Home and Community Based Services Waivers

The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act.

The program permits a state to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The State has broad discretion to design its waiver program to address the needs of the waivers target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid State plan and other federal, state and local public programs as well as the supports that families and communities provide.

The Centers for Medicare & Medicaid Services (CMS) recognizes that the design and operational features of a waiver program will vary depending on the specific needs of the target population, the resources available to the state, service delivery system structure, state goals and objectives, and other factors. A State has the latitude to design a waiver program that is cost-effective and employs a variety of service delivery approaches, including participant direction of services.


Historical Documents are available upon request. 


Recently Adopted He-M Rules

Administrative Rules, which have the same effect of law, ensure that agency policies are applied equally to all persons in similar situations. Administrative rules in the He-M chapter apply to services within the developmental disability service delivery system. The department welcomes and encourages public input throughout the rulemaking process. The Administrative Rules link below includes all Rules for Public Comment and Recently Adopted Administrative Rules pertaining to NH DHHS.

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