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Insurance & Coverage Guide

New Hampshire Medicaid Autism Coverage

New Hampshire Medicaid covers ABA under EPSDT for children under 21. The DD Waiver and In-Home Supports Waiver serve people with IDD through the 10 regional Area Agencies, with waiting lists. NH operates a Katie Beckett program — HC-CSD — that lets disabled children qualify for Medicaid regardless of family income.

Quick Answer

New Hampshire Medicaid covers ABA under EPSDT for children under 21. The DD Waiver and In-Home Supports Waiver serve people with IDD through the 10 regional Area Agencies, with waiting lists. NH operates a Katie Beckett program — HC-CSD — that lets disabled children qualify for Medicaid regardless of family income.

  • ABA benefit: covered under EPSDT for under 21 (via epsdt).
  • HCBS waivers: 3 relevant waiver options listed on this page.
  • Commercial insurance: New Hampshire has a state autism insurance mandate.

Medicaid ABA Coverage

Yes — EPSDT

Under 21 (via EPSDT)

Insurance Mandate

Yes

HCBS Waivers

3 available

Waitlist: Waitlist; managed by regional Area Agencies

Editorial Review

This page summarizes public Medicaid, waiver, and insurance-mandate information reviewed by the Autism Hearts editorial team.

Medicaid benefits, managed-care rules, and waiver waitlists can change quickly, so families should verify eligibility, prior authorization, and enrollment steps with the administering agency before relying on this page.

Last reviewed 2026-04-21 by Autism Hearts Editorial Team

New Hampshire Commercial Insurance Mandate

Statute
NH RSA 417-E:2 (autism spectrum disorders coverage)
Age limit
Through age 21 (per statute; confirm with plan)

Covered services

Applied Behavior AnalysisSpeech therapyOccupational therapyPhysical therapyDiagnostic and pharmacy services

Self-funded employer plans (often from large employers) are regulated by federal ERISA law, not state mandates, and may be exempt. Always confirm your plan type on your Summary of Benefits and Coverage.

Medicaid ABA Therapy Benefit

Covers ABA
Yes
Age limit
Under 21 (via EPSDT)
Prior auth required
Yes

NH Medicaid is delivered through managed-care organizations (NH Healthy Families, AmeriHealth Caritas NH, Well Sense). ABA requires prior authorization through the child's MCO.

New Hampshire HCBS Waivers

Developmental Disability (DD) Waiver

Covers autism

Individuals with IDD, all ages

Waitlist:Waitlist; managed by regional Area Agencies
Apply via:Regional Area Agency (10 across NH)

In-Home Supports (IHS) Waiver

Covers autism

Children with IDD living at home

Apply via:Regional Area Agency

Acquired Brain Disorder (ABD) Waiver

Medically complex

Individuals with acquired brain injuries

Apply via:Regional Area Agency

Katie Beckett / TEFRA Option

AvailableHome Care for Children with Severe Disabilities (HC-CSD)

NH's Katie Beckett–style program. Lets children with significant disabilities who meet institutional level of care qualify for Medicaid based on the child's own income — not the family's. Unlocks ABA, therapies, and equipment coverage for middle-income families.

Early Intervention (Birth–3)

NH Family-Centered Early Supports and Services (FCESS)New Hampshire's IDEA Part C program. Children under 3 with developmental delays can access services without a formal autism diagnosis.

Official Sources

Use these primary sources when you need to confirm current Medicaid rules, waiver access, or state-agency guidance in New Hampshire.