Every answer was written and checked ahead of time, with the official document next to it. Nothing is made up on the spot.
Do I need a license to run a non-medical home care agency in New Hampshire?
Yes, in most cases.
Medicaid documents name a Home Care Service Provider license under RSA 151:2 and He-P 822 for agencies giving homemaker and personal care, and a BEAS FAQ lists the licenses needed "under state law". The same FAQ, written about individual workers hired by self-directed CFI participants, says homemaker and personal care can be given without a license only if the provider helps just family members or does not solicit the work. We don't hold the He-P 822 rule, so check its definitions and exemptions with DHHS.
Sources (2)
Written and checked September 23, 2026
Which agencies can be paid for CFI waiver personal care?
He-P 809 or He-P 822 licensees, or He-P 601 agencies.
The CFI Provider Manual says personal care providers must be licensed as a Home Health Care provider (He-P 809) or a Home Care Service provider (He-P 822), or certified as an Other Qualified Agency (RSA 161-I and He-P 601). Homemaker and adult in-home care must come from a He-P 809 or He-P 822 licensee. BAAS must authorize each service before you start.
Written and checked September 23, 2026
Is EVV required in New Hampshire, and which system do I use?
Yes — through NH AuthentiCare.
EVV went live June 1, 2024 for the services on the DHHS EVV website. You can use AuthentiCare at no cost or send data from your own EVV system, but you confirm visits in AuthentiCare to bill. Claims without EVV had a 60-day warning period and then deny. Every visit needs an activity code.
Sources (2)
Written and checked September 23, 2026
Which Medicaid health plans operate in New Hampshire?
Three.
The August 2026 open enrollment notice lists AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan. Members who changed plans in August are covered by the new plan from September 1, 2026. NH Medicaid notices tell providers to ask their health plan provider representative how each plan handles a change.
Sources (2)
Written and checked September 23, 2026
Does home health aide code G0156 need prior authorization?
Yes, in fee-for-service since March 2, 2026.
NH Medicaid fee-for-service requires service authorization for G0156 and G0156 GY. Use Form 273AT. The July 2026 fee schedule also marks G0156 as needing authorization. Health plans set their own rules, so ask your plan representative.
Sources (2)
Written and checked September 23, 2026
Do I have to check a registry before hiring caregivers?
Yes — the BAAS State Registry.
Under RSA 161-F:49, VII, programs licensed, certified or funded by DHHS must submit each prospective employee's name before hiring, for a check against the registry of founded abuse, neglect and exploitation reports. The worker completes a consent form, and you hear back in writing within five business days. Separately, you must screen staff against the federal exclusion list (LEIE) every month.
Sources (2)
Written and checked September 23, 2026
Where do I report suspected abuse of an adult client?
BAAS Adult Protection Central Intake.
Providers who suspect a vulnerable adult is being abused, neglected, exploited or is self-neglecting must report it to the Adult Protection Central Intake Unit: 603-271-7014 or APSCentralIntake@dhhs.nh.gov.
Sources (2)
Written and checked September 23, 2026
Do I have to revalidate my NH Medicaid enrollment?
Yes — and possibly sooner than usual.
Revalidation normally happens every five years from enrollment. In June 2026 NH Medicaid announced early revalidation starting on or about July 1, 2026, for newly enrolled providers and those not revalidated since June 1, 2025. Selected providers get a letter at the mailing address on file. Not responding in time can lead to claims suspension or termination.
Sources (2)
Written and checked September 23, 2026
What does NH Medicaid pay for personal care?
$8.00 per 15 minutes (T1019).
The fee schedule as of July 24, 2026 lists T1019 personal care at $8.00 and G0156 home health aide at $8.29 per 15 minutes. The CFI fee schedule run May 7, 2024 lists agency-directed personal care (T1019 HC U1) at $8.00 and homemaker (S5130 HC) at $7.68 per unit. Health plans may pay differently.
Sources (2)
Written and checked September 23, 2026
How long do I have to file a NH Medicaid claim?
One year from the date of service.
Initial claims must be filed within one year of the earliest date of service. A claim that was filed and denied can be resubmitted on paper with Form 957X, but it must arrive within 15 months of the date of service.
Written and checked September 23, 2026