HOME HEALTH CARE SERVICES PROVIDER IN NEW HAMPSHIRE

DELIVERING MEDICAL AND PERSONAL SUPPORT IN THE COMFORT OF HOME

Home Health Care Services in New Hampshire provide medical care and personal support to individuals with chronic conditions, disabilities, or age-related challenges. These services are designed to help individuals remain independent while receiving professional care at home. Home Health Care 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 Home Health Care 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 Home Health Care Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

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

2. HOME HEALTH CARE SERVICES OVERVIEW

Home Health Care Services aim to support individuals with medical and personal care needs within the comfort of their homes.

Approved providers may deliver:

• Skilled Nursing: Health monitoring, medication administration, wound care, and chronic disease management.

• Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as bathing, grooming, toileting, and mobility.

• Physical Therapy: Exercises and treatments to restore movement and physical function.

• Occupational Therapy: Techniques to improve daily living skills and independence.

• Speech Therapy: Communication support and swallowing therapy.

• Medication Management: Assistance with prescription adherence and administration.

• Chronic Disease Management: Support for diabetes, hypertension, respiratory conditions, and more.

• Home Health Aide Services: Assistance with hygiene, personal care, and simple health monitoring.

• Care Coordination: Communicating with healthcare providers to ensure continuity of care.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s health and personal care needs.

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 Home Health Care provider via the New Hampshire Medicaid Provider Enrollment Portal.

• Obtain licensure as a Home Health Agency from DHHS.

• Maintain general liability and professional liability insurance.

• Develop policies for skilled care, medication management, and home safety.

• Ensure licensed nurses and direct care staff meet background checks, health screenings, and ongoing 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 Home Health Care Services under HCBS waivers.

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, home health agency licenses, insurance certificates, and policy manuals.

Program Readiness Review:

• DHHS and BEAS evaluate provider readiness, including healthcare protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

• Upon approval, providers are authorized to bill Medicaid for Home Health Care Services using designated billing codes.

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (New Hampshire Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Home Health Agency License

• Proof of general and professional liability insurance

• Home Health Care Services Policy & Procedure Manual including:

  • Skilled nursing care, medication management, and therapeutic support protocols

  • Personal care assistance, hygiene maintenance, and ADL support

  • Staff credentialing, background checks, and ongoing training records

  • Documentation standards for care tracking and Medicaid billing

  • HIPAA compliance, patient rights, and grievance handling

  • Safety protocols, infection control, and emergency preparedness

  • Quality assurance and health outcome monitoring

6. STAFFING REQUIREMENTS

Role: Home Health Program Director

Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in home healthcare management.

Role: Registered Nurses (RNs)

Requirements: Active RN license in New Hampshire; experience in home care and chronic disease management.

Role: Licensed Practical Nurses (LPNs)

Requirements: Active LPN license in New Hampshire; supervised by an RN; experience in patient care and medication administration.

Role: Home Health Aides (HHAs)

Requirements: State certification; experience in personal care and health monitoring; supervised by an RN.

All staff must complete:

• Training in home health care practices and infection control

• HIPAA compliance and patient rights education

• Annual competency evaluations and ongoing professional development

• Safety and emergency preparedness training

• Ongoing training in chronic disease management and personal care

7. MEDICAID WAIVER PROGRAMS

Home Health Care Services are available under the following New Hampshire Medicaid Waivers:

• Choices for Independence (CFI) Waiver

• Developmental Disabilities (DD) Waiver

• Acquired Brain Disorder (ABD) Waiver

• In-Home Support (IHS) Waiver for Children

• Home and Community-Based Services (HCBS) Waiver

Services may include:

• Skilled nursing and health monitoring

• Personal care and hygiene assistance

• Rehabilitation therapies (physical, occupational, speech)

• Chronic disease management and medication administration

• Care coordination and healthcare provider collaboration

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation

Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development

Timeline: 2–3 months

Phase: New Hampshire Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing Setup and Home Health Care Service Launch

Timeline: 30–45 days

9. CONTACT INFORMATION

New Hampshire Department of Health and Human Services (DHHS)

Website: https://www.dhhs.nh.gov/

Bureau of Elderly and Adult Services (BEAS)

Website: https://www.dhhs.nh.gov/programs-services/aging-and-adult-support

New Hampshire Medicaid Provider Enrollment Portal

Website: https://nhmmis.nh.gov/

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEW HAMPSHIRE HOME HEALTH CARE SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Home Health Care Services in New Hampshire, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for skilled care and personal support

• Staff credentialing, training program templates, and healthcare documentation guidance

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and community outreach strategies

• Quality assurance systems for home safety and clinical care

• Collaboration with healthcare providers for integrated home care services

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