1. Program Definition and Services

Home Health Care Services in New Hampshire provide intermittent clinical medical care and hands-on personal support to individuals within their primary residences. Services include:

• In-Home Personal Care: Hands-on physical care and functional living support (Personal Care Assistance with ADLs like bathing, grooming, toileting, and mobility; home health aide basic monitoring; and medication assistance).
• Residential Personal Care: Specialized clinical care and professional therapies to stabilize health status within the domestic setting (Skilled Nursing Care, physical therapy, occupational therapy, speech therapy, and clinical care coordination).

2. Regulations

The program is governed by the following regulations:

• New Hampshire Code of Administrative Rules, Part He-P 809 (Rules for Home Health Care Providers [HHCP])
• New Hampshire Revised Statutes Annotated (RSA) Chapter 151 (Residential Care and Health Facility Licensing)
• New Hampshire RSA 151:21-b (Home Care Clients' Bill of Rights)
• Federal Conditions of Participation (CoPs) for Home Health Agencies (42 CFR Part 484)

3. Licensing or Certification

Providers must secure an official Home Health Care Provider (HHCP) License issued by the New Hampshire Department of Health and Human Services (DHHS), Health Facilities Administration (HFA) under the He-P 809 framework.

4. Responsible State Agency

The New Hampshire DHHS, operating through the HFA for licensing, and the Division of Long Term Supports and Services (DLTSS) via the Bureau of Elderly and Adult Services (BEAS), is the designated authority overseeing agency licensure, survey operations, and provider Medicaid credentialing.

5. Application Process

Providers first submit a Health Facility Licensing Application and operational blueprints to the HFA. After clearing an initial health and policy compliance inspection to secure the HHCP license, the provider completes electronic enrollment via the New Hampshire Medicaid Provider Enrollment Portal (NHMMIS.nh.gov).

6. Required Documentation

Providers typically must submit:

• Business registration from the New Hampshire Secretary of State
• An HHCP Policy & Procedure Manual structured under He-P 809 guidelines (covering nursing protocols, medication controls, infection prevention, and emergency plans)
• Credentialing files and active professional state licenses for the proposed Administrator and Director of Patient Services
• Certificates of insurance for commercial general liability, professional malpractice liability, and workers' compensation

7. Timeline for Approval

The approval and credentialing pipeline typically requires between 90 and 120 days from the submission of a complete application packet.

8. Pre-Application Process

Prospective providers must establish their state business entity structure, secure an IRS Employer Identification Number (EIN), and obtain a Type 2 Organizational National Provider Identifier (NPI) mapped to home health or skilled nursing taxonomies.

9. Pre-Application Training

Mandatory technical instructions regarding Electronic Visit Verification (EVV) compliance, OASIS metrics (if applicable), and institutional Medicaid waiver billing rules are unlocked once initial provider files are validated by state specialists.

10. Additional Notes

• Staffing Mandate: Under He-P 809.15, the agency must appoint a Director of Patient Services who is an NH-licensed Registered Nurse (RN) with at least 2 years of home health or supervisory experience.
• Physician Orders: All clinical treatments and interventions must follow a formal Plan of Care (POC) authorized directly by the participant’s attending physician, physician assistant, or APRN.
• Clearances: Every employee must pass fingerprint-based criminal record background checks through the New Hampshire Department of Safety and clear the BEAS state abuse registry.

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Starting or expanding your Medicaid waiver-funded agency can feel overwhelming, but it doesn't have to be. At Waiver Consulting Group, we simplify the process by guiding you through licensing, compliance, provider enrollment, policies & procedures, and regulatory approvals in any state.

With proven expertise, a structured process, and ongoing support, we take the guesswork out of launching your healthcare business. Whether you're a first-time entrepreneur or an established provider looking to expand, our team ensures you stay compliant, competitive, and fully operational.

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