These videos give an overview of the various Home and Community-Based Services (HCBS) available in New Hampshire for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in New Hampshire. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN NEW HAMPSHIRE
SUPPORTING CAREGIVERS AND PROMOTING WELL-BEING THROUGH TEMPORARY RELIEF SERVICES
Respite Care Services in New Hampshire provide temporary relief for family caregivers of individuals with disabilities, chronic illnesses, or age-related conditions. These services allow primary caregivers to rest, attend to personal matters, or recover from caregiver fatigue while ensuring the participant’s safety and well-being. Respite Care Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Respite Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Respite Care Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Respite Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. RESPITE CARE SERVICES OVERVIEW
Respite Care Services offer planned or emergency relief for unpaid caregivers while ensuring participants receive appropriate supervision, personal care, and support services.
Approved providers may deliver:
In-Home Respite Services: Care provided in the participant’s residence.
Facility-Based Respite Care: Temporary care in licensed community settings.
Day Respite: Supervision and support during daytime hours.
Overnight or Weekend Respite: Extended care to accommodate caregiver breaks.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as bathing, grooming, feeding, mobility, and toileting.
Medication Reminders: Non-skilled assistance with medication schedules.
Social Engagement: Facilitating recreational or therapeutic activities based on the participant’s interests and care plan.
All respite care must align with the participant’s Individualized Service Plan (ISP) and reflect their health and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Respite Care provider through the New Hampshire Medicaid Provider Enrollment Portal.
Obtain facility licensure (if providing facility-based respite) from DHHS or other relevant agencies.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for participant intake, caregiver communication, incident reporting, and emergency procedures.
Ensure all direct care staff meet background screening, health screenings, and training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Respite Care Services under appropriate HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, liability insurance certificates, staff credentialing documentation, and service policies.
Program Readiness Review:
DHHS and BEAS review provider readiness, including staff qualifications, care and supervision protocols, participant safety plans, and documentation systems.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for In-Home and/or Facility-Based Respite Services using assigned billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility License (for facility-based respite providers)
Proof of general and professional liability insurance
Respite Care Services Policy & Procedure Manual including:
Participant intake, care planning, and service scheduling procedures
Health and safety monitoring, medication reminders, and supervision protocols
Emergency preparedness, abuse prevention, and critical incident reporting policies
Participant rights, HIPAA confidentiality procedures, and grievance handling
Staff credentialing, background checks, first aid/CPR certification documentation
Medicaid billing, service tracking, and audit readiness procedures
6. STAFFING REQUIREMENTS
Role: Respite Services Program Director
Requirements: Bachelor’s degree in human services, healthcare, or related field; supervisory experience preferred.
Role: Respite Care Workers
Requirements: High school diploma or GED; CPR/First Aid certification; completion of respite-specific or direct care training; background screening and health clearance.
All staff must complete:
Safety and emergency preparedness training
HIPAA compliance and participant rights education
Abuse prevention and exploitation awareness training
Infection control and health monitoring training
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Respite Care Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
In-home or facility-based supervision and care
Temporary support allowing unpaid caregivers to attend to personal needs
Assistance with basic ADLs and wellness monitoring during respite periods
Crisis respite services when caregiver availability is compromised
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Respite Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE RESPITE CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Respite Care Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and facility licensure support
Policy manual development for respite care planning and caregiver communication
Staff credentialing templates, participant intake forms, and emergency planning templates
Medicaid billing system setup and audit-ready claims management
Branding, website development, and caregiver engagement strategies
Quality assurance systems for incident reporting, service tracking, and compliance monitoring
Residential Support
RESIDENTIAL SUPPORT SERVICES PROVIDER IN NEW HAMPSHIRE
PROMOTING INDEPENDENT LIVING THROUGH SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENTS
Residential Support Services in New Hampshire provide supervised, community-based living arrangements for individuals with disabilities, chronic illnesses, or other long-term care needs. These services help participants live as independently as possible while receiving essential daily support. Residential Support Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Residential Support Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Residential Support Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Residential Support Services meet HCBS quality, person-centered planning, and participant protection standards.
2. RESIDENTIAL SUPPORT SERVICES OVERVIEW
Residential Support Services offer safe, structured living environments where individuals can receive personalized care and support.
Approved providers may deliver:
24/7 Supervision and Support: Staffed living arrangements for safety and well-being.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, and toileting.
Medication Administration: Administering prescribed medications per care plan.
Meal Preparation: Nutritious meal planning and cooking based on dietary needs.
Community Integration: Encouraging social activities and community involvement.
Skill Development: Assisting with cooking, cleaning, personal finance, and social interactions.
Health Monitoring: Routine checks and assistance with managing chronic conditions.
Transportation Assistance: Rides to medical appointments, work, and social activities.
All services are delivered according to the Individualized Service Plan (ISP) to ensure personalized care and support.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Residential Support provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Residential Care Facility or Group Home from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for residential safety, care planning, and staff training.
Ensure direct care staff meet background checks, health screenings, and training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Residential Support Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, facility licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including staff qualifications, care protocols, safety measures, and documentation systems.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Residential Support Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Residential Facility License (if applicable)
Proof of general and professional liability insurance
Residential Support Services Policy & Procedure Manual including:
Participant intake, assessment, and individualized care planning procedures
Residential safety, supervision, and personal care protocols
Medication administration and health monitoring guidelines
Staff credentialing, background checks, and ongoing training records
Documentation standards for care tracking and Medicaid billing
HIPAA compliance, client rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Residential Program Director
Requirements: Bachelor’s degree in healthcare, human services, or related field; supervisory experience in residential care settings.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; training in personal care, residential support, and community integration; CPR/First Aid certification; background clearance.
Role: Residential Care Coordinators
Requirements: Experience in case management, care planning, and resident advocacy.
All staff must complete:
Training in person-centered care and daily living assistance
HIPAA compliance and participant rights education
Annual competency evaluations and ongoing professional development
Emergency response and crisis management training
Ongoing training in infection control and safety practices
7. MEDICAID WAIVER PROGRAMS
Residential Support Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
24/7 supervision and support in residential settings
Personal care assistance and daily living support
Health monitoring and medication administration
Community integration activities and skill development
Transportation to medical and community services
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Residential Support Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE RESIDENTIAL SUPPORT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Residential Support Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for residential safety and care management
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for residential safety and care quality
Collaboration with healthcare providers for comprehensive support
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN NEW HAMPSHIRE
EMPOWERING INDIVIDUALS THROUGH JOB TRAINING, PLACEMENT, AND ONGOING SUPPORT
Supported Employment Services in New Hampshire help individuals with disabilities find, secure, and maintain meaningful employment. These services include job coaching, skill development, and long-term support to ensure success in competitive work environments. Supported Employment Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Supported Employment Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Supported Employment Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Supported Employment Services meet HCBS quality, person-centered planning, and participant protection standards.
2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW
Supported Employment Services provide assistance in obtaining and maintaining competitive, community-based employment for individuals with disabilities.
Approved providers may deliver:
Career Assessment: Identifying skills, interests, and vocational goals.
Job Development: Finding and securing job opportunities suited to the individual’s abilities.
Job Coaching: Providing on-the-job support and skill reinforcement.
