The CFI Provider Enrollment Application - New Hampshire Healthy 2025

Get Form
cfi application nh Preview on Page 1

Here's how it works

01. Edit your cfi application nh online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send mmis new hampshire portal via email, link, or fax. You can also download it, export it or print it out.

The best way to edit The CFI Provider Enrollment Application - New Hampshire Healthy in PDF format online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Handling paperwork with our extensive and user-friendly PDF editor is straightforward. Adhere to the instructions below to complete The CFI Provider Enrollment Application - New Hampshire Healthy online easily and quickly:

  1. Sign in to your account. Log in with your email and password or register a free account to test the service before choosing the subscription.
  2. Upload a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
  3. Edit The CFI Provider Enrollment Application - New Hampshire Healthy. Effortlessly add and underline text, insert pictures, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your document.
  4. Get the The CFI Provider Enrollment Application - New Hampshire Healthy accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to quickly handle your paperwork online!

See more The CFI Provider Enrollment Application - New Hampshire Healthy versions

We've got more versions of the The CFI Provider Enrollment Application - New Hampshire Healthy form. Select the right The CFI Provider Enrollment Application - New Hampshire Healthy version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2015 4 Satisfied (56 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicaid) RatingPlan NameConsumer Satisfaction 4.5 Excellus Health Plan, Inc. dba Univera Healthcare 4.0 4.5 Fallon Community Health Plan 3.5 4.5 Granite State Health Plan d/b/a NH Healthy Families 3.5 4.5 Health Partners Plans 3.017 more rows
Go to .NHEasy.NH.gov and complete the application online. Contact your local ServiceLink Office at 1-866-634-9412 or online at .servicelink.nh.gov. A ServiceLink Options Counselor will work with you in person or over the phone to help you apply.
Applicants must be age 65 and over, require a nursing home level of care, and meet income limitations. The monthly income limit is set at $2,250 with countable assets less than $2,500. Interested seniors can apply online or call 1-866-634-9412.
NH Healthy Families provides the same benefits as Medicaid, plus more.
Personal Care Attendant Services (PCAS) In order to receive payment for caregiving services under PCAS, the caregiver must complete the Attendant Care Education Orientation run by the Center for Independent Living, Granite State Independent Living.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

Complete a Provider Specialty Profile Form (PDF). Complete a CAQH Form (PDF) or Enrollment Roster (Excel) for more than 10 practitioners. Ensure you have a NH Medicaid ID or apply for a NH Medicaid IDExternal Link. Submit your completed forms to our contracted provider document upload form.

nh medicaid provider enrollment