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The document is an application form (DFA Form 800MA) from the New Hampshire Department of Health and Human Services for individuals seeking health coverage and financial assistance. It outlines eligibility criteria for various health insurance options, including Medicaid and CHIP, and provides instructions on how to apply, what information is needed, and additional programs available. The form emphasizes that applicants can qualify for assistance regardless of income levels up to $94,000 for a family of four, and includes sections for personal information, family details, income reporting, and authorized representatives.

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2018	4.8 Satisfied (75 Votes)
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2014	4.3 Satisfied (163 Votes)
2011	4.8 Satisfied (25 Votes)

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How long will the increase in food stamps last in NH?

New SNAP Changes Beginning October 1 As a result of the COVID pandemic, SNAP benefits increased for all households by 15%. This was a temporary change and will expire at the end of September, 2021.

What is the income limit for New Hampshire Medicaid?

Who is eligible for New Hampshire Medicaid? Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows

Do I qualify for assistance in NH?

To be eligible for New Hampshire Family Assistance, you must be a resident of New Hampshire, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income. You must also be one of the following: Have a child 18 years of age or younger, or.

Who is eligible for NH Medicaid?

at least one parent is unemployed, which is considered to be working less than 100 hours per month, or. at least one parent is physically or mentally incapacitated.