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 or at home. The definition of "community" under this waiver is broad and includes many types of non-nursing home care such as Assisted Living, Residential Care Homes, Adult Foster Care and other types of Supportive Housing.
Services and support are provided to individuals at these places of residence provided the costs of 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 or the HCBC-ECI Waiver.
Choices For Independence offers participants a degree of consumer direction or self-direction in which they are able to choose some of their care service providers. This applies largely to the unskilled or custodial care services outlined further down the page.
CFI Eligibility Guidelines
New Hampshire has complicated and frequently changing eligibility guidelines. Some requirements change depending on the age, level of impairment or marital status of the applicant. The following information is current as of Feb. 2013. Age
- 65 years of age or older, unless disabled, in which case 18 years or olderLevel of Impairment
- Disabled or eligibility for nursing home level careIncome
- must meet the requirements for NH Medicaid. Single applicants are allowed $2,130 / month. Married applicants can allocate up to $2,898 of joint income each month to a husband or wife provided they are not seeking Medicaid assistance as well. Assets
- single applicants must have less than $2,500 in countable resources. These can exclude the house and car provided they are in use by the owner. Married applicants whose husband or wife is not receiving Medicaid, can transfer joint assets to the non-applicant up to a value of $115,920. What Happens When One Exceed the Limits?
For persons in this situation, there are two possible options available to them. First, if they have high, recurring, medical expenses, they can apply for Medically Needy Medicaid. Alternatively, they can work with a Medicaid planner to transfer excess income into qualifying income trusts
and they can convert countable assets into exempt assets. These techniques require assistance from persons very familiar with Medicaid qualification guidelines as it is easy to make an error and disqualify oneself. It is advisable to find assistance qualifying for NH Medicaid
prior to application.
Services / Benefits
Under Choices for Independence, a large number of supports, services and assistance are available. The purchase of some of the following goods and services can be self-directed.
-Adult Family Care
-Community Transition Assistance
-Environmental Accessibility for Homes and Vehicles
-Home Delivered Meals
-Home Health Services
-Medical Day Services
-Personal Care Assistance
-Personal Emergency Response Service
-Respite Care for the Caregiver
-Specialized Durable Medical Equipment
Availability / How to Apply
The administering body for this waiver is the NH Dpt. of Health and Human Services, Division of Community Based Care Services, Bureau of Elderly and Adult Services (BEAS). The waiver is available statewide and as of June 2013, there are no waiting lists for services. To apply, call toll-free at 1-866-634-9412.
One can also download a brochure
or the complete user guide
Use our Locator Tool to Find Other Options for which You're Eligible
Page Reviewed / Updated - Jun. 2013