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.
    • "Health Protection Program" represents the NH Health Protection 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 phone numbers

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

Back of Member ID card showing name, member ID, and other information