New Hampshire
New Hampshire programs that pay family caregivers
New Hampshire pays family members through 3 Medicaid programs. Each has its own rules for who qualifies, who can be paid and what it pays.
Who do you care for?
Choices for Independence (CFI) Waiver
Choices for Independence is New Hampshire's Medicaid home and community based services waiver for adults who need nursing-home level care but want to stay at home. Under its participant-directed and managed services (PDMS) option, the participant picks their own workers and acts as co-employer with a financial management services (FMS) agency, which runs payroll. That lets a relative such as an adult child be hired and paid, but state rules bar payment to a spouse.
Not published
How it works →Personal Care Attendant Services (PCAS)
Personal Care Attendant Services is a New Hampshire Medicaid State Plan benefit for adults who use a wheelchair and can direct their own care. The participant recruits, trains and manages their own attendant, who is employed by a Medicaid-enrolled provider such as Granite State Independent Living (GSIL). A friend or a more distant relative can be the paid attendant, but close family members, including a spouse, parents and siblings, cannot.
Up to $22/hr (GSIL)
How it works →In-Home Supports (IHS) Waiver for Children with Developmental Disabilities
The In-Home Supports waiver pays for in-home residential habilitation, including personal care, for children and young adults from birth through age 21 who have a developmental disability and significant medical or behavioral needs and live with their family. Services are family-directed through the local area agency. A parent can be paid for in-home residential habilitation only when the child's needs and the family's situation meet specific tests, and the area agency is then the parent's employer.
Not published
How it works →The overview: the New Hampshire caregiver program · New Hampshire caregiver pay · spouse rules
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Across the line
States that border New Hampshire
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.