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

2026-223 IP Notice He-W 837

Score 70PRIMARYregulatoryState registerNH

Summary

New Hampshire DHHS issued the rulemaking notice accompanying the initial proposal to amend He-W 837, implementing Medicaid community engagement and work requirements for Granite Advantage (ACA expansion) enrollees under Section 71119 of Public Law 119-21. The notice details structural changes including updated definitions, revised exemption categories, new non-compliance and disenrollment procedures, and repeal of prior sections, with the requirement set to take effect January 1, 2027. The fiscal impact statement projects an indeterminate impact on state expenditures, noting a federal grant has been received to support system implementation. Written comments are due November 20, 2026, and a public hearing is scheduled for November 13, 2026 at noon.

What this may mean

The notice formalizes the rulemaking process for He-W 837 and confirms January 1, 2027 as the implementation date for community engagement requirements affecting Medicaid expansion adults in New Hampshire. Providers and managed care plans serving this population have until November 20, 2026 to submit written comments. The fiscal impact statement acknowledges indeterminate administrative cost increases and a federal grant to support implementation, signaling near-term operational burden for the state Medicaid agency and downstream effects on providers whose patients must maintain eligibility.

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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