Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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In New Hampshire, the income limit is $2,982/month and the asset limit is $7,500 effective limit for nursing facility and HCBS waiver applicants. New Hampshire's income cap for categorically needy nursing facility, HCBS and Choices for Independence (CFI) services rose to $2,982 a month in 2026. People seeking nursing facility or HCBS waiver services get a resource disregard that makes the effective resource limit $7,500. Since 2024, the spousal resource assessment no longer applies to home and community-based waiver applicants. Home equity over $752,000 makes someone ineligible for nursing facility and HCBS services.
| Program | NH Medicaid long-term care: Choices for Independence (CFI) waiver, other 1915(c) HCBS waivers and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (NF CAP for categorically needy NF, HCBS and CFI services) |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Asset limit (single) | $7,500 effective limit for nursing facility and HCBS waiver applicants (after a resource disregard) |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the New Hampshire Medicaid waivers that pay for home care.
How to apply in New Hampshire (New Hampshire Department of Health and Human Services (DHHS), Division of Family Assistance)
Ask DHHS about the spend-down option if your income is over $2,982 a month, and about how resources are counted for a married couple.
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Operations
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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