NEW HAMPSHIRE BUREAU OF FAMILY ASSISTANCE (BFA) PROGRAM FACT SHEET 07/2024

This fact sheet gives basic information about eligibility, income, and resource requirements for each of the following programs: Financial Assistance to Needy Families, the State Supplement Program (Old Age Assistance, Aid to the Permanently & Totally Disabled, and Aid
to the Needy Blind), Medicaid (Modified Adjusted Gross Income [MAGI] and non-MAGI categories, including Qualified Medicare Beneficiaries and Specified Low Income Beneficiaries), the Supplemental Nutrition Assistance Program, Nursing Facility Care, Child Support
Services, and NH Child Care Scholarship.
By policy, different types of income and resources are either counted or not counted to determine eligibility. This varies from program to program. In addition, there are amounts that can be subtracted from income; these also vary by program and are shown below as
“disregards and deductions.” Examples of income are wages, rental income, and most benefit income, including Social Security and SSI. Examples of resources are cash on hand, bank accounts, stocks/bonds, and unoccupied real property. Applicants must verify income,
resources, disregards and deductions, identity, citizenship or alien status, social security numbers, residency, and all other eligibility factors required by the specific programs of assistance.
If you think a family or individual may be eligible for one of our programs, please have them visit www.nheasy.nh.gov or https://www.dhhs.nh.gov/apply-assistance, or contact the nearest DHHS District Office for more details.
PROGRAM FINANCIAL ASSISTANCE TO NEEDY STATE SUPPLEMENT PROGRAM (SSP) MEDICAL ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE
NURSING FACILITY CARE (NF)
TITLE FAMILIES (FANF) (OAA, APTD, ANB) (MEDICAID) PROGRAM (SNAP)
Financial Assistance to Needy Families offers The State Supplement program provides financial The Medicaid program pays for certain health The Supplemental Nutrition Assistance Program The Medicaid program can cover the cost of
financial assistance to eligible families with assistance and/or medical assistance to needy care costs (doctor and hospital bills, provides assistance to eligible families to nursing facility care for individuals who are
dependent children and certain relatives who individuals who meet the definition of one of the prescriptions, dental care for children, etc.) purchase food items essential for good health. unable to afford the cost. To receive payments
need help caring for related children. following categories: for individuals who meet the technical and Eligibility for SNAP depends on the household’s for nursing facility care, an individual must:
categorical requirements of the program. income, resources, and expenses. Most
Most able-bodied adults receiving financial 1. Old Age Assistance (OAA) - 65 years of age • meet the general, technical, categorical
assistance are expected to meet work Certain Medicaid programs have eligibility households must meet gross and net income
or older, or limits. Households with all members who are and financial requirements of a Medicaid
participation requirements. determined using modified adjusted gross
2. Aid to the Permanently & Totally Disabled elderly or disabled need only meet the net program; and
income (MAGI), which uses IRS-defined
One or both parents in the family must be (APTD) - physically or mentally disabled and concepts of income and household. The income test. Households with a member who is • have medical needs that require nursing
DESCRIPTION disabled, deceased, or absent from the home. between the ages of 18 & 64, or MAGI groups are explained on the back of elderly and/or disabled have higher gross facility care.
3. Aid to Needy Blind (ANB) - blind (no age limit) this page. Medicaid is also offered to the income limits. If all members of the household Certain individuals meeting these requirements
elderly, disabled, and individuals requiring receive SSI, FANF and/or SSP, there are no may be eligible to receive community-based
Eligibility depends on income, resources, and living income or resource limits.
long-term care (LTC) assistance. These are services under one of several Home and
arrangement.
the non-MAGI groups, although MAGI Most recipients must look for and keep a job. Community-Based Care waivers instead of
categories may also receive LTC assistance. Able-bodied Adults Without Dependents entering a nursing facility.
If an individual meets all program (ABAWD) must also meet special ABAWD work
requirements except is over the income limit, requirements.
partial coverage can be provided under the In
& Out program.
Group Size Max Net Income Group Size Net Income Limit In and Out Net Group Max. Gross Max. Net The individual’s:
Group Size Income Limit Size Income (200% Income (100% • gross monthly income must be less than
1 $753 1 $957 FPG) FPG) $2,829 or
MONTHLY 2 $1,022 2 $1,416 1 $888 1 $2,430 $1,215
3 $1,291 3 $1,875 • net income must be less than $888.
INCOME LIMITS 2 $1,033 2 $3,287 $1,644
4 $1,560 3 $1,177 3 $4,144 $2,072 The individual’s income, after expenses and
Applicants in Group Living Arrangements have deductions, is used to offset the cost of care,
higher income limits. 4 $1,311 4 $5,000 $2,500
with the balance paid by Medicaid.
Medically needy resource limit: Categorically eligible households have no
One person - $2,500 resource limit.
