Transferring Medicaid from Virginia to New Hampshire
Moving ends your Virginia Medicaid — the program is state-bound. The good news: New Hampshire lets you apply right away through New Hampshire Department of Health and Human Services, with no waiting period for new residents. Keep the two cases from overlapping by closing Virginia coverage effective the month you leave.
Both states cover adults under expansion rules at 138% of the federal poverty level, so if you qualified on income in Virginia, you will likely qualify in New Hampshire too.
Official New Hampshire Medicaid agency: New Hampshire Department of Health and Human Services ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Virginia Department of Medical Assistance Services you are leaving
Report your move and ask for your case to be closed effective the end of the month you leave. Medicaid cannot cover you in two states at once.
Virginia Department of Medical Assistance Services ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with New Hampshire Department of Health and Human Services as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed). From January 1, 2027 (earlier in some states), most adults in the expansion group must also show 80 hours a month of work, school, job training, or community service, or an exemption, possibly for 1 to 3 months preceding the application.
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
Virginia vs New Hampshire: the numbers that decide it
| Virginia (old state) | New Hampshire (new state) | |
|---|---|---|
| Program name | Cardinal Care | NH Medicaid (Medical Assistance); expansion adults enroll in the Granite Advantage Health Care Program |
| Agency | Virginia Department of Medical Assistance Services | New Hampshire Department of Health and Human Services |
| ACA Medicaid expansion | Yes — adults covered on income | Yes — adults covered on income |
| Adult income limit | 138% of the federal poverty level | 138% of the federal poverty level |
Monthly income limits by household size: Virginia vs New Hampshire
| Household size | Virginia | New Hampshire |
|---|---|---|
| 1 person | $1,836 | $1,836 |
| 2 people | $2,489 | $2,489 |
| 3 people | $3,142 | $3,142 |
| 4 people | $3,795 | $3,795 |
| 5 people | $4,449 | $4,449 |
| 6 people | $5,102 | $5,102 |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: Virginia · New Hampshire · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Virginia → New Hampshire checklistCommon questions
Can I use my Virginia Medicaid in New Hampshire while I wait?
Generally no. Virginia Medicaid only pays providers for Virginia residents, and out-of-state care is limited to emergencies. Once you live in New Hampshire, you need New Hampshire coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in New Hampshire?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on New Hampshire's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Virginia case effective your move month.
Where do I actually apply in New Hampshire?
Through New Hampshire Department of Health and Human Services (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: New Hampshire to Virginia Medicaid
- Medicaid in Virginia: leaving or arriving
- Medicaid in New Hampshire: leaving or arriving
- Moving with Medicaid: every state
- Virginia to Nevada Medicaid
- Virginia to Mississippi Medicaid
- Virginia to Oklahoma Medicaid
- Virginia to New York Medicaid
Other benefits on the same move
- SNAP: Virginia to New Hampshire
- WIC: Virginia to New Hampshire
- Unemployment: Virginia to New Hampshire
- TANF: Virginia to New Hampshire
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- Cover Virginia (DMAS) — Adults 19-64 — accessed 2026-08-08
- CommonHelp — apply for Virginia assistance online — accessed 2026-08-08
- NH DHHS Medicaid — accessed 2026-08-08
- NH DHHS Medical Assistance Manual 230.01 — Granite Advantage eligibility — accessed 2026-08-08