1. Program Definition and Services

Assistive Technology Services in New Hampshire deliver adaptive tools, environmental controls, and specialized communication systems to waiver participants to maximize functional independence and prevent institutional placement. Services include:

• In-Home Personal Care: Direct technology consulting and hardware personalization within the individual's private home (Needs Assessment, Device Selection, Installation and Custom Setup, and Specialized User Training)
• Residential Personal Care: Continuous equipment integration, device troubleshooting, and technology modification in community-based residential environments (Device Maintenance and Repair, Adaptive Communication Setup, Smart Home Environmental Controls, and Caregiver Technical Education)

2. Regulations

The program is governed by the following regulations:

• New Hampshire Code of Administrative Rules, Part He-M 524.10 (Waiver-Based Assistive Technology Standards)
• New Hampshire Code of Administrative Rules, Part He-M 517 (Medicaid-Covered HCBS Services and Documentation Rules)
• Section 508 of the Rehabilitation Act (29 U.S.C. § 794d - Technology Accessibility Standards)
• Federal Home and Community-Based Services Settings Final Rule (42 CFR § 441.301)

3. Licensing or Certification

Providers must establish certified provider status through the Bureau of Developmental Services (BDS) or the Bureau of Elderly and Adult Services (BEAS). Staff performing specialized assessments must hold professional credentials, such as the Assistive Technology Professional (ATP) certification issued by RESNA.

4. Responsible State Agency

The New Hampshire Department of Health and Human Services (DHHS) operating through the Division of Long Term Supports and Services (DLTSS), the Bureau of Developmental Services (BDS), and the Bureau of Elderly and Adult Services (BEAS), is responsible for credentialing agencies, verifying technical benchmarks, and certifying providers.

5. Application Process

The application process uses a multi-stage review framework. Providers submit their business credentials, policy manuals, and technical certificates directly to the designated BDS or BEAS enrollment units. Following program approval, the provider completes electronic registration through the New Hampshire Medicaid Provider Portal (NHMMIS.nh.gov).

6. Required Documentation

While requirements vary based on the target waiver, providers typically must submit:

• Business registration in good standing with the New Hampshire Secretary of State
• Agency policy manuals (needs assessment models, inventory controls, device safety tracking, and repair protocols)
• Staff technical qualifications, background checks, and active professional certifications (e.g., RESNA ATP logs)
• Proof of corporate commercial general liability and specialized product liability/professional indemnity insurance coverages

7. Timeline for Approval

The exact timeline fluctuates based on agency capacity. Preliminary state programmatic screening and credentialing, combined with final electronic NHMMIS portal deployment, typically takes between 60 and 90 days from the submission of a complete documentation packet.

8. Pre-Application Process

Prospective providers must complete specific foundation tasks before applying. They 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 assistive technology or specialized medical supply taxonomies.

9. Pre-Application Training

The state hosts mandatory administrative and compliance training sessions online. Access instructions for Individual Service Agreement (ISA) mapping, spending limitations (such as the five-year $10,000 threshold under He-M 524.10), and Medicaid billing structures are provided after initial intake materials pass state review.

10. Additional Notes

• All adaptive installations and smart-home setups must maintain the participant's privacy, security, and independent choices in alignment with federal HCBS Settings guidelines
• Technology assessments and device fittings must be delivered directly by the certified agency's qualified, employed technical personnel
• All technical staff, evaluators, and setup personnel must conduct mandatory background clearances and fingerprinting through the New Hampshire Department of Safety
• Providers must maintain comprehensive records detailing practitioner recommendations, functional assessment logs, and equipment delivery receipts for Medicaid auditing and billing

Why Choose Waiver Consulting Group?

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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