RESOURCE $1,000 for applicants, and The resource limit for OAA, APTD, and ANB Two persons - $4,000 The resource limit for nursing facility care is
LIMITS $5,000 for recipients. assistance is $1,500. Certain life insurance policies Three or more - $4,000 plus $100 for Households in which at least one member is
$2,500.
and burial funds are not counted. each additional person in the assistance disabled or aged 60 or older: $4,250
group above two. All other households: $2,750
• 20% of earned income for applicants • $13 standard disregard Deductions may apply for the Non-MAGI • Shelter • Child/Dependent Care When determining cost of care:
For working individuals: Medical Assistance programs.
• Child/Dependent Care Costs • Utilities • Paid Child Support • $74 Personal Needs Allowance ($90 VA)
DISREGARDS
& DEDUCTIONS • Court-Ordered Child/Spousal Support • up to $50 (APTD or OAA) or $85 (ANB), and • Self-Employment Expenses • Allocation to dependents
• Self-Employment Expenses • $18 or actual employment expenses (APTD or • Medical for seniors and disabled • Uncovered Medical expenses
OAA) or ½ of remaining earned income (ANB) • Standard household deduction
Receipt of FANF cash benefits is limited to 60 Cash applicants must apply for SSI, and must SSI is not counted as income. Parents and children under age 22 living The nursing facility must be licensed and
months over a lifetime. In most cases, parents agree to a lien on all real estate owned by the In most cases, Medicaid applicants and together are considered one household. certified by the State of NH.
must cooperate with Child Support Services in assistance group. If living together, a spouse’s recipients must cooperate with the Bureau of Exceptions may be made if parents are over 60, If appropriate, the individual must apply for VA
OTHER
establishing paternity, if unknown, and income, resources, and needs are considered Child Support Services to obtain and enforce disabled and receiving SSA/SSI, and for Aid and Attendance allowance benefits.
ELIGIBILITY
establishing medical and financial child support. when determining eligibility. legal orders for medical support and to children aged 22 and older who purchase and
CRITERIA
Some parents may also have to assign all rights establish paternity for all children if unknown. prepare meals separately from their parents.
to child support to DHHS while receiving
financial assistance.
 PROGRAM MODIFIED ADJUSTED GROSS INCOME (MAGI) MEDICAL QUALIFIED MEDICARE
CHILD SUPPORT SERVICES NH CHILD CARE SCHOLARSHIP MEAD and MOAD
TITLE ASSISTANCE (MA) BENEFICIARIES (QMB)
The Bureau of Child Support Services NH Child Care Scholarship helps pay Certain Medicaid programs have eligibility determined using MAGI, Certain Medicare beneficiaries who are Medicaid for Employed Adults with Disabilities
(BCSS) locates responsible parents, for child care needed for training, which uses IRS-defined concepts of income and household. Most entitled to Medicare Part A insurance, and (MEAD) and Medicaid for Employed Older Adults
establishes paternity, establishes education, or employment. Costs are income limits are based on federal poverty guidelines (FPG). The whose income is no more than 100% FPG, with Disabilities (MOAD) provide medical coverage
child and medical support orders, reimbursed up to established MA categories that use MAGI are: may be eligible to have Medicare Part A and to disabled working adults. MEAD and MOAD have
reviews orders for possible maximums that differ based on the B premiums, deductibles, and co-insurance higher income and resource limits than other
adjustment per NH Guidelines, and level of service, the age of the child, • Children’s Medicaid (CM): Children under age 19 with income no costs paid. Some of these individuals may Medicaid programs and allow eligible recipients to
enforces legal support orders. These and the type of care provided. A higher than 196% FPG. also be eligible for other programs, including return to work or increase their earnings.
services are provided regardless of payment differential is available to • Expanded CM: Children under age 19 with income higher than Medicaid.
whether the responsible parent lives in providers who care for children with 196% FPG, but no higher than 318% FPG. To be eligible for MEAD, an individual must be 18
NH or in another state or country. significant special needs. SPECIFIED LOW-INCOME through 64 years old; to be eligible for MOAD, an
• Pregnant Women (PW): Income can be no higher than 196% individual must be 65 or older.
