CFI Home Care Services In New Hampshire
In-Home Care Covered Through Medicaid (Choices for Independence)
New Hampshire offers a statewide Medicaid program called Choices for Independence (CFI), designed to help eligible individuals receive care at home instead of in a facility.
While some individuals choose a family or friend as their caregiver, others prefer to receive care from a professional caregiver through a licensed home care agency like Guardian Home Care of NH.
If you qualify, these services are often covered—meaning you may not have to pay out of pocket.
Who Are These Services For?
Eligibility is based on the person receiving care. If eligible, individuals can receive in-home care services through an approved provider.
To qualify for the CFI program, individuals must:
Be a New Hampshire resident.
B be 65+ OR aged 18-64 and have a disability.
Require assistance with daily living activities
Meet Medicaid financial eligibility criteria (the link takes you to the CFI page of the Medicaid Planning Assistance website).
What Services Are Covered CFI?
The exact services and number of hours depend on the individual’s assessment and care plan. However, CFI-covered services often include:
Light housekeeping or other homemaking tasks
Companionship
Meal preparation
Grocery shopping
Transportation to appointments
Helping with brushing hair, teeth, and other hygienic activities
Helping to transfer from the bed to a wheelchair, or from a wheelchair to a toilet, etc.
Helping with walking and mobility
Medication management (medication reminders, etc.)
Bathing and toileting (incontinence care, etc.)
Assistance with activities that are part of daily life
How Guardian Home Care of NH Can Help
If you don’t have a caregiver—or prefer professional support—our team can step in.
We:
- Provide trained, screened, and reliable caregivers
- Coordinate with your CFI case manager
- Follow your approved care plan and schedule
- Ensure consistent, high-quality care at home
Our team includes professionals with direct experience in the CFI program, helping you navigate the process and avoid unnecessary delays.
How To Apply For The CFI Program in New Hampshire?
To begin the New Hampshire CFI application, applicants typically submit Forms 770 and 800 to DHHS along with required documentation. The process is then followed by financial and care assessments. While it may sound straightforward, small errors or missing paperwork can cause significant delays — even after applicants first hear back from DHHS.
Many families find it helpful to get guidance before applying. This ensures they understand what’s needed, avoid common roadblocks, and move through the steps more smoothly from the start.
Call us today to check eligibility or discuss next steps.
Income or Assets Over The Medicaid Limits?
There may still be a way to eligibility! New Hampshire put in place a few planning strategies to help residents whose income or assets are over the Medicaid limits to qualify for the NH CFI Medicaid Waiver. Some are simple and others are very complex. Example of these strategies are: Spousal Asset Transfer, Medicaid Asset Protection Trusts (MAPTs), Medically Needy Program, Irrevocable Funeral Trusts (IFT), etc. Here is where you can review these planning strategies that help NH residents qualify for the CFI Medicaid Waiver.
Steps To Getting Home Care Through CFI
If You're Not Yet Enrolled In CFI, Call Us To Check Eligibility!
In-Home Assessment
Quick Paperwork
We guide you through quick paperwork (can be done during the in-home assessment). We also match you with a caregiver who fits your needs.
Start of Paid Care
The family or friend caregiver can clock in and out when they provide care, and receive their pay however they choose (check, direct deposit, etc).
"Do I Have To Pay For Home Care Services With CFI?"
In many cases, services are covered through the CFI Medicaid Waiver if eligibility requirements are met.
That means you can receive care at home without paying out of pocket, depending on your situation.
Steps To Start Getting Paid As a Family or Friend Caregiver
New To CFI?
Start Here!
Financial Review
Medical Determination
A health professional conducts an assessment and determines the care needs. We’ll support you through this step too.
Choose Your Agency Provider
A Case Manager is assigned to the care receiver, or can be chosen by them. The Case Manager meets with the care receiver to develop a “comprehensive care plan” that outlines the services needed and to officially select the provider agency. This is when the care receiver or you say you want Guardian Home Care of NH.
Service Authorization & Next Steps
Once DHHS approves your services, you’re ready to move forward with the much quicker steps outlined in the “Already Have CFI?” section below. We complete your onboarding and get you paid without delay.
Already Have CFI?
These Steps Are For You.
In-Home Assessment
Quick Paperwork
Onboarding
We onboard the person receiving care and their family or friend caregiver, if they have one.
Start of The Paid Care
The family or friend caregiver can clock in and out when they provide care, and receive their pay however they choose (check, direct deposit, etc).
Become a Paid Family or Friend Caregiver, Start Your Application Here
If you’re caring for a loved one, you may be eligible to get paid through New Hampshire’s CFI waiver program. Share your interest using the short form below, and our team will contact you to verify eligibility and guide you through the next steps.
