To be eligible for medical assistance through the Ryan White CARE Program, a person must be a NH resident living with human immunodeficiency virus (HIV) or a child exposed to HIV through its mother during pregnancy, and meet one of the following specific financial requirements:
- Your gross annual household income cannot exceed 400% of the Federal Poverty Level (FPL).
- If household income exceeds 400% FPL, you may still qualify based on medical expenses.
If you have questions about how to apply for assistance under the CARE program, talk to your health care provider or call the NH CARE Program at 603-271-4502 or 800-852-3345, ext. 4502 (toll-free from within NH).
- Applications are good for six months. At the end of six months you will need to submit a new application. If your enrollment expires, you will not be eligible for services.
- Applicants are required to apply to Medicaid one time per year. Your application can be denied if this requirement is not met.
- The “Patient Medical Information” (pg. 6-7), must be completed by a physician. It can be faxed to the NH CARE Program at 603-271-4934.
- Attach a copy of your insurance or medicare card.
- Attach a copy of your pay stub OR social security check OR unemployment check OR federal income tax return.
- If you have no income, your case manager will need to write a letter stating you have no income.
- Mail application to the CARE Program at:
29 Hazen Drive
Concord NH 03301
State covers some form of HCV drug therapies as part of their approved drug formularies: Yes
To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).