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
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
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 autismIndividuals with IDD, all ages
In-Home Supports (IHS) Waiver
Covers autismChildren with IDD living at home
Acquired Brain Disorder (ABD) Waiver
Medically complexIndividuals with acquired brain injuries
Katie Beckett / TEFRA Option
Available — Home 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.