State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
New Hampshire
Program Overview
Overview
New Hampshire has an Acquired Brain Disorder (ABD) Waiver, an Developmental Services Waiver, and a Home and Community Based Care (HCBC) Waiver. The Bureau of Developmental Services (BDS) is the primary contact for children with developmental disabilities.
Katie Beckett or similar pathway
New Hampshire has a TEFRA-like program called Home Care for Children with Severe Disabilities (HC-CSD), also informally called Katie Beckett. It serves children ages 0–18 with any type of disability who would otherwise require institutional care. Parental income is not counted. The program has no waitlist. Apply through NH Easy (nheasy.nh.gov) and ask to apply for the Home Care for Children with Severe Disabilities program.
Child-relevant waivers
The Developmental Services Waiver is the primary route for children with intellectual and developmental disabilities in New Hampshire. New Hampshire also has a Home and Community Based Care (HCBC) Waiver for adults who are elderly or have physical disabilities and need nursing-facility level of care but choose to live at home. The HCBC Waiver covers personal care, home health aide, adult day services, and other community supports.
Eligibility
Who qualifies
DS Waiver serves individuals with intellectual disabilities or related conditions who meet level-of-care criteria.
Financial and income rules
New Hampshire Medicaid financial eligibility applies. Waiver-specific rules also apply.
Level of care
Level-of-care determination is conducted through BDS intake.
Age rules
DS Waiver serves individuals of various ages including children.
Getting Started
How to apply
Contact the local area agency for developmental services for DS Waiver intake in New Hampshire.
Documents needed
Disability documentation, assessments, and financial information are typically required.
Waitlist information
New Hampshire's DS Waiver has historically had waiting lists.
Practical next step
Contact your local area agency for developmental services and ask about DS Waiver intake and current waitlist.
Services & Support
Services available
DS Waiver can cover residential supports, day services, employment supports, in-home supports, and respite.
Parent caregiver pay
New Hampshire's Family Licensed Nursing Assistant program allows parents and guardians to be paid for personal assistance and some limited skilled care, including tube feedings and medication administration, through a home care agency. The In Home Supports Waiver for Children with Developmental Disabilities also allows parents to be paid for some services when the child has complex medical or high behavioral needs and qualified providers are unavailable.
Equipment exchange & assistive technology
Assistive Technology in New Hampshire (atnh.org) — free device demonstrations, short-term loans, reuse programs, and AT funding information statewide.
Mental health and Medicaid coverage
New Hampshire Medicaid covers behavioral health services through managed care (NH Medicaid Care Management) and fee-for-service. Covered services include outpatient therapy, psychiatric evaluations, medication management, crisis services, and community support. The Bureau of Mental Health Services (BMHS) within DHHS oversees public behavioral health. Community mental health centers are the primary access points. Children can access mental health services through the EPSDT benefit. New Hampshire has invested in mobile crisis services and peer support.
Additional notes
New Hampshire uses a regional area agency model, meaning services are coordinated locally. Families should contact their area agency first for intake, as services and capacity can vary by region.
Sources
Recent news for New Hampshire
Union Leader · October 7, 2026 · Medicaid & Waivers, Caregiving, Rights & Law
New Hampshire is working to resolve a legal case by improving its in-home care services to address significant shortages and gaps in support.
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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