Medicaid entitlement for 38 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the New Hampshire Department of Health and Human Services $433,922,982 in Medicaid entitlement funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award period runs through September 30, 2026, with place of performance in New Hampshire.

The funding provides financial assistance for medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups who meet income and resource requirements. The program also covers Medicare premiums, copayments, and deductibles for qualified Medicare beneficiaries meeting certain income thresholds. Individuals denied medical assistance have access to fair hearing appeal procedures, with states required to resubmit revised applications within 60 days of denial.

The assistance type is a block grant. New Hampshire receives funds quarterly based on its estimates of funds needed to provide medical assistance to the needy, with quarterly awards issued on October 1, January 1, April 1, and July 1. Individuals receive medical care from participating Medicaid providers. The state operates under an HHS-approved Medicaid State Plan and maintains compliance with all federal regulations governing aid and medical assistance.