Medicaid Work Requirements in New Hampshire
New Hampshire starts January 1, 2027 for new applicants and at each Granite Advantage member's first 2027 redetermination. A 2026 state law requires documents as proof, does not allow self-attestation, and calls for checks at least every quarter.
Check your situation in New Hampshire
When it starts in New Hampshire
- March 27, 2026: SB 134 became law (Chapter 18, 2026). It puts the federal requirement into state law.
- January 1, 2027: new applicants must show compliance in the month before applying.
- First 2027 redetermination: current Granite Advantage members are checked.
Who has to meet it
The rule applies to people ages 19 to 64 in Granite Advantage (the adult expansion group), unless they are pregnant, have Medicare, or are exempt. You meet it in a month with 80 hours of work, community service, a work program, or school (in any mix), by going to school at least half-time, or with at least $580 in monthly income.
You are exempt if, for example, you care for a child 13 or younger or a person with a disability, are pregnant or postpartum, are American Indian or Alaska Native, are medically frail, are a veteran with a total (100%) VA disability rating or TDIU, were in foster care at 18 and are under 26, are in drug or alcohol treatment, meet SNAP or TANF work rules, or left jail or prison in the last 3 months. See the full exemption list.
Court ruling, October 29, 2026. In Massachusetts v. Oz, a federal court struck down the CMS rule's extra "significantly impairs" test for the medically frail exemption. If you are in any of the five medically frail groups in the law, you qualify. The January 1, 2027 start date did not change, and CMS may appeal. What the ruling means.
How New Hampshire checks and how to report
Months checked: Applicants: the month before applying. Members: at redetermination, and at least quarterly in between, under state law.
DHHS describes reporting through the NH EASY online portal, by phone, in person, by mail, or by fax. News reports in July 2026 said the reporting system was still being finished.
Other things to know in New Hampshire
- The state said 47,571 Granite Advantage members will be subject at their first 2027 redetermination (NHPR, July 2026).
- Older pages about the 2019 Granite Advantage 100-hour rule are out of date. That rule is not in effect.
Official tools and contacts
- Report and upload: NH EASY
- NH DHHS: 1-844-275-3447
- NH DHHS: Medicaid work requirements – what you need to know
- Agency: New Hampshire Department of Health and Human Services (DHHS)
Federal protections that apply in New Hampshire
- The state must check its own records before asking you for proof.
- If it can't confirm you meet the rule, you get a notice and at least 30 days to respond, and your coverage continues meanwhile.
- You get written notice and the right to a fair hearing before coverage ends, and you can reapply at any time.
- If you lose Medicaid for not meeting the rule, you cannot get marketplace premium tax credits for those months. Learn more.
Frequently asked questions
When do Medicaid work requirements start in New Hampshire?
January 1, 2027 (stricter proof rules). Current members are usually checked at their first renewal on or after that date.
How many months does New Hampshire check?
Applicants: the month before applying. Members: at redetermination, and at least quarterly in between, under state law.
How do I report my hours or an exemption in New Hampshire?
DHHS describes reporting through the NH EASY online portal, by phone, in person, by mail, or by fax. News reports in July 2026 said the reporting system was still being finished.
Who do I call about Granite Advantage work requirements?
NH DHHS: 1-844-275-3447
Can I lose Granite Advantage right away if I don't meet the requirement?
No. Federal law requires a notice, at least 30 days to show you comply or are exempt, continued coverage during that time, and fair hearing rights before coverage ends.
Sources
- NH DHHS: Medicaid work requirements
- SB 134 (2026) bill record
- NHPR (July 20, 2026)
- Boston Globe (Oct. 20, 2026)
- Public Law 119-21 (H.R. 1), sec. 71119: community engagement requirement (GovInfo)
- CMS interim final rule, Medicaid community engagement requirement, 91 FR 33348 (June 3, 2026)
- Massachusetts v. Oz, No. 1:26-cv-12962-RGS (D. Mass.), memorandum and order (Oct. 29, 2026)