Workplace Accommodations: Assisting with adaptive tools and modifications as needed.
Social Skills Training: Teaching appropriate workplace behavior and interpersonal communication.
Job Retention Support: Ongoing monitoring and intervention to maintain employment.
Employer Engagement: Building partnerships with local businesses to foster inclusive hiring practices.
Career Advancement: Supporting individuals in pursuing promotions or new opportunities.
All services are delivered according to the Individualized Service Plan (ISP) to ensure personalized support.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Supported Employment provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required licensure from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for job coaching, workplace safety, and vocational planning.
Ensure staff meet background checks, health screenings, and vocational training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Supported Employment Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including vocational support protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Supported Employment Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Supported Employment Services Policy & Procedure Manual including:
Career planning, job development, and coaching protocols
Workplace support, skill building, and accommodation strategies
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, client rights, and grievance handling
Documentation standards for progress tracking and Medicaid billing
Safety protocols for workplace integration and employee support
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Supported Employment Program Director
Requirements: Bachelor’s degree in vocational rehabilitation, human services, or a related field; experience in workforce development.
Role: Employment Specialists / Job Coaches
Requirements: High school diploma or GED; training in job readiness, coaching, and vocational support; background clearance.
Role: Vocational Rehabilitation Counselors
Requirements: Certification in rehabilitation counseling; experience in career planning and job placement; background clearance.
Role: Peer Support Specialists
Requirements: Experience with employment challenges and vocational mentoring; certification preferred.
All staff must complete:
Training in job coaching, workplace safety, and vocational planning
HIPAA compliance and client rights education
Ongoing professional development and continuing education
Annual competency evaluations and skills assessments
Crisis management and conflict resolution training
7. MEDICAID WAIVER PROGRAMS
Supported Employment Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Job readiness training and career planning
On-the-job coaching and workplace support
Skill development for communication and job retention
Employer engagement and partnership development
Long-term job maintenance and career advancement support
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Supported Employment Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE SUPPORTED EMPLOYMENT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Supported Employment Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for vocational planning and job support
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for job coaching and employment retention
Collaboration with local businesses for inclusive hiring practices
Personal Care
PERSONAL CARE SERVICES PROVIDER IN NEW HAMPSHIRE
SUPPORTING INDEPENDENCE AND DAILY LIVING THROUGH PERSONALIZED CARE
Personal Care Services in New Hampshire provide essential assistance with daily living activities for individuals with disabilities, chronic illnesses, or age-related conditions. These services help maintain independence and enhance quality of life by offering support tailored to each individual’s needs. Personal Care Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Personal Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Personal Care Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Personal Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. PERSONAL CARE SERVICES OVERVIEW
Personal Care Services assist individuals with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to maintain independence and well-being.
Approved providers may deliver:
Personal Hygiene Assistance: Bathing, grooming, oral care, and dressing.
Mobility Support: Transfers, ambulation, and positioning assistance.
Toileting and Incontinence Care: Support with bathroom use and hygiene maintenance.
Meal Preparation and Feeding: Preparing balanced meals, feeding assistance, and hydration support.
Housekeeping and Laundry: Light cleaning, bed making, and laundry tasks.
Medication Reminders: Non-skilled support with medication schedules.
Companionship and Social Engagement: Providing social interaction and light emotional support.
Safety Monitoring: Ensuring a safe environment and preventing accidents.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific care and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Personal Care provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Personal Care Agency from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for personal care planning, safety protocols, and staff training.
Ensure staff meet background checks, health screenings, and training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Personal Care Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including staff training, care protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Personal Care Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Personal Care Agency License (if applicable)
Proof of general and professional liability insurance
Personal Care Services Policy & Procedure Manual including:
Participant intake, assessment, and individualized care planning procedures
Personal care assistance, hygiene, and mobility support guidelines
Staff credentialing, background checks, and training requirements
Documentation standards for care tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Personal Care Program Director
Requirements: Bachelor’s degree in healthcare, social services, or a related field; supervisory experience preferred.
Role: Personal Care Aides (PCAs)
Requirements: High school diploma or GED; CPR/First Aid certification; training in personal care and ADL support; background clearance.
Role: Direct Support Professionals (DSPs)
Requirements: Experience in personal care and hygiene assistance; basic healthcare training; background clearance.
All staff must complete:
Personal care skills training, including ADLs and IADLs
Safety and infection control training
HIPAA compliance and participant rights education
Annual competency evaluations and professional development
Ongoing training in client safety and wellness monitoring
7. MEDICAID WAIVER PROGRAMS
Personal Care Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Personal hygiene and grooming assistance
Mobility support and safety monitoring
Meal preparation and feeding assistance
Companionship and social support
Light housekeeping and personal environment maintenance
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Personal Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE PERSONAL CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Personal Care Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for personal care planning and safety management
Staff credentialing, training program templates, and care documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for personal care safety and compliance
Collaboration with healthcare providers and community organizations
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN NEW HAMPSHIRE
ENHANCING INDEPENDENCE THROUGH CUSTOMIZED EQUIPMENT AND TECHNOLOGY
Adaptive Equipment Services in New Hampshire provide essential devices and tools to help individuals with disabilities, chronic conditions, or mobility challenges maintain independence in their daily lives. These services include the selection, installation, and maintenance of adaptive devices that promote safety and accessibility. Adaptive Equipment Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Adaptive Equipment Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Adaptive Equipment Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Adaptive Equipment Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ADAPTIVE EQUIPMENT SERVICES OVERVIEW
Adaptive Equipment Services provide devices and tools designed to enhance mobility, communication, and daily living for individuals with disabilities.
Approved providers may deliver:
Needs Assessment: Evaluating the individual’s functional needs to recommend suitable equipment.
Device Selection: Identifying adaptive devices such as walkers, wheelchairs, lifts, and communication aids.
Installation and Setup: Ensuring proper placement and safety compliance of installed equipment.
User Training: Educating individuals and caregivers on the correct use and maintenance of devices.
Maintenance and Repair: Providing ongoing technical support and equipment maintenance.
Home Modifications for Accessibility: Installing supportive devices like grab bars and ramps.
Adaptive Communication Aids: Devices to support speech, hearing, or vision impairments.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Adaptive Equipment provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required certification for adaptive equipment installation and maintenance.
Maintain general liability and professional liability insurance.
Develop policies for equipment assessment, installation, safety, and maintenance.
Ensure staff meet background checks, health screenings, and technical training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Adaptive Equipment Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, professional certifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including safety protocols, installation procedures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Adaptive Equipment Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional certifications (if applicable)
Proof of general and professional liability insurance
Adaptive Equipment Services Policy & Procedure Manual including:
Needs assessment, device selection, and installation protocols
Maintenance, repair, and troubleshooting procedures
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, client rights, and grievance handling
Documentation standards for equipment tracking and Medicaid billing
Safety protocols, emergency response, and maintenance schedules
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Program Director
Requirements: Bachelor’s degree in rehabilitation technology, healthcare administration, or related field; certification as an Assistive Technology Professional (ATP) preferred.
Role: Adaptive Equipment Specialists
Requirements: Certification in adaptive equipment assessment and device implementation; experience with mobility aids and assistive devices; background clearance.
