New Hampshire home care Medicaid rates combine a personal care rate just above the national middle with the lowest daily respite rate in the country. New Hampshire Medicaid pays $8.00 per 15 minutes for personal care on T1019, or $32.00 an hour. That ranks 13th of 27 states and is 4.8% above the national median of $30.52.
The rest of the picture is uneven. Adult day ranks 3rd nationally at $85.00 a day. Daily respite, at $34.04, ranks last of 34 states. And most New Hampshire home care rates on file date from 2023, which makes the state's position more a reflection of past rate actions than of anything in 2026. All rates are compiled from official state Medicaid publications and link to their source documents on the New Hampshire Medicaid rates hub.
New Hampshire's home care rates are published in the HCBC Choices for Independence (CFI) fee schedules, which list covered procedure codes and their service authorization requirements.
The T1019 rate carries modifiers HC and U1 and has been in effect since October 1, 2023, the effective date of BEAS General Memo 23-26, a service rate increase. At $32.00 an hour, New Hampshire pays more than half of the ranked states, though well behind Utah ($84.84), Oregon ($42.24) and Iowa ($42.00). The bottom of the ranking is Pennsylvania ($19.48), Louisiana ($19.08) and Texas ($18.28).
Choices for Independence (CFI) is New Hampshire's 1915(c) waiver for older adults and adults with physical disabilities who need a nursing facility level of care but choose to live at home. It is administered by the Bureau of Elderly and Adult Services (BEAS), which is why rate increases arrive as BEAS General Memos.
CFI covers personal care, respite, adult day, homemaker and self-direction support, among other services. Every covered service needs a service authorization (SA) before it is delivered, and the fee schedules are published in two parts: covered procedure codes with fixed rates, and manual priced items, whose amounts are set case by case.
Other New Hampshire waivers serve different populations: the Acquired Brain Disorder waiver, the Developmental Disabilities waiver and the In Home Supports waiver for children with developmental disabilities. Each has its own rates. The full New Hampshire dataset holds all 26,581 current New Hampshire Medicaid rates across these programs.
New Hampshire's other home care rates spread across the full range of national rankings:
| Service | Code | New Hampshire rate | Rank | vs national median |
|---|---|---|---|---|
| Personal care (hour) | T1019 | $32.00 | 13 of 27 | +4.8% |
| Respite (hour) | T1005 | $18.68 | 32 of 38 | -26.2% |
| Respite (day) | S9125 | $34.04 | 34 of 34 | -85.9% |
| Adult day (day) | S5102 | $85.00 | 3 of 12 | +23.8% |
| Financial management (month) | T2040 | $96.55 | 11 of 14 | -15.3% |
Daily respite. S9125 with modifiers HW and SC pays $34.04 a day, effective since July 1, 2023. That is the lowest daily respite rate of any ranked state, 85.9% below the $242.21 national median. Minnesota, at the top, pays $938.09; New Mexico ($73.09) and Idaho ($51.25) are the next-lowest after New Hampshire.
Hourly respite. T1005 pays $4.67 per 15 minutes, or $18.68 an hour, 26.2% under the $25.30 median. Neighboring Maine pays $39.48 on S5150, and Vermont is another regional comparison point.
Adult day. S5102 pays $85.00 a day, behind only Maine ($124.44) and New Jersey ($87.00), and ahead of South Carolina ($80.00) and California ($76.27). For adult day centers, New Hampshire is one of the best-paying states in the country.
Self-direction. Financial management services on T2040 pay $96.55 a month, 11th of 14 states, below the $113.98 median and far below California's $265.00.
New Hampshire has no comparable hourly homemaker or companion rate on file.
Reading the daily respite rate
A daily respite rate of $34.04 is far below what a full day of one-to-one aide time costs at New Hampshire's median wage, which tells a provider that the code and its HW and SC modifiers describe a specific, limited respite arrangement rather than a full day of one-to-one care. Before planning a daily respite service in New Hampshire, check the service definition attached to the code on the CFI schedule. For agency-delivered relief, the hourly code is the practical route, despite its own low rate.
Home health and personal care aides in New Hampshire earned a median of $18.64 an hour in May 2025, above the US median of $17.21. Registered nurses earned $47.93, also above the national $46.90.
