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New Hampshire’s Choices For Independence Waiver: Qualifications and Services

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Overview of the Choices For Independence Waiver
This New Hampshire Medicaid program is designed to help adults with chronic illnesses and the elderly.  It does so by providing services and support for individuals that are clinically eligible for nursing home placement, but choose to remain living in the community.  Services and support are provided to individuals at their places of residence provided the costs of these services do not exceed a certain percentage of what the costs would be if they were provided in a nursing home.  The waiver was formerly referred to as the Elderly and Chronically Ill Waiver and the HCBC-ECI Waiver.

This waivers offers participants a degree of consumer direction or self-direction in which they are able to choose some of their care service providers.
  Qualifications for the Choices For Independence Waiver
In addition to being 65 or disabled, residents must require a nursing home level of care and be financially qualified to receive Medicaid.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Choices For Independence Waiver
    • Adult Family Care
    • Assistive Technology
    • Case Management
    • Chore Cleaning
    • Community Transition
    • Environmental Accessibility
    • Home Delivered Meals
    • Home Health Services
    • Homemaker Provides
    • In-Home Care
    • Meal Preparation
    • Medical Day Services
    • Personal Care Help
    • Personal Emergency Response
    • Residential Care
    • Respite Care
    • Shared Housing
    • Specialized Medical Equipment
        Availability of the Choices For Independence Waiver
      This program is available in all New Hampshire counties.  Interested parties can learn more by calling 1-800-351-1888.



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