New Hampshire runs real Medicaid programs that pay family members to care for a loved one at home. Here is what they pay, who can be paid, and how to start.
22% of the state
each with its own page
that can pay a relative
see the full rule below
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
$15–$22/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: New Hampshire Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
CFI: not an entitlement (~5,951 cap/yr), waitlist exists; PCAS: entitlement, no waitlist
Not right now — but other family members can often be paid.
The fine print: no — none of New Hampshire's three programs pays a spouse: He-E 801.12(a)(6) (Choices for Independence), He-W 552.04(b)(3) (PCAS) and He-M 524.26(j) (In-Home Supports) all exclude spouses
Sometimes — special programs for children may pay parents.
The fine print: limited — CFI/PCAS are adult programs; the In-Home Supports Waiver for children with DD can pay parents for some services when the child's dependency exceeds DD peers
Run by: NH DHHS Bureau of Adult and Aging Services (ADRC/ServiceLink 866-634-9412
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →A path for children who need extra care.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Apply via NH Easy online or a district DHHS office; ServiceLink/ADRC (866-634-9412) assists with CFI; for PCAS enroll in NH Medicaid then submit a Request for Services to Granite State Independent Living.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In New Hampshire, they are overseen by the NH DHHS Bureau of Adult and Aging Services (ADRC/ServiceLink 866-634-9412. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Not right now — but other family members can often be paid. The fine print: no — none of New Hampshire's three programs pays a spouse: He-E 801.12(a)(6) (Choices for Independence), He-W 552.04(b)(3) (PCAS) and He-M 524.26(j) (In-Home Supports) all exclude spouses
Sometimes — special programs for children may pay parents. The fine print: limited — CFI/PCAS are adult programs; the In-Home Supports Waiver for children with DD can pay parents for some services when the child's dependency exceeds DD peers
Reported figures are around $15–$22/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Some programs here have no waitlist. Others can have one. Details: CFI: not an entitlement (~5,951 cap/yr), waitlist exists; PCAS: entitlement, no waitlist
It depends on the program. In New Hampshire: hybrid — participant hires/manages the caregiver but a financial management services agency handles payroll, taxes, background checks
Sources: dhhs.nh.gov · medicaidplanningassistance.org · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across New Hampshire. Pick your county to see how they work where you live.
Guides
Start with the New Hampshire caregiver program, then read how the pieces fit together.
Across the line
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.
Answer 5 easy questions. See your programs and pay before you share any contact info.