Role: Support Technicians
Requirements: Technical training in device setup and repair; experience in customer support and maintenance services.
All staff must complete:
Training in adaptive equipment installation and client safety
HIPAA compliance and client rights education
Ongoing professional development and technical certification updates
Annual competency evaluations and safety protocol refreshers
7. MEDICAID WAIVER PROGRAMS
Adaptive Equipment Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Installation of mobility aids (e.g., wheelchairs, walkers, transfer devices)
Adaptive communication devices for speech, hearing, or vision impairments
Safety and accessibility modifications (e.g., grab bars, ramps)
Equipment maintenance and repair services
User training and caregiver education on device use
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adaptive Equipment Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE ADAPTIVE EQUIPMENT SERVICES PROVIDER
WCG supports healthcare agencies and adaptive technology providers in launching Medicaid-compliant Adaptive Equipment Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for adaptive equipment planning and safety management
Staff credentialing, training program templates, and technical guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for device safety, user satisfaction, and compliance
Collaboration with healthcare providers and community organizations for referrals
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN NEW HAMPSHIRE
PROVIDING MEDICAL CARE AND SUPPORT IN THE COMFORT OF HOME
Skilled Nursing Services in New Hampshire offer essential medical care, health monitoring, and rehabilitative support to individuals with chronic illnesses, disabilities, or recovery needs. These services are delivered by licensed nurses to ensure health maintenance, symptom management, and recovery support. Skilled Nursing Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Skilled Nursing Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Skilled Nursing Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Skilled Nursing Services meet HCBS quality, person-centered planning, and participant protection standards.
2. SKILLED NURSING SERVICES OVERVIEW
Skilled Nursing Services involve professional medical care provided by licensed nurses to manage health conditions, support recovery, and maintain well-being.
Approved providers may deliver:
Health Monitoring: Regular checks of vital signs, blood glucose, and other health indicators.
Medication Administration: Administering injections, IV therapy, and prescribed medications.
Wound Care: Cleaning, dressing, and monitoring of wounds or surgical sites.
Chronic Disease Management: Monitoring and supporting conditions like diabetes, COPD, or heart disease.
Post-Surgical Care: Managing recovery, including pain management and mobility assistance.
Rehabilitative Support: Assisting with exercises, physical therapy coordination, and therapeutic interventions.
Patient Education: Teaching patients and families self-care techniques and medication management.
Care Coordination: Communicating with healthcare providers and managing care plans.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s medical and personal care needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Skilled Nursing provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Home Health Agency from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for patient care, medication management, and health monitoring.
Ensure licensed nurses meet background checks, health screenings, and continuing education requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Skilled Nursing Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, nursing licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including nursing protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Skilled Nursing Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency License (if applicable)
Proof of general and professional liability insurance
Skilled Nursing Services Policy & Procedure Manual including:
Patient assessment, care planning, and medical documentation protocols
Medication administration and chronic disease management guidelines
Staff credentialing, background checks, and training documentation
HIPAA compliance, patient rights, and grievance handling
Documentation standards for care tracking and Medicaid billing
Infection control, safety protocols, and emergency preparedness
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Skilled Nursing Program Director
Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in healthcare management.
Role: Registered Nurses (RNs)
Requirements: Active RN license in New Hampshire; experience in skilled nursing care; background clearance.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license in New Hampshire; supervised by an RN; experience in patient care and medication management.
Role: Certified Nursing Assistants (CNAs)
Requirements: State certification, experience in personal care and ADL assistance; supervised by an RN.
All staff must complete:
Advanced training in skilled nursing practices and safety protocols
HIPAA compliance and patient rights education
Crisis management and infection control training
Annual competency evaluations and professional development
Ongoing training for nursing licensure maintenance
7. MEDICAID WAIVER PROGRAMS
Skilled Nursing Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Health monitoring and medication administration
Wound care and post-surgical support
Chronic disease management and rehabilitative care
Patient education and family support
Coordination with healthcare providers for integrated care
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Skilled Nursing Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE SKILLED NURSING SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Skilled Nursing Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for skilled nursing care and patient safety
Staff credentialing, training program templates, and care documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for clinical safety and compliance
Collaboration with healthcare providers for integrated care planning
Day Habilitation
DAY HABILITATION SERVICES PROVIDER IN NEW HAMPSHIRE
SUPPORTING INDEPENDENCE AND COMMUNITY INTEGRATION THROUGH STRUCTURED DAY PROGRAMS
Day Habilitation Services in New Hampshire assist individuals with intellectual or developmental disabilities in developing daily living skills, social interactions, and community engagement. These services promote independence through structured activities and person-centered support. Day Habilitation Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Day Habilitation Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Day Habilitation Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Day Habilitation Services meet HCBS quality, person-centered planning, and participant protection standards.
2. DAY HABILITATION SERVICES OVERVIEW
Day Habilitation Services focus on developing skills that support independence, personal growth, and community inclusion.
Approved providers may deliver:
Skill Development: Training in personal hygiene, meal preparation, household chores, and budgeting.
Social and Community Integration: Facilitating group activities, community outings, and social interactions.
Communication Enhancement: Teaching verbal, non-verbal, and social communication skills.
Health and Wellness Activities: Incorporating physical exercise, nutrition education, and self-care practices.
Vocational Readiness: Assisting with basic job skills, volunteer placements, and pre-employment activities.
Therapeutic Engagement: Activities promoting cognitive and motor skills, such as art, music, or physical therapy.
Personal Safety Education: Teaching awareness, safety protocols, and self-advocacy skills.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s goals and preferences.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Day Habilitation provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Day Habilitation Program from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for program safety, skill development, and participant support.
Ensure staff meet background checks, health screenings, and habilitation training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Day Habilitation Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including staff qualifications, safety measures, and program planning.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Day Habilitation Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Day Habilitation Program License (if applicable)
Proof of general and professional liability insurance
Day Habilitation Services Policy & Procedure Manual including:
Activity planning, social engagement, and skill-building protocols
Personal care assistance, supervision, and safety guidelines
Staff credentialing, background checks, and training records
Documentation standards for service tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and program evaluation
6. STAFFING REQUIREMENTS
Role: Day Habilitation Program Director
Requirements: Bachelor’s degree in human services, special education, or related field; experience managing habilitation or community programs.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; training in personal care, habilitation, and community integration; CPR/First Aid certification; background clearance.
Role: Activity Coordinators
Requirements: Experience in planning and facilitating group activities; training in habilitation and social skills development.
All staff must complete:
Training in person-centered care and habilitation practices
HIPAA compliance and participant rights education
Annual competency evaluations and continuing education
Ongoing training in community engagement and social skills support
7. MEDICAID WAIVER PROGRAMS
Day Habilitation Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Structured social and community engagement activities
Personal care support during day programs
Vocational skill building and pre-employment activities
Therapeutic exercises and recreational group activities
Health and wellness education
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Day Habilitation Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE DAY HABILITATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Day Habilitation Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for day habilitation planning and safety management
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for program effectiveness and client safety
Collaboration with healthcare providers and community organizations
Adult Health
ADULT HEALTH SERVICES PROVIDER IN NEW HAMPSHIRE
PROMOTING WELL-BEING AND INDEPENDENCE THROUGH COMPREHENSIVE HEALTH SUPPORT
Adult Health Services in New Hampshire provide essential healthcare and wellness support to adults with disabilities, chronic conditions, or age-related challenges. These services focus on improving physical, mental, and social well-being through a range of health and therapeutic interventions. Adult Health Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Adult Health Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Adult Health Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Adult Health Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ADULT HEALTH SERVICES OVERVIEW
Adult Health Services aim to support adults with healthcare needs by offering personalized medical care, health monitoring, and wellness programs.
