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 5/26/2026

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.
  • Program 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: 998
  • Expiration Date: 12/31/2030
  • 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, respite, and wellness coaching services to individuals with autism, intellectual disabilities, or developmental disabilities ages 0-21 years who meet an ICF/IID level of care.
  • 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. Contact your home care agency for more information.
  • In the In Home Supports Waiver for Children with Developmental Disabilities, parent/guardians of children may be paid for some services when the child needs assistance with activities of daily living, has complex medical conditions, or has high behavioral needs. The parent must have exhausted all options for obtaining in home support assistance due to the lack of availability of qualified providers, or the child’s need for care would have an imminent, negative effect on a parent’s ability to maintain paid employment.