BCSS collects, tracks, and disburses
Weekly Standard Rates For Full-Time Care
FPG. MEDICARE BENEFICIARIES
Licensed Child Care Center (SLMB/SLMB135)
support payments. Methods to collect Birth – 17 months: $295.00 • Parents/Caretaker Relative (PCR): Adults must be a MEAD and MOAD individuals must:
child and medical support include Certain Medicare beneficiaries entitled to
18 – 35 months: $273.75 parent/caretaker relative of a dependent child, defined as a child • be employed or self-employed for pay;
interception of tax refund checks, Medicare Part B but with higher incomes
36 – 78 months: $240.83 under age 18, or under age 19 and a full time student in
mandatory income withholding, may be eligible for payment of all or part of • contribute to FICA;
79 – 155 months: $228.75 secondary school (or equivalent). The child must meet FANF
interception of NH lottery prizes, their monthly Medicare Part B premiums. • meet MEAD and MOAD income and resource
Licensed Family Child Care deprivation requirements. Net income must be less than or equal
interception of Unemployment to a set income limit that is based on the FANF payment Individuals with income between 100% criteria noted below;
DESCRIPTION Birth – 17 months: $203.75
Compensation and liens against real standard, not the FPG. and 120% FPG may be eligible for payment • meet ANB or APTD medical criteria; or
or personal property. BCSS can also 18 – 35 months: $205.00 of their monthly Medicare Part B premiums
36 – 78 months: $190.00 • Granite Advantage Health Care Program (Granite Advantage): • have a documented medical impairment that is
report non-compliant obligors to a and may also be eligible for other programs,
Adults must be at least age 19 but younger than age 65 and included in the Social Security Administration’s
credit bureau, and can request that a 79 – 155 months: $187.50 including Medicaid.
income can be no higher than 133% FPG. Women cannot be Listing of Impairments and that is expected to
licensing board or agency suspend, License-Exempt Center Individuals with income between 120%
pregnant, and the adult cannot be entitled to or enrolled in Part A last 48 months or longer; and
revoke, or deny an obligor’s license if Birth – 35 months: $0 and 135% FPG may be eligible for payment
or B Medicare benefits or otherwise eligible for or enrolled in any • enroll in cost-free health insurance if their
he or she is not in compliance with a 36 – 71 months: $0 of the Medicare Part B premium, but cannot
mandatory Medicaid coverage. employer offers it.
legal order for support. Passports may 72 – 78 months: $114.38 also be eligible for other Medicaid programs
also be denied. • Family Planning Medical Assistance (FP): Limited coverage for
79 – 155 months: $114.38 in the same month.
non-pregnant adults who are not already a Medicaid recipient
In addition, BCSS provides services to License-Exempt Family and whose income is no higher than 196% FPG.
families that are not receiving public Birth – 17 months: $142.63
assistance. BCSS will charge a 18 – 35 months: $143.50
$35.00 annual fee to obligees who 36 – 78 months: $133.00
have never received public 79 – 155 months: $131.25
assistance, after the first $550.00 in
support has been collected beginning https://nheasy.nh.gov/forms/E/2533.pdf
October 1st of each year.
Family Monthly Gross Income Family Size Monthly Maximum Income Limits (% FPG) Monthly Income Limits Monthly Maximum Income Limits
Size Limits (Step 3) < 85% SMI PCR GA CM/PW/FP Expanded CM (% FPG) ≤ 450%* FPG
<133% <196% > 196%, < 318% HH One person $5,648*
QMB SLMB120 SLMB135
MONTHLY 2 $6,428 1 $670 $1,670 $2,460 $3,991 Two people $7,665*
None Size <100% <120% <135%
INCOME LIMITS 3 $7,940
2 $816 $2,266 $3,339 $5,417 *Note that MOAD’s net income limit is < 250%
4 $9,453 1 $1,255 $1,506 $1,695
FPG; however, a special MOAD disregard makes
5 $10,965 3 $965 $2,862 $4,218 $6,843 2 $1,704 $2,044 $2,300 the effective MOAD limit 450% FPG, to align it
6 $12,477 4 $1,108 $3,458 $5,096 $8,268 with MEAD’s net income limit.
RESOURCE $1,000,000 for combined resources of None One person $9,430 One person $35,758
None assistance group Two people $14,130 Two people $53,634
LIMITS
• Some court-ordered spousal support • $65 of earned income • ANB, APTD, or OAA deduction
• Wage garnishments • Impairment Related Work Expenses
DISREGARDS • ½ of remaining earned income
N/A N/A • 5% MAGI-specific income deduction, which is only applied when • ½ of remaining earned income
& DEDUCTIONS • $20 standard deduction
all MAGI program requirements are met but household income • Standard adult disregard
exceeds the program’s income limit. • Employability account/medical savings account
Medicaid-only applicants/recipients An individual does not have to get Once eligible, pregnant women receive coverage through a 12- An applicant must also meet the general An applicant must also meet the general
and certain recipients of Financial cash assistance to get NH Child Care month post-partum period, regardless of income. Children born to nonfinancial requirements/conditions of nonfinancial requirements/conditions of eligibility
Assistance to Needy Families must Scholarship. Child care must be mothers receiving medical coverage at the time of birth are eligibility for Medicaid, such as filing an for Medicaid.
OTHER
cooperate with BCSS as a condition of necessary so that the parents can go automatically eligible for up to one year. Once eligible, children application, obtaining a Social Security SSI is not counted as income when determining
ELIGIBILITY
eligibility. to job training, look for a job or go to under age 19, receive coverage through a 12-month continuous number, etc.
CRITERIA MEAD or MOAD eligibility.
school or work. Families may be eligibility period, regardless of income. SSI is not counted as income.
expected to help with the cost share
when receiving the scholarship.