Web Content Viewer   Skip portlet
Download Instructions (.pdf format)
You can download a copy of the Provider and Trading Partner Instructions. These forms are in .pdf format. You must have Adobe Acrobat Reader software installed in order to view and print the forms out. If you do not have the reader installed, you can download it by clicking on the Adobe logo.
Get Acrobat Reader 

 

New Hampshire Medicaid Provider Enrollment Application Guidelines

 

Individual Billing Provider Enrollment Instructions

 

Facility Provider Enrollment Instructions


Group Provider Enrollment Instructions


Non-Billing Provider ORP Enrollment Instructions

 

Non-Billing Rendering Provider Enrollment Instructions

Trading Partner Enrollment Instructions