FMAP) is 50%.
Delivery system & managed care
A large share of New Hampshire Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 91.1-92.5% of Medicaid enrollees.
Waivers
New Hampshire operates Medicaid managed care under the Granite Advantage Health Care Program, a Section 1115 demonstration waiver. Section 1115 demonstration authorizing New Hampshire's Medicaid expansion to low-income adults up to 138% FPL, delivered via managed care MCOs (AmeriHealth Caritas, New Hampshire Healthy Families, and Well Sense Health Plan). New Hampshire transitioned from a premium-assistance model (purchasing exchange plans) to standard Medicaid managed care in January 2019. A prior CMS authorization for work/community-engagement requirements was withdrawn by the Biden administration; as of this pass, the state legislature (SB 506-FN) noted it plans to implement new federally mandated community-engagement/work requirements (effective January 2027) via state plan amendment rather than renegotiating the 1115 waiver itself, since 2025 federal legislation allows that route.
Frequently Asked Questions
Get New Hampshire's Free Medicaid Fee Schedule
Request actual New Hampshire Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910), Table 1
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 6 (FMAPs and E-FMAPs by State, FYs 2023-2026)
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in New Hampshire
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- MACPAC - New Hampshire Waiver: Granite Advantage Health Care Program
- New Hampshire General Court - SB 506-FN bill text (Granite Advantage / Section 1115 waiver and community engagement requirements)
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.