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/

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10. 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
• Collaboration with healthcare professionals for integrated care planning

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE ADULT HEALTH SERVICES PROVIDER

We support agencies in launching Medicaid-compliant Adult Health Services in New Hampshire.

To get started, click the link to request portal access