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/

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10. 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

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE SUPPORTED EMPLOYMENT SERVICES PROVIDER

We support agencies in launching Medicaid-compliant Supported Employment Services in New Hampshire.

To get started, click the link to request portal access