Approved providers may deliver:
Health Monitoring and Assessment: Regular checks of vital signs, chronic condition management, and wellness evaluations.
Medication Management: Assistance with medication schedules, reminders, and administration.
Nutritional Support: Meal planning, dietary counseling, and health education.
Physical Health Maintenance: Exercises, mobility support, and physical therapy.
Mental Health Support: Counseling, stress management, and wellness coaching.
Chronic Disease Management: Diabetes, hypertension, and respiratory condition care.
Health Education and Self-Care Training: Teaching participants and caregivers how to manage health conditions effectively.
Care Coordination: Liaising with healthcare providers to ensure continuity of care.
All services are provided according to the Individualized Service Plan (ISP) to meet the participant’s healthcare needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Adult Health provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure from DHHS as a healthcare service provider if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for health monitoring, medication management, and wellness support.
Ensure staff meet background checks, health screenings, and healthcare training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Adult Health Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, healthcare licenses, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including health care protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Adult Health Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Healthcare Service Provider License (if applicable)
Proof of general and professional liability insurance
Adult Health Services Policy & Procedure Manual including:
Health assessment, care planning, and medication management protocols
Staff credentialing, background checks, and ongoing training records
Documentation standards for health tracking and Medicaid billing
HIPAA compliance, patient rights, and grievance handling
Safety protocols, infection control, and emergency preparedness
Quality assurance and health outcome monitoring
Client education and family support guidelines
6. STAFFING REQUIREMENTS
Role: Adult Health Program Director
Requirements: Bachelor’s or Master’s degree in healthcare administration, nursing, or related field; experience in managing healthcare services.
Role: Registered Nurses (RNs)
Requirements: Active RN license in New Hampshire; experience in adult healthcare and chronic disease management.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license in New Hampshire; supervised by an RN; experience in direct patient care.
Role: Health Aides/Personal Care Workers
Requirements: Certification in personal care or healthcare support; experience in ADL assistance and health monitoring.
All staff must complete:
Training in chronic disease management and health monitoring
HIPAA compliance and patient rights education
Annual competency evaluations and professional development
Ongoing training in infection control and safety practices
7. MEDICAID WAIVER PROGRAMS
Adult Health Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Health monitoring and chronic disease management
Medication administration and management
Nutritional and physical health support
Counseling and mental health care
Health education and wellness training
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adult Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE ADULT HEALTH SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Adult Health Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for healthcare planning and wellness support
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for clinical safety and healthcare compliance
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN NEW HAMPSHIRE
ENHANCING INDEPENDENCE THROUGH TECHNOLOGICAL INNOVATION AND SUPPORT
Assistive Technology Services in New Hampshire provides adaptive tools and equipment to help individuals with disabilities or mobility challenges live independently. These services focus on evaluating needs, selecting devices, and providing training to maximize functionality and quality of life. Assistive Technology Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Assistive Technology Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Assistive Technology Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Assistive Technology Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ASSISTIVE TECHNOLOGY SERVICES OVERVIEW
Assistive Technology Services enhance daily living by offering devices and tools that support physical, sensory, or cognitive impairments.
Approved providers may deliver:
Needs Assessment: Evaluating individual requirements for adaptive devices.
Device Selection: Recommending tools such as mobility aids, communication devices, or adaptive household equipment.
Installation and Setup: Setting up devices in the home or community setting.
User Training: Educating individuals and caregivers on the proper use and maintenance of assistive technology.
Device Maintenance: Providing ongoing support, repair, and technical assistance.
Adaptive Communication Devices: Speech-generating devices, hearing aids, and visual aids.
Environmental Controls: Home automation solutions for accessibility and safety.
All services are provided according to the Individualized Service Plan (ISP) to meet the participant’s specific needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Assistive Technology provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required certification for device installation and technical support.
Maintain general liability and professional liability insurance.
Develop policies for equipment assessment, installation, and safety management.
Ensure staff meet background checks, health screenings, and technical training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Assistive Technology Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, professional certifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including safety protocols, installation procedures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Assistive Technology Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional certifications (e.g., Assistive Technology Professional (ATP))
Proof of general and professional liability insurance
Assistive Technology Services Policy & Procedure Manual including:
Needs assessment, device selection, and installation protocols
Maintenance, troubleshooting, and user training procedures
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, client rights, and grievance handling
Documentation standards for device usage tracking and Medicaid billing
Safety protocols, emergency response, and maintenance schedules
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Assistive Technology Program Director
Requirements: Bachelor’s degree in rehabilitation technology, healthcare administration, or related field; certification as an Assistive Technology Professional (ATP) preferred.
Role: Assistive Technology Specialists
Requirements: Certification in assistive technology assessment and device implementation; experience with mobility aids and adaptive devices; background clearance.
Role: Support Technicians
Requirements: Technical training in device setup and repair; experience in customer support and maintenance services.
All staff must complete:
Training in adaptive equipment installation and client safety
HIPAA compliance and client rights education
Ongoing professional development and technical certification updates
Annual competency evaluations and safety protocol refreshers
7. MEDICAID WAIVER PROGRAMS
Assistive Technology Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Installation of mobility aids (e.g., wheelchairs, walkers, transfer devices)
Adaptive communication devices for speech, hearing, or vision impairments
Smart home adaptations for safety and accessibility
Technology training for individuals and caregivers
Equipment maintenance and repair services
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Assistive Technology Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE ASSISTIVE TECHNOLOGY SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Assistive Technology Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for adaptive equipment planning and safety management
Staff credentialing, training program templates, and technical guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for device safety, user satisfaction, and compliance
Collaboration with healthcare providers and community organizations for referrals
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN NEW HAMPSHIRE
PROMOTING MENTAL WELL-BEING AND RESILIENCE THROUGH INTEGRATED CARE
Behavioral Health Services in New Hampshire provide therapeutic support and interventions for individuals experiencing mental health challenges, developmental disabilities, or behavioral issues. These services focus on improving emotional well-being, managing behavioral symptoms, and promoting community integration. Behavioral Health Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Behavioral Health Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Behavioral Health Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Behavioral Health Services meet HCBS quality, person-centered planning, and participant protection standards.
2. BEHAVIORAL HEALTH SERVICES OVERVIEW
Behavioral Health Services support individuals by addressing mental health concerns, managing behavioral challenges, and fostering skills for daily living.
Approved providers may deliver:
Individual and Group Therapy: Therapeutic sessions focusing on emotional regulation, coping strategies, and social skills.
Behavioral Intervention Planning: Developing personalized plans to address maladaptive behaviors.
Psychiatric Support: Assessment and management of mental health conditions by licensed practitioners.
Crisis Intervention: Immediate support during behavioral or mental health emergencies.
