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The Choices For Independence Program

The Choices For Independence Program (formerly known as the Home and Community-Based Care program for the Elderly and Chronically Ill, or HCBC-ECI) is available for seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care provided in nursing facilities.

Administered by the Bureau of Elderly and Adult Services, the program provides a wide range of service choices that help seniors and adults with chronic illnesses to continue living independently in their own homes and communities.

The Choices for Independence brochure provides introductory information about the program. People who wish to apply for the program may contact NH ServiceLink at (866) 634-9412.

Choices for Independence Waiver Renewal

Social Services Block Grant: Community Based Supports
The Social Services Block Grant (SSBG) is funded under Title XX of the Social Security Act and provides home and community-based services targeting elderly (age 60 and older) and younger adults between age 18 and 60 who have a chronic illness or disability. SSBG services, also known as Title XX services, are provided to promote independence, prevent unnecessary institutionalization and protect individuals from abuse, neglect and exploitation. These services may include:

  • Adult Medical Day Services
  • Adult In-Home Care
  • Essential Services (Chore, Emergency Support, Respite)
  • Home-Delivered Meals
  • Homemaker Services.

Monthly Income Limit for Title XX Services
Effective January 1, 2018, the monthly income limit for Title XX (Social Services Block Grant) services is $1,242 per person. This limit will be increased to $1,277 effective January 1, 2019. The income limit is used for both initial determinations and redeterminations of Title XX service eligibility. For more information on these services, please contact NH ServiceLink at (866) 634-9412.

Older Americans Act Title III Home Health Services
Home Health Services are provided through a statewide network of licensed home health agencies that contract with BEAS. Services are provided to individuals ages 60 and older, living in the community, who has the greatest economic and social need. Services provided include nursing services, assistance with personal care, and homemaking services.

For more information about services, please contact NH ServiceLink at (866) 634-9412.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

copyright 2016. State of New Hampshire