Already caring for your family. Let’s get you paid for it.
Through New Hampshire’s Choices for Independence (CFI) Medicaid program, a family member or friend can get paid to care for a loved one at home — at no cost to the person receiving care. Guardian Home Care of NH is an approved CFI provider with former CFI case managers on staff.
See If You Qualify
Tell us a little about your situation and a care specialist will call you back — usually the same day.
Programs We Work With
From your first call to your first paycheck
Our former CFI case managers guide you through every form, assessment, and approval.
Free consultation
Call or fill out our short form. We’ll explain your options, check basic CFI eligibility, and answer your questions — no obligation.
Application & nurse assessment
We help with the CFI application (Form 800 and notarized Form 770). A registered nurse then completes a Medical Eligibility Assessment and a care plan is created.
Choose your caregiver & get paid
Your loved one chooses a trusted family member or friend. We handle onboarding, paid training, payroll, and ongoing support — with weekly pay every Friday.
CFI eligibility at a glance
Eligibility applies to the person receiving care. If they qualify for CFI, they choose who provides their care.
The person receiving care
- Lives in New Hampshire
- Is 65 or older, or 18–64 with a Social Security disability designation
- Needs help with 2+ daily activities — nursing-facility level of care
- Income under $2,982/month (individual, 2026) and assets within NH Medicaid limits
- Has NH Medicaid, or is applying for it
Who can be the paid caregiver
- A family member, friend, or neighbor — and in some cases a spouse
- 18 or older and legally eligible to work in the U.S.
- Able to pass a background check
- No nursing certification required — we provide training
- Committed to following your loved one’s care plan
Medicare alone isn’t enough, and CFI enrollment is limited — a waitlist may apply, so it pays to start early. Not sure if your loved one qualifies? Check eligibility or call 603-821-0929.
Family caregiver first — with professional care if you need it
Most families start by getting a loved one paid through CFI. If no one is available, our caregivers can step in.
Become a paid family caregiver
Already helping a parent, relative, or friend with daily care? Through CFI, you may be able to get paid for the care you already provide.
- Free CFI eligibility check over the phone
- Help with Form 800, Form 770, and the nurse assessment
- Paid training, weekly pay, and ongoing support
Need a professional caregiver?
If no family member or friend is available, Guardian Home Care of NH can provide in-home care through CFI — and through the VA for eligible veterans.
- CFI home care with a professional caregiver
- Veteran care through the VA Community Care Network
- Respite care for family caregivers
Support to stay safely at home
CFI services are individualized to each participant’s care plan and may include support like this.
Personal care
Help with bathing, dressing, eating, toileting, and mobility.
Homemaker services
Meal prep, laundry, light housekeeping, and grocery shopping.
Home-delivered meals
Nutritious meals delivered to the home for qualifying participants.
Non-medical transportation
Rides to appointments, errands, and community activities.
Emergency response (PERS)
Medical alert devices for safety when living independently.
Respite care
Scheduled relief so family caregivers can rest and recharge.
Proudly serving New Hampshire
From our offices in Bedford and Nashua, we support family caregivers and care recipients across nine New Hampshire counties.
CFI experts, on your side
Former CFI case managers
Our team has worked inside the CFI program, so we know how to move your application and care plan forward as quickly as possible.
Deficiency-free & approved
Deficiency-free in New Hampshire state surveys two years in a row, an approved CFI provider, and authorized through the VA Community Care Network.
Support for caregivers
Weekly pay every Friday, paid training, and an office team that answers your questions — so family caregivers feel confident from day one.
What people say about Guardian
Anne is hands down the most wonderful aide I’ve ever had. She takes care of everything I need — laundry, cleaning, and more. She’s always there for me, even in the middle of the night. Anne is the sweetest, and I want everyone to know how much she means to me.
Mr. Gary — Client with Guardian Home Care of NH
Thank you! Thank you! Thank you!! I will amend the auth to have Guardian as the provider for 37 hours. You just made my day. I can’t tell you how much I appreciate all of the time and effort you put into finding coverage. Guardian has a true angel working for them.
CFI Case Manager — on Guardian Home Care of NH
Got questions about the CFI program?
Choices for Independence (CFI) is New Hampshire’s Medicaid home and community-based services waiver. It helps seniors and adults with disabilities who need nursing-facility level of care stay safely at home — including with care from a family member or friend.
Yes. Under CFI’s self-directed option, your loved one can choose a family member, adult child, friend, or neighbor as their paid caregiver — and in some cases a spouse. Medicaid pays the caregiver; the person receiving care pays nothing for covered services.
No nursing certification is required for family or friend caregivers. Caregivers must be 18 or older, legally eligible to work in the U.S., and pass a background check. We provide paid training so you feel confident from day one.
For 2026, the individual income limit is $2,982 per month, and the asset limit for an individual is $2,500. If your loved one is slightly over these limits, planning options may help — we can point you in the right direction.
The application is Form 800 plus a notarized Form 770, filed online through NH EASY, at a DHHS office, or through ServiceLink. A registered nurse then completes a Medical Eligibility Assessment. We guide you through every step.
CFI enrollment is limited, so a waitlist may apply. Starting the application early — and getting it right the first time — helps avoid delays.
Yes. CFI services can be provided in your loved one’s home, a family member’s home, an adult family care home, or an assisted living or residential care setting. CFI doesn’t cover room and board in those settings.
Let’s find out what you qualify for
Call our Bedford office or fill out the form above, and a member of our team will walk you through your options — as a family caregiver or, if needed, with one of our professional caregivers.
