RESIDENTIAL SUPPORT SERVICES PROVIDER IN NEW HAMPSHIRE

PROMOTING INDEPENDENT LIVING THROUGH SAFE AND SUPPORTIVE RESIDENTIAL ENVIRONMENTS

Residential Support Services in New Hampshire provide supervised, community-based living arrangements for individuals with disabilities, chronic illnesses, or other long-term care needs. These services help participants live as independently as possible while receiving essential daily support. Residential Support 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 Residential Support 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 Residential Support Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

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

2. RESIDENTIAL SUPPORT SERVICES OVERVIEW

Residential Support Services offer safe, structured living environments where individuals can receive personalized care and support.

Approved providers may deliver:

• 24/7 Supervision and Support: Staffed living arrangements for safety and well-being.

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

• Medication Administration: Administering prescribed medications per care plan.

• Meal Preparation: Nutritious meal planning and cooking based on dietary needs.

• Community Integration: Encouraging social activities and community involvement.

• Skill Development: Assisting with cooking, cleaning, personal finance, and social interactions.

• Health Monitoring: Routine checks and assistance with managing chronic conditions.

• Transportation Assistance: Rides to medical appointments, work, and social activities.

All services are delivered according to the Individualized Service Plan (ISP) to ensure personalized care and support.

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 Residential Support provider via the New Hampshire Medicaid Provider Enrollment Portal.

• Obtain licensure as a Residential Care Facility or Group Home from DHHS if applicable.

• Maintain general liability and professional liability insurance.

• Develop comprehensive policies for residential safety, care planning, and staff training.

• Ensure direct care staff meet background checks, health screenings, and 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 Residential Support Services under HCBS waivers.

Application and Documentation Submission:

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

Program Readiness Review:

• DHHS and BEAS evaluate provider readiness, including staff qualifications, care protocols, safety measures, and documentation systems.

Approval & Medicaid Enrollment:

• Upon approval, providers are authorized to bill Medicaid for Residential Support Services using designated billing codes.

5. REQUIRED DOCUMENTATION

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

• IRS EIN confirmation

• NPI confirmation

• Residential Facility License (if applicable)

• Proof of general and professional liability insurance

• Residential Support Services Policy & Procedure Manual including:

  • Participant intake, assessment, and individualized care planning procedures

  • Residential safety, supervision, and personal care protocols

  • Medication administration and health monitoring guidelines

  • Staff credentialing, background checks, and ongoing training records

  • Documentation standards for care tracking and Medicaid billing

  • HIPAA compliance, client rights, and grievance handling

  • Safety protocols, emergency response, and infection control measures

  • Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Residential Program Director

Requirements: Bachelor’s degree in healthcare, human services, or related field; supervisory experience in residential care settings.

Role: Direct Support Professionals (DSPs)

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

Role: Residential Care Coordinators

Requirements: Experience in case management, care planning, and resident advocacy.

All staff must complete:

• Training in person-centered care and daily living assistance

• HIPAA compliance and participant rights education

• Annual competency evaluations and ongoing professional development

• Emergency response and crisis management training

• Ongoing training in infection control and safety practices

7. MEDICAID WAIVER PROGRAMS

Residential Support 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:

• 24/7 supervision and support in residential settings

• Personal care assistance and daily living support

• Health monitoring and medication administration

• Community integration activities and skill development

• Transportation to medical and community services

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 Residential Support 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 RESIDENTIAL SUPPORT SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Residential Support Services in New Hampshire, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for residential safety and care management

• Staff credentialing, training program templates, and compliance documentation

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and client engagement strategies

• Quality assurance systems for residential safety and care quality

• Collaboration with healthcare providers for comprehensive support

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.