NHCarePath Partner Resources - Consumer Booklets
The NH Balancing Incentive Program team is honored to have you as a valued partner of NHCarePath, and would like to provide you with resources to help you better succeed in this role.
The Consumer Booklets are designed to provide individuals with information on Medicaid waivers and home and community-based services. There are six booklets:
- Medicaid for Long Term Care (Coming Soon)
- Choices for Independence (Coming Soon)
- Medicaid and Home and Community-Based Waiver Services (Coming Soon)
- Medicaid & Home Care for Children with Severe Disabilities (Coming Soon)
- Medicaid Community Mental Health Services & Supports (Coming Soon)
- Medicaid Home and Community-Based Waiver Services for Persons with Developmental Disabilities & Acquired Brain Disorders (Coming Soon)
- Planning for Medicaid Changes: Youth To Adulthood (Ages 18-19) (Coming Soon)
In addition to the above booklets, NH's Center for Independent Living, Granite State Independent Living (GSIL) can provide additional resources.
We hope that you will utilize the following booklets as an additional resource to help guide consumers through the process of applying for services. Forms are listed by category of application. Note that information can be customized based on consumer need and you do not have to give every individual all the suggested forms if you do not think they are appropriate.
Choices for Independence (CFI)
- Medicaid and Home & Community Based Services Booklet (Coming Soon)
- Choices for Independence Booklet
- Choices for Independence Rights of Individuals Receiving CFI Booklet
- Choices for Independence Brochure (Coming Soon)
- Authorization for Assistance (Form 800)
- Medical Assistance for Children
- Authorized Rep Form (778)
- What is APTD?
- Non-Medical (177)
- Lien (77s)
- Authorization for Release of PHI (Form 900)
- ServiceLink
- Medicaid Income and Asset Rules
Community Mental Health
- Medicaid Services Booklet (Coming Soon)
- Community Mental Health Booklet (Coming Soon)
- Authorization for Assistance (Form 800)
- Medical Assistance for Children
- Authorized Rep Form (778)
- What is APTD?
- Non-Medical (177)
- Authorization for Release of PHI (Form 900)
Developmental Disabilities & Acquired Brain Disorder
- Medicaid and Home & Community Based Services Booklet (Coming Soon)
- DD Booklet (Coming Soon)
- Authorization for Assistance (Form 800)
- Medical Assistance for Children
- Authorized Rep Form (778)
- What is APTD?
- Non-Medical (177)
- Authorization for Release of PHI (Form 900)
Home Care for Children with Severe Disabilities (HC-CSD)
- Medicaid Home Care for Children with Severe Disabilities Booklet (Coming Soon)
- Children with Severe Disabilities Family Information Report (968)
- Application for Retroactive Medical Assistance (779)
- Authorization for Assistance (Form 800)
- Medical Assistance for Children
- Authorized Rep Form (778)
- Non-Medical (177)
- Authorization for Release of PHI (Form 900)