Skill Building: Teaching communication, problem-solving, and self-regulation techniques.
Family and Caregiver Support: Training and guidance on managing behavioral challenges at home.
Case Management: Coordinating care across mental health, healthcare, and community resources.
Peer Support Services: Utilizing trained peers to offer social and emotional support.
All services are delivered according to the Individualized Service Plan (ISP) to address the participant’s mental health and behavioral needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Behavioral Health provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure from the New Hampshire Board of Mental Health Practice if applicable.
Maintain general liability and professional liability insurance.
Develop policies for behavioral assessment, crisis intervention, and therapeutic care.
Ensure licensed practitioners and direct care staff meet background checks, health screenings, and continuing education requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Behavioral Health Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including therapeutic protocols, crisis management plans, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Behavioral Health Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC))
Proof of general and professional liability insurance
Behavioral Health Services Policy & Procedure Manual including:
Assessment, diagnosis, and treatment planning protocols
Crisis management, de-escalation techniques, and safety planning
Staff credentialing, background checks, and ongoing training records
Documentation standards for therapy tracking and Medicaid billing
HIPAA compliance, patient rights, and grievance handling
Safety protocols for therapeutic settings and patient interactions
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Behavioral Health Program Director
Requirements: Master’s degree in psychology, social work, or mental health counseling; state licensure; experience in program management.
Role: Licensed Behavioral Health Practitioners
Requirements: Active state licensure (e.g., LCSW, LMHC, LPC); experience in clinical assessment and therapy; background clearance.
Role: Behavioral Health Technicians
Requirements: Certification in behavioral health support; experience in direct care settings; background clearance.
Role: Peer Support Specialists
Requirements: Certification in peer support; lived experience with mental health challenges; background clearance.
All staff must complete:
Behavioral health crisis management and safety training
HIPAA compliance and client rights education
Annual competency evaluations and continuing education
Ongoing professional development in therapeutic techniques
7. MEDICAID WAIVER PROGRAMS
Behavioral Health Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Individual and group counseling
Behavioral intervention and crisis support
Psychiatric care and medication management
Family and caregiver training
Skill development and peer support services
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Behavioral Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
New Hampshire Board of Mental Health Practice
Website: https://www.oplc.nh.gov/mental-health
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE BEHAVIORAL HEALTH SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Behavioral Health Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for mental health care and crisis intervention
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for clinical safety and program compliance
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN NEW HAMPSHIRE
IMPROVING ACCESSIBILITY AND SAFETY THROUGH CUSTOMIZED HOME ADAPTATIONS
Home Modification Services in New Hampshire support individuals with disabilities, chronic conditions, or mobility challenges by providing adaptive modifications to their living environments. These services help ensure that homes are safe, accessible, and conducive to independent living. Home Modification Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Home Modification Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Home Modification Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Home Modification Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOME MODIFICATION SERVICES OVERVIEW
Home Modification Services are designed to make living environments more accessible and safe for individuals with physical or cognitive disabilities.
Approved providers may deliver:
Accessibility Improvements: Installation of ramps, widened doorways, and handrails.
Bathroom Modifications: Roll-in showers, grab bars, accessible sinks, and raised toilet seats.
Kitchen Adjustments: Lowered countertops, accessible cabinets, and adapted appliances.
Safety Enhancements: Installation of safety alarms, improved lighting, and slip-resistant flooring.
Mobility Aids: Stairlifts, vertical platform lifts, and grab bars.
Home Automation Integration: Smart home technologies for lighting, temperature, and security management.
Structural Modifications: Door widening, hallway adjustments, and entryway improvements.
All modifications are delivered according to the Individualized Service Plan (ISP) and based on a professional assessment of the participant’s needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Home Modification provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required contractor licenses from the New Hampshire Office of Professional Licensure and Certification.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for safety, project planning, and quality assurance.
Ensure contractors and subcontractors meet background checks and licensing requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Home Modification Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, contractor licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including safety procedures, modification protocols, and contractor qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Home Modification Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Contractor Licenses (if applicable)
Proof of general and professional liability insurance
Home Modification Services Policy & Procedure Manual including:
Safety and risk assessment protocols
Project planning and modification guidelines
Contractor vetting, background checks, and credential verification
Compliance with building codes, ADA standards, and safety regulations
Documentation standards for project tracking and Medicaid billing
Risk management and emergency preparedness procedures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Home Modification Program Director
Requirements: Bachelor’s degree in construction management, healthcare administration, or related field; experience managing home accessibility projects.
Role: Licensed Contractors
Requirements: State contractor license; experience in home modifications for accessibility; background clearance.
Role: Accessibility Specialists
Requirements: Certification in home accessibility modifications (e.g., CAPS - Certified Aging-in-Place Specialist); background clearance.
All staff must complete:
Safety training and risk management education
HIPAA compliance and client rights training
Ongoing professional development and continuing education
Annual competency evaluations and safety protocol updates
7. MEDICAID WAIVER PROGRAMS
Home Modification Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Installation of wheelchair ramps and accessible doorways
Bathroom accessibility improvements (e.g., roll-in showers, grab bars)
Kitchen modifications to accommodate mobility aids
Safety enhancements and adaptive equipment installations
Smart home integration for individuals with mobility impairments
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Home Modification Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
New Hampshire Office of Professional Licensure and Certification
Website: https://www.oplc.nh.gov/
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE HOME MODIFICATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Home Modification Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for accessibility planning and safety compliance
Staff credentialing, training program templates, and project documentation guidance
Medicaid billing setup and project management support
Branding, website development, and client engagement strategies
Quality assurance systems for safety monitoring and compliance
Collaboration with healthcare providers and community organizations for referrals
Nursing Facility Transition
NURSING FACILITY SERVICES PROVIDER IN NEW HAMPSHIRE
PROVIDING COMPREHENSIVE LONG-TERM CARE IN A SAFE AND SUPPORTIVE ENVIRONMENT
Nursing Facility Services in New Hampshire provide 24-hour skilled nursing care and rehabilitative services for individuals with chronic illnesses, disabilities, or age-related health conditions. These facilities offer medical care, personal assistance, and therapeutic services in a residential setting. Nursing Facility Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Nursing Facility Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Nursing Facility Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Nursing Facility Services meet HCBS quality, person-centered planning, and participant protection standards.
2. NURSING FACILITY SERVICES OVERVIEW
Nursing Facility Services offer continuous medical care and support for individuals with significant health and personal care needs.
Approved providers may deliver:
24/7 Skilled Nursing Care: Continuous monitoring and medical support for chronic conditions.
Rehabilitative Therapies: Physical, occupational, and speech therapy as part of recovery and maintenance.
Medication Administration: Accurate and timely dispensing of prescribed medications.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) including bathing, dressing, feeding, and mobility.
Chronic Disease Management: Support for diabetes, hypertension, respiratory conditions, and more.
Wound Care and Monitoring: Treatment of pressure ulcers, surgical sites, and chronic wounds.
Dietary and Nutritional Support: Tailored meal planning and dietary management.
Social and Recreational Activities: Engagement in group activities, therapy sessions, and community events.
