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New Hampshire Medicaid waivers that pay for home care

Last verified October 17, 2026 · All New Hampshire resources

New Hampshire Medicaid pays for in-home personal care and related services through 3 programs, including the Choices for Independence (CFI) Waiver and the Developmental Disabilities (DD) Waiver. CFI is a 1915(c) waiver governed by He-E 801; the department authorizes service types, units and frequencies within 6 business days of the case manager's request (He-E 801.06), and respite is limited to 30 24-hour days per state fiscal year (He-E 801.27). Confirm managed care vs fee-for-service delivery, EVV requirements and the full DD and IHS service lists with NH DHHS.

He-E 801.02 lists personal care attendant services as a Medicaid state plan service; confirm program rules with NH DHHS.

Which New Hampshire waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Choices for Independence (CFI) Waiver

Population
Adults 18 and older who meet Medicaid financial requirements and nursing facility clinical criteria (RSA 151-E:3) and need at least one CFI service monthly.
Services covered
  • homemaker
  • personal care
  • respite
  • in-home care
  • adult day
  • adult family care
  • skilled nursing
  • supportive housing
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Developmental Disabilities (DD) Waiver

Population
New Hampshire residents with a developmental disability that began before age 22 who meet He-M 517.03 waiver requirements.
Services covered
  • service coordination
  • respite
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

In-Home Supports (IHS) Waiver

Population
Children and young adults with developmental disabilities from birth through 21 who live at home and have not exited the school system (He-M 503.03(d), He-M 524.03).
Services covered
  • in-home support services
Billing format
Not specified
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for New Hampshire

Medicaid waiver lookup: other states

Related guides

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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