DAY HABILITATION SERVICES PROVIDER IN NEW HAMPSHIRE

Fatumata Kaba
Aug 12
4 min read

SUPPORTING INDEPENDENCE AND COMMUNITY INTEGRATION THROUGH STRUCTURED DAY PROGRAMS

Day Habilitation Services in New Hampshire assist individuals with intellectual or developmental disabilities in developing daily living skills, social interactions, and community engagement. These services promote independence through structured activities and person-centered support. Day Habilitation Services are authorized under New Hampshire Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: New Hampshire Department of Health and Human Services (DHHS)

Role: Administers Medicaid waiver funding for Day Habilitation Services and manages provider enrollment, service authorization, and reimbursement.

Agency: Bureau of Elderly and Adult Services (BEAS)

Role: Ensures quality standards, service delivery, and compliance for Day Habilitation Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Day Habilitation Services meet HCBS quality, person-centered planning, and participant protection standards.

2. DAY HABILITATION SERVICES OVERVIEW

Day Habilitation Services focus on developing skills that support independence, personal growth, and community inclusion.

Approved providers may deliver:

Skill Development: Training in personal hygiene, meal preparation, household chores, and budgeting.
Social and Community Integration: Facilitating group activities, community outings, and social interactions.
Communication Enhancement: Teaching verbal, non-verbal, and social communication skills.
Health and Wellness Activities: Incorporating physical exercise, nutrition education, and self-care practices.
Vocational Readiness: Assisting with basic job skills, volunteer placements, and pre-employment activities.
Therapeutic Engagement: Activities promoting cognitive and motor skills, such as art, music, or physical therapy.
Personal Safety Education: Teaching awareness, safety protocols, and self-advocacy skills.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s goals and preferences.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the New Hampshire Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Day Habilitation provider via the New Hampshire Medicaid Provider Enrollment Portal.
Obtain licensure as a Day Habilitation Program from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for program safety, skill development, and participant support.
Ensure staff meet background checks, health screenings, and habilitation training requirements.

4. NEW HAMPSHIRE PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application through the New Hampshire Medicaid Provider Enrollment Portal for Day Habilitation Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.

Program Readiness Review:

DHHS and BEAS evaluate provider readiness, including staff qualifications, safety measures, and program planning.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Day Habilitation Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (New Hampshire Secretary of State)
IRS EIN confirmation
NPI confirmation
Day Habilitation Program License (if applicable)
Proof of general and professional liability insurance
Day Habilitation Services Policy & Procedure Manual, including:
- Activity planning, social engagement, and skill-building protocols
- Personal care assistance, supervision, and safety guidelines
- Staff credentialing, background checks, and training records
- Documentation standards for service tracking and Medicaid billing
- HIPAA compliance, participant rights, and grievance handling
- Safety protocols, emergency response, and infection control measures
- Quality assurance and program evaluation

6. STAFFING REQUIREMENTS

Role: Day Habilitation Program Director

Requirements: Bachelor’s degree in human services, special education, or related field; experience managing habilitation or community programs.

Role: Direct Support Professionals (DSPs)

Requirements: High school diploma or GED; training in personal care, habilitation, and community integration; CPR/First Aid certification; background clearance.

Role: Activity Coordinators

Requirements: Experience in planning and facilitating group activities; training in habilitation and social skills development.

All staff must complete: