New Hampshire: Start Here
Beginner guide for New Hampshire—HealthCare.gov Marketplace, NHID/IRO external review, SB 561 PA & grievance deadlines.
Read guideState playbook
New Hampshire
State insurers, legislation, and appeal resources for patients and advocates in New Hampshire.
4 guides
New Hampshire Prior Authorization Law
RSA 420-J:6 (SB 561)—3-day/48-hour electronic PA, deemed approved, Rx 2-day rule, peer-to-peer review.
Read guideNew Hampshire Health Insurance Appeals and Grievances
Appeal within 180 days—30-day decision, 72-hour expedited, path to RSA 420-J:5-a external review.
Read guideNew Hampshire External Review (NHID / IRO)
Binding on carrier—180-day filing with Commissioner, 15-day IRO decision, 72-hour expedited, RSA 420-J:5-a–5-e.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- Anthem / Matthew Thornton Health Plan
- Harvard Pilgrim Health Care
- Ambetter from NH Healthy Families
- WellSense Health Plan
- HealthCare.gov (New Hampshire Marketplace)
- NH Healthy Families (Medicaid)
External appeals
After internal appeal, for eligible New Hampshire fully insured plans only.
- NH Insurance Department — external review
- Medicaid — state fair hearing