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New Hampshire Rulemaking Register · October 24, 2026 · Primary source

2026-224 IP Notice He-W 801.07

Score 63PRIMARYregulatoryState registerNH

Summary

The New Hampshire DHHS issued a formal rulemaking notice proposing to amend He-W 801.07 to comply with Section 71112 of Public Law 119-21 (the One Big Beautiful Bill Act), which reduces retroactive Medicaid coverage periods for all beneficiaries effective for applications on or after January 1, 2027. Adult expansion group members will receive up to one month of retroactive coverage and all other Medicaid categories will receive two months, replacing the current three-month period. A public hearing is scheduled for November 13, 2026, and written comments are due November 20, 2026. The fiscal impact is indeterminate but the state anticipates a decrease in Medicaid expenditures and potential cost increases for affected beneficiaries.

What this may mean

The proposed rulemaking formalizes the reduction of retroactive Medicaid eligibility in New Hampshire, cutting the lookback period from three months to one month for ACA expansion adults and two months for all other Medicaid categories. Providers billing New Hampshire Medicaid for retroactively enrolled patients will have a reduced window to submit claims for previously uncompensated services starting January 1, 2027. The state fiscal impact is indeterminate; beneficiaries may incur out-of-pocket costs for services that would have been covered under the prior three-month retroactive period.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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