Medicaid entitlement for 38 - FY 2026 - T21

The New Hampshire Department of Health & Human Services received a $50.97 million Children's Health Insurance Program (CHIP) block grant (CFDA 93.767) from the Centers for Medicaid and Chip Services, awarded October 1, 2025, with a completion date of September 30, 2027. This entitlement funding enables the state to maintain and expand health insurance coverage for uninsured, low-income children under 19 years of age and, at state option, low-income pregnant women. As a federal-state matching program, CHIP provides critical access to preventive care, primary care, dental services, and other health care benefits to eligible populations across New Hampshire.

The state administers CHIP coverage through its existing health insurance infrastructure, either as a separate CHIP program, an expansion of Medicaid eligibility, or a combination of both approaches. The block grant funds support the ongoing enrollment and retention of eligible beneficiaries, ensuring continuous access to comprehensive health care services. New Hampshire's CHIP program operates within the framework of Title XXI of the Social Security Act and coordinates with the state's broader Medicaid and health services delivery system to serve vulnerable children and families throughout the state.