Family and Caregiver Support: Counseling, education, and involvement in care planning.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s medical and personal care needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Nursing Facility provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure from the New Hampshire Office of Professional Licensure and Certification (OPLC) as a nursing home or skilled nursing facility.
Maintain general liability and professional liability insurance.
Develop policies for skilled care, health monitoring, and residential safety.
Ensure licensed nurses and direct care staff meet background checks, health screenings, and ongoing training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Nursing Facility Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, nursing facility licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including healthcare protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Nursing Facility Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Nursing Facility License (if applicable)
Proof of general and professional liability insurance
Nursing Facility Services Policy & Procedure Manual including:
Skilled nursing care, medication management, and chronic disease protocols
Rehabilitation, therapeutic support, and personal care guidelines
Staff credentialing, background checks, and ongoing training records
Documentation standards for health monitoring and Medicaid billing
HIPAA compliance, patient rights, and grievance handling
Safety protocols, infection control, and emergency preparedness
Quality assurance and continuous care monitoring
6. STAFFING REQUIREMENTS
Role: Nursing Facility Program Director
Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in managing long-term care settings.
Role: Registered Nurses (RNs)
Requirements: Active RN license in New Hampshire; experience in skilled nursing care; background clearance.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license in New Hampshire; supervised by an RN; experience in patient care and medication management.
Role: Certified Nursing Assistants (CNAs)
Requirements: State certification, experience in personal care and ADL assistance; supervised by an RN.
All staff must complete:
Advanced training in skilled nursing practices and safety protocols
HIPAA compliance and patient rights education
Annual competency evaluations and professional development
Ongoing training for infection control, wound care, and emergency management
7. MEDICAID WAIVER PROGRAMS
Nursing Facility Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
24/7 nursing care and health monitoring
Chronic disease management and rehabilitative therapy
Medication administration and dietary support
Social and recreational activities for holistic well-being
Family and caregiver training and support
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Nursing Facility Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
New Hampshire Office of Professional Licensure and Certification (OPLC)
Website: https://www.oplc.nh.gov/
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE NURSING FACILITY SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Nursing Facility Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for skilled care and residential safety
Staff credentialing, training program templates, and healthcare documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for clinical safety and continuous care
Collaboration with healthcare providers for integrated care planning
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN NEW HAMPSHIRE
PROMOTING INDEPENDENCE AND SOCIAL CONNECTIONS THROUGH COMMUNITY-BASED SUPPORT
Community Integration Services in New Hampshire support individuals with disabilities or chronic conditions by facilitating their active participation in community life. These services enhance social skills, promote independence, and encourage meaningful connections through personalized support. Community Integration Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Community Integration Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Community Integration Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Community Integration Services meet HCBS quality, person-centered planning, and participant protection standards.
2. COMMUNITY INTEGRATION SERVICES OVERVIEW
Community Integration Services support individuals by fostering connections within their local communities and enhancing their ability to live independently.
Approved providers may deliver:
Social Skills Training: Teaching communication, social interaction, and self-advocacy.
Community Access Support: Assisting with participation in social, recreational, and civic activities.
Life Skills Development: Teaching budgeting, meal planning, and self-care.
Peer Mentoring: Connecting participants with peer supporters to build social networks.
Vocational Integration: Preparing individuals for work and volunteering through skills training and job shadowing.
Cultural and Recreational Activities: Encouraging participation in hobbies, clubs, and community events.
Transportation Support: Assisting with travel planning and accessing community resources.
Advocacy and Empowerment: Supporting individuals in making informed decisions about their lives.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s goals for independence and social inclusion.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Community Integration provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required certifications or licenses for community support services.
Maintain general liability and professional liability insurance.
Develop policies for community access, safety, and social skill development.
Ensure staff meet background checks, health screenings, and training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Community Integration Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including staff qualifications, community access protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Community Integration Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Certification for community support services (if applicable)
Proof of general and professional liability insurance
Community Integration Services Policy & Procedure Manual including:
Community access planning, social skills training, and integration support protocols
Safety procedures for community outings and group activities
Staff credentialing, background checks, and ongoing training records
Documentation standards for activity tracking and Medicaid billing
HIPAA compliance, client rights, and grievance handling
Emergency preparedness and crisis intervention protocols
Quality assurance and service effectiveness monitoring
6. STAFFING REQUIREMENTS
Role: Community Integration Program Director
Requirements: Bachelor’s degree in social work, human services, or a related field; experience in community support management.
Role: Community Support Specialists
Requirements: High school diploma or GED; training in social integration and community living skills; CPR/First Aid certification; background clearance.
Role: Peer Support Mentors
Requirements: Experience in community involvement and peer support; certification preferred.
All staff must complete:
Training in community integration and social skills development
HIPAA compliance and participant rights education
Annual competency evaluations and ongoing professional development
Safety and crisis management training
Training in fostering social inclusion and independence
7. MEDICAID WAIVER PROGRAMS
Community Integration Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Social skills training and peer mentoring
Support for community involvement and social engagement
Life skills development and personal advocacy
Transportation assistance for community activities
Vocational training and job shadowing opportunities
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Community Integration Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE COMMUNITY INTEGRATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Community Integration Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for community integration planning and safety management
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for community involvement and social integration
Collaboration with local organizations to promote inclusive practices
Homemaker
HOMEMAKER SERVICES PROVIDER IN NEW HAMPSHIRE
SUPPORTING INDEPENDENT LIVING THROUGH ESSENTIAL HOUSEHOLD ASSISTANCE
Homemaker Services in New Hampshire support individuals with disabilities, chronic illnesses, or age-related conditions by providing assistance with essential household tasks. These services help maintain a clean, safe, and comfortable living environment while promoting independence. Homemaker Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Homemaker Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Homemaker Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Homemaker Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOMEMAKER SERVICES OVERVIEW
Homemaker Services provide non-medical support to individuals, helping them maintain a clean and safe living environment.
Approved providers may deliver:
Housekeeping: Light cleaning, dusting, vacuuming, and trash removal.
Laundry and Linen Care: Washing, drying, folding, and changing bed linens.
Meal Preparation: Cooking and meal planning based on dietary needs.
Grocery Shopping: Purchasing groceries and household essentials.
Home Safety Checks: Identifying and addressing potential hazards.
Organization Assistance: Helping to maintain a clutter-free and organized space.
Companionship: Providing social interaction while completing tasks.
Errands: Assisting with light shopping and pharmacy visits.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s household and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Homemaker provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any required licensure from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for household management, safety protocols, and staff training.
Ensure staff meet background checks, health screenings, and homemaking training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Homemaker Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including safety protocols, staff qualifications, and homemaker procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Homemaker Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Homemaker Services Policy & Procedure Manual including:
Participant intake, assessment, and service planning procedures
Housekeeping, meal preparation, and personal environment maintenance protocols
Staff credentialing, background checks, and ongoing training records
Documentation standards for service tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Homemaker Program Director
Requirements: Bachelor’s degree in human services, healthcare administration, or related field; supervisory experience preferred.
Role: Homemakers/Direct Support Workers
Requirements: High school diploma or GED; basic housekeeping and meal preparation skills; CPR/First Aid certification; background clearance.
Role: Personal Care Aides (if applicable)
Requirements: CPR/First Aid certification; experience in light personal care assistance; background clearance.
