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Can you get paid to care for a family member in New Hampshire?

Last verified October 17, 2026 · All New Hampshire resources

Yes, through 2 programs we verified. In New Hampshire, the Choices for Independence (CFI) waiver lets an older adult or adult with a disability live in a relative's certified home through Adult Family Care, with the relative paid to provide care. CFI participants can also direct their own services and hire workers. The CFI waiver does not pay a spouse for care. The person receiving care must be on the CFI waiver and meet nursing facility level of care.

Can a spouse be paid?Not confirmed
Can a parent of a minor child be paid?Not confirmed

Which New Hampshire programs pay family caregivers?

Choices for Independence (CFI) Waiver - Adult Family Care

  • Type: Adult foster care
  • Who can be paid: A relative (other than a spouse) or an unrelated person who has a certified residence where the participant lives and receives personal care and homemaking.
  • Who qualifies for care: Older adults and adults with disabilities enrolled in the CFI waiver who meet nursing facility level of care.

CFI Waiver - Participant Directed and Managed Services (PDMS)

  • Type: Medicaid self-direction
  • Who can be paid: Workers the participant hires under a participant-directed budget. Services provided by a spouse (the legally responsible relative) are not covered under the CFI waiver.
  • Who qualifies for care: CFI waiver participants who choose to direct and manage their own services.

Are there national programs too?

Yes. Veterans may qualify for VA programs that pay or support family caregivers: Veteran Directed Care and the Program of Comprehensive Assistance for Family Caregivers.

What should you confirm with the state?

Rules for hiring other relatives under participant-directed services were not spelled out in the rule text. Confirm with your case manager or ServiceLink.

Sources

More for New Hampshire

Paid family caregivers by state: other states

Related guides

Authorizations

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