Choices for Independence

Authorization

The Choices for Independence Program is authorized under Title XX, (the Social Service Block Grant), of the federal Older Americans Act.  (It was formerly known as the Home and Community-Based Care program for the Elderly and Chronically Ill, or HCBC-ECI.)

Purpose

To help seniors and adults with chronic illnesses to continue living independently in their own homes and communities.

Eligibility

For seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care otherwise provided in nursing facilities.

Financial Eligibility: effective January 1, 2015, the monthly income limit is $1214 per person. This change was an increase from the former monthly income limit of $1194.

Application is made through NH Service Link at (866) 634-9412.

Services

Services include, but are not limited to, congregate meals, adult day care, homemaker services, home-delivered meals, in home care, transportation.

Case management services are provided under a rule adopted by BEAS (He-E 805). The case manager works with the program participant to create a comprehensive care plan, monitors service provision and assists with issues that may arise.

The following agencies provide case management services to participants in the Choices for Independence (CFI) Program.
Speciality Case Management Services of NH………………….. 225-8400
Crotched Mtn Community Care…. 431-3042 (Portsmouth)
or 668-7584 (Manchester)
Gateways Community Services………………………………………… 882-6333
Heritage Case Management……………………………………………… 228-2400
Life Coping, Inc………………………………………………………………… 888-3588
Pilot Health………………………………………………………………………. 352-9354
Community Crossroads…………………………………………………….. 893-1299
Community Bridges………………………………………………………….. 225-4153
or 1-800-499-4153

 Administration

Block grants are given as Title XX Social Service Block Grants to states to administer the program.  In NH, Department of Health and Human Services’ Bureau of Elderly and Adult Services is the administrator.

States contract with agencies to deliver services.  In Carroll County, services are provided by Visiting Nurse Home Care and Hospice of Carroll County.

With the federal block grant funding, the state reimburses Visiting Nurse Home Care and Hospice of Carroll County 65-68% of the cost of delivering services.

Carroll County also contributes with a Regional Appropriation from its budget.

Brochure (English) Adobe Acrobat Reader Symbol (Spanish) Adobe Acrobat Reader Symbol

Consumer Guide Adobe Acrobat Reader Symbol

 

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