New Hampshire currently has a TEFRA-like program and two HCBS 1915(c) waivers that serve children. All three programs waive parent income. An overview of New Hampshire’s programs can be found on its Children’s Medicaid page and Waivers.

New Hampshire also has a behavioral health program, including home and community based services, through a 1915(i) program. This program provides care coordination, respite, and other wraparound services.

Advocacy Organizations in New Hampshire:

Last updated 10/4/23

Programs in New Hampshire

Also called HC-CSD or Katie Beckett

  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child’s income only. In the past, a family fee was charged. We have been unable to verify if these fees have continued.
  • Waiver Type: TEFRA-like
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Children’s Medical Assistance
  • How to Apply: Apply for Medicaid and mention you want to apply for the Home Care for Children with Severe Disabilities program.
  • Waiting List: none
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 5303
  • Expiration Date: 8/31/2026
  • Description from medicaid.gov: Provides community participation services, residential habilitation, respite, service coordination, supported employment, assistive technology, community integration services, community support services, crisis response services, environmental and vehicle modification services, individual goods and services, non-medical transportation, personal emergency response services, specialty services, and wellness coaching for individuals with autism, intellectual disabilities, and developmental disabilities, from 0 – no max age.
  • Online State Information: Bureau of Developmental Services and Waiver Information
  • Official Federal Information
  • How to Apply: Call BDS at (603) 271-5034, visit an Area Agency
  • Waiting List: none
  • Target Population: Children with developmental or intellectual disabilities, including autism.
  • Ages: 0-21
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 527
  • Expiration Date: 12/31/2025
  • Description from medicaid.gov: Provides in home residential habilitation, service coordination, assistive technology, community integration services, consultations, environmental and vehicle modification services, individual goods and services, non-medical transportation, personal emergency response services (PERS), respite care services, and wellness coaching for individuals with autism, ID, DD, ages 0-21.
  • Online State Information: Bureau of Developmental Services and Waiver Information
  • Official Federal Information
  • How to Apply: Call BDS at (603) 271-5034 or visit an Area Agency
  • Waiting List: none

Additional Information

  • New Hampshire has a Family Licensed Nursing Assistant program that allows parents/guardians to be paid for providing personal assistance and some limited skilled care, including tube feedings and medication administration. More details will be forthcoming.
  • In the In Home Supports Waiver for Children with Developmental Disabilities, parent/guardians of children may be paid for some services. “Payment for provision of In Home Residential Habilitation shall be available to the parent or legal guardian of a child with a developmental disability when the following extraordinary conditions are met: (1)The child has at least one of the following factors: a. The child’s level of dependency in performing activities of daily living, including the need for assistance with toileting, eating or mobility, exceeds that of his or her developmentally disabled peers as determined by the Functional Screen; b. The child requires support for a complex medical condition, including airway management, enteral feeding, catheterization or other similar procedures; or c. The child’s need for behavioral management exceeds that of his or her developmentally disabled peers, as determined by a nationally recognized standardized behavioral assessment tool, and the child’s destructive or injurious behavior represents a risk for serious injury or death; and (2) The parent has at least one of the following factors: a. The parent has exhausted all options for obtaining in home support assistance due to the lack of availability of qualified providers; or b. The child’s need for care has an imminent, negative effect on a parent’s ability to maintain paid employment. Examples of lack of availability of qualified providers include the following: (1) A family lives in a rural or remote area and cannot secure providers; (2) The extensive medical or behavioral needs of the child prevent the recruiting and maintaining of providers; (3) A family whose cultural background is different from the culture of the overall pool of providers cannot secure providers who are culturally competent; (4) A family’s work schedule requires that providers be available during evening, overnight, weekend and holiday hours, thus making it impossible to retain providers; (5) A family’s needs are such that no provider agency can be identified or is available to provide the required service; and (6) Any other circumstance or condition of a parent or child or of local provider agencies that results in a family being unable to obtain in-home support assistance.”