All staff must complete:
Homemaking and light caregiving training
Safety and infection control education
HIPAA compliance and client rights training
Annual competency evaluations and continuing education
Ongoing training in household safety and wellness monitoring
7. MEDICAID WAIVER PROGRAMS
Homemaker Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Light housekeeping and laundry assistance
Meal preparation and dietary support
Grocery shopping and essential errands
Safety checks and home maintenance assistance
Social interaction and companionship
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Homemaker Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE HOMEMAKER SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Homemaker Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for homemaking support and household safety
Staff credentialing, training program templates, and service documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for household safety and compliance monitoring
Networking with community-based organizations for referrals
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN NEW HAMPSHIRE
COORDINATING CARE AND SUPPORT THROUGH INDIVIDUALIZED CASE MANAGEMENT
Case Management Services in New Hampshire support individuals with disabilities, chronic conditions, or long-term care needs by coordinating services, developing care plans, and facilitating access to resources. These services ensure that individuals receive comprehensive, person-centered care. Case Management Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Case Management Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Case Management Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Case Management Services meet HCBS quality, person-centered planning, and participant protection standards.
2. CASE MANAGEMENT SERVICES OVERVIEW
Case Management Services coordinate and manage care to enhance an individual’s ability to live independently and safely within the community.
Approved providers may deliver:
Needs Assessment: Conducting comprehensive evaluations to identify care requirements.
Service Planning: Developing an Individualized Service Plan (ISP) tailored to each participant.
Care Coordination: Arranging healthcare, social, and community services.
Monitoring and Follow-Up: Regularly reviewing progress and updating care plans as needed.
Crisis Intervention: Providing support during emergencies and coordinating responses.
Resource Navigation: Assisting individuals in accessing community resources and financial support.
Advocacy: Supporting participants in obtaining necessary services and advocating for their rights.
All services are delivered according to the ISP to meet the unique needs and preferences of the participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Case Management provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any necessary licensure for case management services from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for care coordination, crisis response, and documentation.
Ensure staff meet background checks, health screenings, and case management training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Case Management Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including staff qualifications, service planning protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Case Management Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Case Management Services Policy & Procedure Manual including:
Participant intake, needs assessment, and care planning procedures
Coordination of healthcare, social, and community-based services
Crisis intervention and emergency response protocols
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Documentation standards for service coordination and Medicaid billing
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Case Management Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare; certification in case management preferred; supervisory experience.
Role: Case Managers
Requirements: Bachelor’s degree in social work, healthcare, or a related field; experience in care coordination and service planning; background clearance.
Role: Case Management Assistants
Requirements: High school diploma or GED; experience in administrative support and data entry; background clearance.
All staff must complete:
Training in person-centered planning and case management practices
HIPAA compliance and participant rights education
Crisis management and de-escalation techniques
Annual competency evaluations and continuing education
Ongoing training in service coordination and resource management
7. MEDICAID WAIVER PROGRAMS
Case Management Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Coordinating healthcare and supportive services
Developing and monitoring Individualized Service Plans (ISPs)
Assisting with accessing community resources and financial aid
Crisis intervention and emergency coordination
Providing advocacy and support for participant needs
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Case Management Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE CASE MANAGEMENT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Case Management Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for care coordination and crisis management
Staff credentialing, training program templates, and documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for service coordination and compliance
Collaboration with healthcare and community organizations for resource sharing
Transportation
TRANSPORTATION SERVICES PROVIDER IN NEW HAMPSHIRE
ENSURING ACCESS TO CARE AND COMMUNITY THROUGH SAFE, RELIABLE TRANSPORTATION
Transportation Services in New Hampshire provide non-emergency medical and community transportation for individuals with disabilities, chronic conditions, or mobility challenges. These services facilitate access to medical appointments, social activities, work, and community resources, promoting independence and social inclusion. Transportation Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Transportation Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Transportation Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Transportation Services meet HCBS quality, person-centered planning, and participant protection standards.
2. TRANSPORTATION SERVICES OVERVIEW
Transportation Services ensure that individuals with disabilities have access to healthcare, social, and community activities through reliable transportation.
Approved providers may deliver:
Non-Emergency Medical Transportation (NEMT): Rides to medical appointments, therapies, and healthcare services.
Community Access Transportation: Travel to community centers, social events, and support groups.
Employment Transportation: Rides to work or vocational training.
Recreational and Social Transportation: Facilitating participation in community events and activities.
Specialized Transport: Vehicles equipped for wheelchairs, mobility aids, and accessible seating.
Door-to-Door Assistance: Helping passengers from their residence to the vehicle and destination.
Escort or Companion Services: Assisting individuals who need additional support during travel.
All services are delivered according to the Individualized Service Plan (ISP) to meet the specific transportation needs of the participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Transportation provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain necessary permits and licenses from the New Hampshire Department of Safety.
Maintain general liability, professional liability, and vehicle insurance.
Develop policies for passenger safety, vehicle maintenance, and driver training.
Ensure drivers meet background checks, health screenings, and defensive driving training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Transportation Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, vehicle insurance certificates, driver qualifications, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including safety protocols, driver training, and vehicle maintenance procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Transportation Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Vehicle Registration and Safety Inspection Documents
Proof of general liability, professional liability, and vehicle insurance
Transportation Services Policy & Procedure Manual including:
Trip scheduling, passenger assistance, and route planning procedures
Driver credentialing, background checks, and training records
Safety protocols for transporting individuals with mobility aids
Vehicle maintenance, inspection, and cleanliness standards
HIPAA compliance, passenger rights, and grievance handling
Documentation standards for trip logs, billing, and compliance tracking
Emergency preparedness, accident reporting, and incident management
6. STAFFING REQUIREMENTS
Role: Transportation Program Director
Requirements: Bachelor’s degree in business administration, transportation management, or related field; supervisory experience preferred.
Role: Drivers/Transportation Aides
Requirements: Valid New Hampshire driver’s license with a clean driving record; defensive driving and passenger assistance training; CPR/First Aid certification; background clearance.
Role: Dispatch Coordinators
Requirements: Experience in logistics, scheduling, and customer support; background clearance.
All staff must complete:
Training in safe driving practices and passenger assistance
HIPAA compliance and client rights education
Ongoing professional development and defensive driving courses
Annual vehicle safety inspections and maintenance training
Customer service and accessibility training
7. MEDICAID WAIVER PROGRAMS
Transportation Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Non-emergency medical transportation to healthcare facilities
Community access rides to social and recreational programs
Vocational transportation to work or training sites
Door-to-door assistance for individuals requiring mobility support
Specialized transport for individuals using wheelchairs or mobility aids
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Transportation Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
New Hampshire Department of Safety
Website: https://www.nh.gov/safety/
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE TRANSPORTATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Transportation Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for safe transportation and client support
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community engagement strategies
Quality assurance systems for transportation safety and driver training
Collaboration with healthcare providers for coordinated travel support
Home Health
HOME HEALTH CARE SERVICES PROVIDER IN NEW HAMPSHIRE
DELIVERING MEDICAL AND PERSONAL SUPPORT IN THE COMFORT OF HOME
Home Health Care Services in New Hampshire provide medical care and personal support to individuals with chronic conditions, disabilities, or age-related challenges. These services are designed to help individuals remain independent while receiving professional care at home. Home Health Care Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Home Health Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Home Health Care Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Home Health Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOME HEALTH CARE SERVICES OVERVIEW
Home Health Care Services aim to support individuals with medical and personal care needs within the comfort of their homes.