That higher wage base squeezes margins at 2023-era rates:
- Personal care. The aide wage takes 82.8% of the $32.00 rate, leaving a margin of $5.51 an hour after loaded wages.
- Hourly respite. The wage is 141.8% of the $18.68 rate, a margin of -7.81 an hour after loaded wages.
For a CFI agency, personal care is the service that pays for the operation. Hourly respite cannot be staffed at a median wage without a loss, and daily respite at $34.04 cannot carry a full day of aide time.
New Hampshire's CFI fee schedules are built around service authorization, and the coverage data shows it. Hourly respite on T1005 carries 12 prior authorization rules, the most of any home care code in the state. Personal care on T1019 carries 7. H0045 and S5130 have 3 each, S5102 has 2, and S9125 and T2040 have 1 each. None has a unit limit in our data.
The schedules themselves are titled by their service authorization requirement: the 2023 schedules as of July 1 and September 1, 2023, and the 2024 schedules as of January 1 and April 1, 2024. Agencies should bill against the schedule version matching the date of service.
New Hampshire's home care rate actions on file are concentrated in late 2023:
- BEAS General Memo 23-26 Service Rate Increase, effective October 1, 2023, the source of the current T1019 rate.
- BEAS General Memo 23-28 Service Rate Increase PDMS, effective November 8, 2023.
- Four HCBC CFI fee schedule releases with service authorization requirements, dated 2023 and 2024.
No 2025 or 2026 home care rate change is on file, so New Hampshire's rates are being measured against aide wages that now sit above the national median.
What a long gap between increases means
Rates set in 2023 were built on the wage and cost conditions of that year. Each year without an update, the same rate covers a smaller share of what it costs to employ an aide, train them and get them to a client's home. For a CFI agency, the effect shows up first in recruitment: when the margin narrows, the room to offer a competitive wage narrows with it. The state's nursing facility rates, by contrast, were revised for July 2026, so long-term care funding has moved in other settings while home care rates have held.
For providers and their associations, the age of the rates is itself an argument. Pairing the 2023 effective dates with current wage figures, such as the $18.64 state median aide wage, makes a clear case at the next budget cycle.
New Hampshire Medicaid Care Management (MCM) pays plans by capitation, and the state has 5 plans on file, including AmeriHealth Caritas New Hampshire, NH Healthy Families and WellSense Health Plan. Home and community-based services and personal care, however, are paid directly by the state, outside managed care. CFI home care agencies bill New Hampshire Medicaid at the published fee schedule rate rather than negotiating with plans. For private duty nursing, by contrast, plans must pay at least the published rate. See the New Hampshire managed care page for the rule by service line.
Northern New England pays home care very differently from state to state. Maine leads the country on adult day at $124.44 and pays well above the median on respite, while New Hampshire's adult day rate is strong but its respite rates are among the lowest. Vermont pays the highest companion rate in the country at $51.92. Massachusetts runs personal care through a consumer-directed PCA program rather than an agency hourly rate. For an agency working across the region, New Hampshire is the state where personal care and adult day carry the business and respite does not.
Focus on personal care and adult day
Personal care at $32.00 an hour, with a $5.51 margin, and adult day at $85.00 a day are New Hampshire's two workable lines. Respite should be offered within an existing personal care relationship rather than as a standalone service.
Plan for wage pressure without new rates
With no home care rate change on file since late 2023 and aide wages above the national median, margins tighten each year that rates hold still. Budgets should assume flat rates and rising wages until a new BEAS memo is published.
Keep authorizations current
With 12 prior authorization rules on hourly respite and 7 on personal care, an agency's collections depend on service authorizations matching each visit. Billing against the schedule version in force on the date of service avoids denials.
Rates on this page are compiled from official state Medicaid publications, including the HCBC CFI fee schedules and BEAS General Memos named above. Each rate links to its source document on the New Hampshire Medicaid rates hub. Hourly figures are converted from 15-minute units and ranked against every state with a comparable rate; wage figures are state and US medians for May 2025.
The national home care overview compares every state, our methodology explains how hourly conversions and ranks are calculated, and the pricing page describes access to the full dataset, with history since 1992.