Worldwide, an estimated 50 million people live with Alzheimer’s disease and other types of progressive-degenerative dementia. As of 2020, the number of Alzheimer’s cases in New Hampshire is 26,000, and that number is expected to rise to 32,000 by the year 2025. Dementia is now the sixth-leading cause of death in the state.

Dementia takes a tremendous toll not only on those living with the disease but also on their families. Supporting a loved one who has Alzheimer’s can be exceptionally stressful, particularly once symptoms, such as disorientation, aggression, paranoia and increased confusion, develop. Memory care programs can offer much-needed respite for family caregivers while providing dementia patients with the support they need to stay safe.

Memory care can either be offered on its own in a community designed especially for those with dementia or Alzheimer’s, or, more often, it’s provided as a service in a separate wing of an assisted living facility. Memory care programs are designed specifically for those with memory impairment, and the facilities often coordinate social activities and schedules specifically for the needs of those living with Alzheimer’s or dementia.

This guide contains essential information about residential memory care in New Hampshire, including care costs, financial aid programs, regulations and links to community resources for Alzheimer’s patients, their families and caregivers.

The Cost of Memory Care in New Hampshire

Residential memory care programs are usually located in specially designed units within assisted living facilities. Because memory care services include a high caregiver-to-resident ratio, therapeutic recreational activities and additional security to guard against wandering, memory care costs are about 20-30% higher than assisted living costs. To calculate memory care costs in New Hampshire and the neighboring states, we added 25% to the assisted living costs listed on Genworth’s 2019 Cost of Care Survey. Based on these calculations, the average monthly cost of memory care in New Hampshire is $8,776 per month, which is $3,712 above the national average of $5,064.

Memory Care Costs in Nearby States

At an average cost of $8,776 per month, residential memory care costs in New Hampshire are close to double the national average of $5,064 per month. Costs in nearby states such as Massachusetts ($7,050), Vermont ($6,673), Maine ($6,461) and Connecticut ($6,100) are also above the national average, but lower than costs in New Hampshire.

$8776

New Hampshire

$5064

United States

$7050

Massachusetts

$6673

Vermont

$6461

Maine

$6100

Connecticut

Cost of Other Types of Care in New Hampshire

Memory care is just one of the many long-term care options available in New Hampshire. At an average cost of $1,777 per month, adult day care is the least expensive service, while nursing home care is the most expensive at $9,581 for a semiprivate room. Hiring a homemaker for 44 hours a week costs $5,243, while a home health care aide is $5,386 per month. Assisted living, which like memory care includes room and board, costs an average of $7,021 per month.

$8776

Memory Care

$5243

In-Home Care

$5386

Home Health Care

$1777

Adult Day Care

$7021

Assisted Living Facility

$9581

Nursing Home Care

The Cost of Memory Care in New Hampshire’s Top Cities

Comparing Costs Across New Hampshire

Memory care costs tend to reflect the local cost of living, and that’s why costs in Manchester average $8,978 per month or $202 above the state average. Given that New Hampshire has few cities and is a relatively small state in terms of population, we’ve included costs from cities in neighboring Maine, Massachusetts and Vermont for comparison. Boston, MA, reports the closest cost to New Hampshire, albeit $925 less per month. In both Lewiston, ME, and Burlington, VT, costs yield a bigger savings of well over $2,000 monthly.

$8978

Manchester

$8250

Portland, ME

$6731

Lewiston, ME

$8053

Boston, MA

$6391

Burlington, VT

Financial Assistance for Memory Care in New Hampshire

Choices for Independence Waiver Program

The Choices for Independence Waiver Program is a home and community-based Medicaid waiver program designed to delay or prevent nursing home placement among frail seniors and adults with disabilities. Benefits are assigned on a case-by-case basis, and may include case management, residential care services, nonmedical transportation and specialized therapies.

Who is Eligible?
To qualify for enrollment in the CFI waiver, applicants must reside in New Hampshire, meet the financial eligibility requirements for Medicaid coverage and require the level of care normally provided in a nursing home setting.

How to Apply
Applications for the CFI waiver can be completed online or at the nearest ServiceLink office. Application assistance is also available through New Hampshire’s ServiceLink helpline at 866-634-9412.

VA Enhanced Pension Programs

The VA Aid and Attendance Benefit and the Housebound Allowance are two enhanced VA pension programs. These programs provide a higher monthly cash benefit than the regular VA pension, and this cash can be used towards the cost of long-term care services such as memory care.

Who is Eligible?
To qualify for either enhanced pension, applicants must first qualify for the regular VA pension. Successful applicants may be awarded either Aid and Attendance or Housebound, but not both.

For Aid and Attendance, applicants must meet at least one of the following criteria:

  • Be bedridden due to chronic illness or disability
  • Be a resident of a skilled nursing facility due to physical and/or cognitive decline
  • Be legally blind
  • Be dependent on another person to provide assistance with one or more activities of daily living

For Housebound Allowance, applicants must have a permanent disability rated by the VA as 100%, and that disability may or may not be service-related.

