Registration - New Hampshire

* Indicated fields are mandatory

Beneficiary

Last Name *

Beneficiary ID * Please enter the beneficiary identification number located on the front of the Benefits Identification Card (BIC)

Please enter your Beneficiary ID.

Date of Birth *

Enter a Valid Date of Birth

You must be 18 years or older to register

Zip Code

Please enter a valid zipcode

Phone Number

Please enter a valid phone number

Email Address * Your email address will be used as your user ID during login

Enter a valid Email Address

Please do not use your corporate Magellan email address (ending in @magellanhealth.com) when registering for the portal. Any other email address that belongs to you can be used.

Password *

Re-enter Password *

Passwords entered do not match

Please verify the information you entered is correct and try again. If you are still experiencing issues, contact Customer Service by calling the number on the back of your ID Card.

The Provided member id is already registered

If you are registering for a new account please use a different email address.

The email address you are trying to register with has already been used. The portal requires a unique email address for each account. If you are registering for a new account please use a different email address. If you forgot email or password return ot the member login to reset your password.

Already have an account? Login

REGISTER TO New Hampshire MEDICAID

REGISTER TO New Hampshire MEDICAID

Your Account is created