---
title: "New Hampshire Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/new-hampshire/home-care-medicaid/
description: "The Choices for Independence 1915(c) waiver supports nursing-facility-level care in community settings, subject to enrollment capacity."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
New Hampshire · Home & Community Care

# New Hampshire Home Care Medicaid

Last updated 2026-10-20

The Choices for Independence program — CFI — is New Hampshire's flagship section 1915(c) home- and community-based services waiver, built for older adults and adults with disabilities who are at risk of needing institutional care. CMS's current federal record shows the CFI waiver approved effective July 1, 2022, running through June 30, 2027.

CFI operates within New Hampshire DHHS and is designed around a specific goal: letting someone who needs a nursing-facility level of care actually receive that level of support in their own home or another qualifying community setting instead. Because enrollment is capacity-limited, it's worth checking current wait times or availability rather than assuming enrollment is automatic once someone qualifies medically and financially.

## Sources and official resources

- [New Hampshire Insurance Department: Long Term Care](https://www.insurance.nh.gov/consumers/long-term-care)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full New Hampshire guide](https://fundingltcmarketplace.com/states/new-hampshire/)