The initial waiver was approved in 2014 through December 2018. It included a private option and a voluntary work referral program. In May 2018, CMS approved an amendment to add a work requirement. In August 2018, the state submitted a waiver request to CMS to end the private option, extend the work requirement for five additional years, omit retroactive eligibility, instate an asset test, and require added identification for citizenship and residency. CMS approved the work requirement extension, request to omit retroactive coverage, and private option termination on November 30, 2018. Requests to add an asset test to Medicaid expansion and require additional citizenship documentation were not approved. See CMS’s approval letter. On March 20, 2019, a lawsuit was filed in the U.S. federal district court to challenge CMS’s approval of the work requirement waiver.
- Families USA’s comments on New Hampshire’s Health Protection Program amendment request (2018)
- Comments on amendment to the New Hampshire Health Protection Program Premium Assistance Program (2017)
- Families USA Comments on New Hampshire’s Section 1115 Wavier Amendment (2016)
- View All Federal Comments for 1115 Medicaid Waivers
The New Hampshire waiver covers the Medicaid expansion new adult populations, childless adults (19-64) with incomes below 138 percent of the federal poverty line.
- Premium Assistance (Private Option); terminated by the state, 2018 waiver request.
- Work Requirement
- Retroactive Coverage