How to Apply
To apply for either VA enhanced pension benefit, contact the nearest VA location or the New Hampshire State Office of Veterans Services at 1-603-624-9230.

Free and Low-Cost Memory Care Resources in New Hampshire

New Hampshire residents can access a number of free and low-cost services geared towards those living with Alzheimer’s, their family members and caregivers. These resources include case management, patient and caregiver support groups, assistance with Medicaid and Medicare and referrals.

ResourceContactServices Provided
Alzheimer’s Association – Massachusetts and New Hampshire Chapter1-800-272-3900The Alzheimer’s Association is a national nonprofit organization that promotes research, advocates for services and offers a number of support programs for Alzheimer’s patients and their families. The Massachusetts and New Hampshire Chapter hosts patient and caregiver support groups, maintains a current list of area resources and offers in-service training programs.
ServiceLink Aging and Disability Resource Center1-866-634-9412The New Hampshire Department of Health and Human Services maintains an online resource center known as ServiceLink. ServiceLink serves as the state’s Aging and Disability Resource Center. It administers a number of services, including the State Health Insurance Assistance Program, Senior Medicare Patrol and Options Counseling for those who need long-term care.
New Hampshire Legal Aid10800-639-5290New Hampshire Legal Aid provides legal information, advice and legal representation to low-income seniors who require assistance with guardianship, wills, trusts and involuntary commitment proceedings.
Family Caregiver Support Services1-866-634-9412New Hampshire’s Family Caregiver Support Program helps family caregivers who support a loved one with dementia access counseling programs, education and training. The program also includes respite and transportation services.
New Hampshire Bureau of Elderly and Adult Services, Adult Protection1-800-949-0470The Bureau of Elderly and Adult Services works to protect vulnerable adults against abuse, exploitation, neglect and self-harm. Anyone can contact the Bureau to report concerns about the health and well-being of a person living with memory loss.

Memory Care Laws and Regulations in New Hampshire

In New Hampshire, long-term care facilities are licensed, inspected and regulated by the New Hampshire Department of Health and Human Services, Health Facilities Administration. Two types of facilities can offer residential memory care services in the state: residential care facilities (RCFs) and supported residential health facilities (SRHCFs).

Scope of CareResidential facilities can admit and retain residents who have a diagnosis of dementia as long as those residents do not require 24/7 skilled nursing care or display behavior that could pose a threat to themselves, staff or other residents in the facility. Residents must also be able to self-evacuate in an emergency.
Care Plan RequirementsAll new residents must be assessed by a trained intake assessor using an assessment tool approved by the HFA. Assessments must be reviewed every six months or more frequently if the resident presents with major health or behavioral changes.
Medication Management RequirementsStaff may assist with self-administration of prescription and over-the-counter medications. Staff may also administer topical treatments, enemas and medicinal shampoos under the supervision of a licensed nurse.
Staff Screening RequirementsAdministrators must ensure all direct care staff are suitable for employment with vulnerable individuals by verifying references and completing background checks on caregivers.
Staff Training RequirementsCaregivers must complete a comprehensive orientation prior to beginning work at a residential facility and undergo at least 12 hours of annual in-service training thereafter.
Medicaid CoverageNew Hampshire’s Choices for Independence waiver includes memory care benefits.
Reporting AbuseNew Hampshire’s Adult Protection Law mandates that any concerns regarding the abuse, neglect, self-harm or exploitation of a vulnerable adult must be reported immediately to the Bureau of Elderly and Adult Services at 1-800-949-0470.

Frequently Asked Questions

How much does Memory Care cost in New Hampshire?

The average cost of residential memory care in New Hampshire is $8,776 per month. This cost includes room and board in an assisted living facility or similar long-term care community as well as 24/7 supervision, specialized therapeutic programming and some assistance with activities of daily living.

Does New Hampshire Medicaid pay for Memory Care?

New Hampshire’s Choices for Independence waiver program is a Medicaid home and community-based waiver that includes a broad range of benefits, including residential memory care services.

What security features are present in Memory Care facilities?

Wandering is common among those living with Alzheimer’s disease and other forms of dementia. In order to help keep residents safe, memory care facilities are equipped with special security features to reduce the risk of wandering. These features often include locked exterior doors, enclosed outdoor spaces, security cameras and 24/7 on-site security.

What are “Activities of Daily Living?”

Activities of daily living are daily tasks one needs to perform in order to maintain basic health and personal hygiene. These tasks are often referred to as ADLs and include getting dressed, using the toilet, eating, moving about one’s home and taking prescription medications.

What types of services does Memory Care provide?

Residential memory care provides semiprivate or private accommodations, all meals and snacks and daily therapeutic programming designed to slow the progression of memory loss. Services also include 24/7 supervision, assistance with activities of daily living and basic health monitoring.