Approved providers may deliver:
Skilled Nursing: Health monitoring, medication administration, wound care, and chronic disease management.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as bathing, grooming, toileting, and mobility.
Physical Therapy: Exercises and treatments to restore movement and physical function.
Occupational Therapy: Techniques to improve daily living skills and independence.
Speech Therapy: Communication support and swallowing therapy.
Medication Management: Assistance with prescription adherence and administration.
Chronic Disease Management: Support for diabetes, hypertension, respiratory conditions, and more.
Home Health Aide Services: Assistance with hygiene, personal care, and simple health monitoring.
Care Coordination: Communicating with healthcare providers to ensure continuity of care.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s health and personal care needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Home Health Care provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Home Health Agency from DHHS.
Maintain general liability and professional liability insurance.
Develop policies for skilled care, medication management, and home safety.
Ensure licensed nurses and direct care staff meet background checks, health screenings, and ongoing training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Home Health Care Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, home health agency licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including healthcare protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Home Health Care Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency License
Proof of general and professional liability insurance
Home Health Care Services Policy & Procedure Manual including:
Skilled nursing care, medication management, and therapeutic support protocols
Personal care assistance, hygiene maintenance, and ADL support
Staff credentialing, background checks, and ongoing training records
Documentation standards for care tracking and Medicaid billing
HIPAA compliance, patient rights, and grievance handling
Safety protocols, infection control, and emergency preparedness
Quality assurance and health outcome monitoring
6. STAFFING REQUIREMENTS
Role: Home Health Program Director
Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in home healthcare management.
Role: Registered Nurses (RNs)
Requirements: Active RN license in New Hampshire; experience in home care and chronic disease management.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license in New Hampshire; supervised by an RN; experience in patient care and medication administration.
Role: Home Health Aides (HHAs)
Requirements: State certification; experience in personal care and health monitoring; supervised by an RN.
All staff must complete:
Training in home health care practices and infection control
HIPAA compliance and patient rights education
Annual competency evaluations and ongoing professional development
Safety and emergency preparedness training
Ongoing training in chronic disease management and personal care
7. MEDICAID WAIVER PROGRAMS
Home Health Care Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Skilled nursing and health monitoring
Personal care and hygiene assistance
Rehabilitation therapies (physical, occupational, speech)
Chronic disease management and medication administration
Care coordination and healthcare provider collaboration
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Home Health Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE HOME HEALTH CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Home Health Care Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for skilled care and personal support
Staff credentialing, training program templates, and healthcare documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for home safety and clinical care
Collaboration with healthcare providers for integrated home care services
Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN NEW HAMPSHIRE
PROMOTING HEALTH AND WELL-BEING THROUGH NUTRITIONAL SUPPORT
Meal and Nutrition Services in New Hampshire provide essential dietary support for individuals with disabilities, chronic conditions, or age-related challenges. These services focus on delivering healthy, balanced meals, meal planning, and nutritional education to enhance well-being and support independent living. Meal and Nutrition Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: New Hampshire Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Meal and Nutrition Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Bureau of Elderly and Adult Services (BEAS)
Role: Ensures quality standards, service delivery, and compliance for Meal and Nutrition Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Meal and Nutrition Services meet HCBS quality, person-centered planning, and participant protection standards.
2. MEAL AND NUTRITION SERVICES OVERVIEW
Meal and Nutrition Services support individuals by providing prepared meals, dietary planning, and guidance on maintaining a healthy diet.
Approved providers may deliver:
Meal Preparation: Cooking and delivering meals tailored to dietary needs (e.g., diabetic, low-sodium, pureed).
Nutritional Planning: Creating meal plans that meet health and dietary requirements.
Grocery Assistance: Purchasing ingredients and delivering food supplies.
Meal Delivery: Regularly delivering prepared meals to participants’ homes.
Dietary Education: Educating individuals and caregivers on meal preparation and balanced nutrition.
Special Diet Accommodation: Adapting meals for allergies, intolerances, or medical conditions.
Cultural and Personal Preferences: Offering meal options that respect cultural practices and personal tastes.
All services are provided according to the Individualized Service Plan (ISP) to meet the participant’s nutritional needs and preferences.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Meal and Nutrition provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain any necessary food handling permits from the New Hampshire Department of Health.
Maintain general liability and professional liability insurance.
Develop policies for meal preparation, dietary compliance, and safety.
Ensure staff meet background checks, health screenings, and food safety training requirements.
4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Meal and Nutrition Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, food handling permits, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and BEAS evaluate provider readiness, including food safety protocols, dietary compliance, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Meal and Nutrition Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Food Handling Permits (if applicable)
Proof of general and professional liability insurance
Meal and Nutrition Services Policy & Procedure Manual including:
Meal planning, preparation, and delivery protocols
Dietary compliance and special diet accommodation procedures
Staff credentialing, background checks, and food safety training documentation
HIPAA compliance, client rights, and grievance handling
Documentation standards for meal tracking and Medicaid billing
Food safety, hygiene, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Meal and Nutrition Program Director
Requirements: Bachelor’s degree in nutrition, dietetics, or food service management; experience in dietary planning and food safety management.
Role: Dietitians/Nutritionists
Requirements: State licensure as a Registered Dietitian (RD) or Certified Nutritionist; experience in meal planning and dietary counseling.
Role: Food Service Workers/Cooks
Requirements: Food handler certification; experience in meal preparation and dietary accommodation; background clearance.
Role: Delivery Drivers
Requirements: Valid driver’s license, food handling certification, and background clearance.
All staff must complete:
Food safety training and dietary compliance education
HIPAA compliance and client rights training
Annual competency evaluations and continuing education
Ongoing training in safe meal preparation and dietary planning
7. MEDICAID WAIVER PROGRAMS
Meal and Nutrition Services are available under the following New Hampshire Medicaid Waivers:
Choices for Independence (CFI) Waiver
Developmental Disabilities (DD) Waiver
Acquired Brain Disorder (ABD) Waiver
In-Home Support (IHS) Waiver for Children
Home and Community-Based Services (HCBS) Waiver
Services may include:
Home-delivered meals for nutritional support
Meal planning and dietary education
Grocery assistance and food delivery
Culturally appropriate and medically tailored meal options
Nutritional monitoring and education for chronic conditions
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Meal and Nutrition Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
New Hampshire Department of Health and Human Services (DHHS)
Website: https://www.dhhs.nh.gov/
Bureau of Elderly and Adult Services (BEAS)
Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support
New Hampshire Medicaid Provider Enrollment Portal
Website: https://nhmmis.nh.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE MEAL AND NUTRITION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Meal and Nutrition Services in New Hampshire, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for meal planning, preparation, and dietary compliance
Staff credentialing, training program templates, and food safety management
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for food safety and nutritional compliance
Collaboration with dietitians and healthcare providers for dietary planning
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.