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Eligibility Verification

Providers are responsible for verifying eligibility every time a member is seen in the office. PCPs should also verify that a member is assigned to them.

Eligibility can be verified through:

Logging on to the NH Healthy Families secure provider portal
(note: Providers must be registered to access secure portal content)

  • View Member Overview
  • Look at Eligibility History.
  • Under product name:
    • "Managed Care Program" represents a NH Medicaid client.
    • "Granite Advantage" represents the Granite Advantage Health Care Program* enrollee.

Calling the NH Healthy Families Online IVR system by calling toll free 1-866-769-3085.

Front of Member ID card showing name, member ID, and other informationBack of Member ID card showing contact information

Front of Member ID card showing name, member ID, and other informationBack of Member ID card showing contact information