STATE PROFILE • Last updated: November 11, 2026
New Hampshire Elder Care & Medicaid
New Hampshire's senior Medicaid landscape offers a Medically Needy Pathway for income over the cap and the Choices for Independence Waiver provides home and community-based support, though enrollment capacity can be a factor.
leaderboard
RANKED #32
GRADE C
FEATURED
Medicaid Coverage Guide for New Hampshire
Full breakdown of Choices for Independence (CFI) for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Choices for Independence (CFI)
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
C
Grade
AFFORDABILITY
GRADE C · 54
QUALITY
GRADE C · 43
STAFFING
GRADE C · 40
ACCESS
GRADE D · 22
MEDICAID SUPPORT
GRADE A · 53
CMS rates this state's 2023 home-care spending data as unreliable, so that input is scored at the national average.
Composite score: 47.6 / 100 (50 = average state)
Methodology arrow_forward
New Hampshire At a Glance
Nursing Home Facilities
74
Senior Medicaid Waivers
1
National Rank
#32 / 51
Range #29–#32 when the pillar weights shift
Senior Care Costs in New Hampshire
local_hospital
Nursing Home
$12,845/mo
+16.3% vs national avg
- 74 nursing homes · 7,371 beds
- Avg CMS rating 2.88★ (13 rated 5★, 15 rated 1★)
- 3.88 nurse hrs/resident/day (0.74 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$30/hr
+11.1% vs national avg
- Median aide wage $17.60/hr
- ~8,210 aides employed statewide
Source: BLS OEWS
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