The Choices for Independence (CFI) Program addresses the needs of older adults and disabled individuals in New Hampshire who require assistance and support to continue living independently. This Medicaid-funded initiative, overseen by the New Hampshire Department of Health and Human Services (DHHS), offers a lifeline to eligible adults, providing them with diverse services to facilitate their ability to remain within their cherished homes and communities. At the heart of this program lies the recognition and appreciation of family caregivers who selflessly dedicate their time and effort to ensure their loved one's well-being. As we delve into the realm of CFI, we aim to advocate for caregivers, recognizing their invaluable contribution to the healthcare system and championing the notion that they deserve remuneration for their unyielding dedication.
The Choices for Independence (CFI) Program, a Medicaid-funded 1915(c) Home and Community-Based Services (HCBS) Waiver in New Hampshire, is specifically designed to cater to the needs of seniors and adults with disabilities at risk of nursing home admission. Its primary objective is to serve as a nursing home diversion program, providing an array of long-term services and supports (LTSS) to enable individuals to continue living in their homes and communities.
Program participants can reside in their home, a family member's home, an adult family home (adult foster care home), or a residential care facility (assisted living facility). They can access services through licensed agency providers or choose to self-direct their benefits, giving them the autonomy to hire friends or relatives, such as adult children or spouses, as caregivers. The financial aspects of this option are managed by a Financial Management Services Agency, handling responsibilities like tax withholding, background checks, and caregiver payments.
Notably, the CFI Program is not an entitlement program, meaning meeting eligibility requirements does not guarantee immediate access to benefits. Due to limited participant enrollment slots, a waitlist for program participation may form when these slots are full. Throughout this article, we will explore the significance of the CFI Program and advocate for the recognition and fair compensation of family caregivers, who play an integral role in supporting the elderly and disabled population in New Hampshire.
To be eligible for the Choices for Independence (CFI) Program in New Hampshire, applicants must meet specific criteria related to age, disability, income, assets, home ownership, and medical need.
The CFI Program is not an entitlement program, and limited enrollment slots may result in waitlisting when capacity is reached. Furthermore, applicants should be cautious of asset transfers within 60 months of applying. Medicaid has a Look Back Rule and may impose a Penalty Period of Medicaid ineligibility for violating this rule.
Under the Choices for Independence (CFI) Program, a comprehensive range of home and community-based services and supports are available to eligible individuals, as indicated in their individualized service plans. These services aim to facilitate independent living and enhance the quality of life for program participants. Some of the services that can be accessed through CFI include:
While program participants can receive CFI Waiver services while residing in adult family homes or residential care facilities (assisted living residences), the program does not cover the cost of room and board in these living arrangements. The availability of self-directed options empowers participants to have greater control over their care, allowing them to choose services that best suit their unique needs and preferences.
As a Medicaid-funded initiative, the Choices for Independence (CFI) Program offers compensation for unpaid family caregivers. Through the CFI Program's self-directed option, eligible participants can hire friends or relatives, including adult children or spouses, as caregivers and pay them for their caregiving services. This compensation provides much-needed financial support to family caregivers, recognizing their invaluable contribution to the well-being of their loved ones. By compensating family caregivers, the program acknowledges their dedication and essential role in supporting elderly and disabled individuals to remain in their homes and communities, fostering a compassionate approach that promotes the overall welfare of caregivers and care recipients.
If you are a caregiver in New Hampshire, determine if you qualify for payment under the CFI Program. Fill out this form today to assess your eligibility and receive the support you deserve for your selfless caregiving efforts.