New Hampshire does not directly pay for the costs of in-home care services. However, there are several Medicaid waiver programs available that provide home and community-based supports for individuals who have chosen to age in place at home. These include the NH Choices for Independence Waiver Program (CFI). Elderly individuals may also receive in-home services through the Program of All-Inclusive Care for the Elderly (PACE) and New Hampshire’s Old Age Assistance Program (OAA). 

Through these programs, seniors aged 65 and older can access financial assistance and a range of in-home care services, such as personal care assistance, patient-directed care, home-delivered meals, non-medical transportation and environmental accessibility modifications.

State Programs for In-Home Care Services in New Hampshire

The NH Choices for Independence Waiver Program (CFI) is designed to help seniors remain living safely and independently in their own homes. The program provides a wide range of supports, which may include in-home care, housekeeping, medical equipment and home modifications, respite care and participant-directed services. The Program of All-Inclusive Care for the Elderly (PACE) is designed to help seniors remain in their homes as long as possible by offering medical and social services, including in-home care, transportation, assistance with medication and caregiver support.

Seniors may also benefit from the state’s Old Age Assistance Program (OAA). This is a state supplemental program available to individuals aged 65 and older who are classified as low-income. Administered through the state’s Personal Care Attendant Services Program (PCAS), OAA can provide seniors with long-term care services and in-home supports such as personal care assistance, medication management, home modifications and Personal Emergency Response Systems (PERS).

How Much Does In-Home Care Cost in New Hampshire?

According to Genworth’s 2021 Cost of Care Survey, the average cost of in-home care in the state of New Hampshire is $6,006 per month. This is equivalent to $37.53 per hour, based on seniors receiving 40 hours of care per week. On a yearly basis, the total cost for these services would be $70,072, making supplemental programs a necessity for many New Hampshire residents.