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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.