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Family Caregiver Pay Map · New Hampshire · Verified October 19, 2026

New Hampshire: Who Can Be a Paid Family Caregiver Under Medicaid

New Hampshire's Choices for Independence waiver lets a participant choose relatives or friends as paid workers through an agency or the participant-directed option, but no waiver service may be provided by a legally responsible relative, which the rule defines as the spouse; state-plan attendant services also exclude close family.

Spouse
No
Adult child / other relatives
In defined cases
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: Adult children, grandchildren, nieces, nephews, friends and neighbors under Choices for Independence; parents, siblings and same-household grandparents, aunts and uncles are excluded from the state-plan attendant benefit; never a spouse or the parent of a minor child.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Choices for Independence (CFI) waiver, including Participant-Directed and Managed Services

Administered by New Hampshire DHHS, Bureau of Adult and Aging Services.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Not yet verified
  • Agency personal care services, or participant-directed services with the participant as co-employer alongside a financial management services provider

State plan Personal Care Attendant services

Administered by New Hampshire DHHS.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Attendant employed by or under contract with a Medicaid provider; close family members excluded

How to apply in New Hampshire

We do not yet have partner agencies in New Hampshire. Start with the program's administering agency — New Hampshire DHHS, Bureau of Adult and Aging Services — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in New Hampshire

Can a spouse be paid to care for their husband or wife in New Hampshire?
No. New Hampshire's rules exclude the spouse from being the paid caregiver; other family members usually can be.
Who can be the paid caregiver in New Hampshire?
Adult children, grandchildren, nieces, nephews, friends and neighbors under Choices for Independence; parents, siblings and same-household grandparents, aunts and uncles are excluded from the state-plan attendant benefit; never a spouse or the parent of a minor child.
Is there a waitlist for Medicaid home care in New Hampshire?
Choices for Independence (CFI) waiver, including Participant-Directed and Managed Services: not yet verified (Agency personal care services, or participant-directed services with the participant as co-employer alongside a financial management services provider). State plan Personal Care Attendant services: no waitlist (Attendant employed by or under contract with a Medicaid provider; close family members excluded).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.