New Hampshire Personal Assistance Agency Policy Manual

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The New Hampshire Personal Assistance Agency Policy Manual provides a comprehensive operational framework for agencies delivering personal care and assistance services to individuals with disabilities, chronic illnesses, and aging-related needs in New Hampshire. This manual aligns with the regulations established by the New Hampshire Department of Health and Human Services (DHHS), particularly through the Bureau of Elderly and Adult Services (BEAS) and the Bureau of Developmental Services (BDS). It ensures compliance with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Choices for Independence (CFI) Waiver and Developmental Disabilities (DD) Waiver. The manual includes policies and procedures governing agency enrollment and licensure, participant eligibility and assessment, person-centered service planning, assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), staff qualifications and training, participant rights and protections, emergency preparedness, infection control, health and safety protocols, documentation and billing, incident reporting, and quality assurance. It promotes individualized, in-home care that supports independence, dignity, and meaningful community participation. This manual serves as a foundational resource for personal assistance agencies in New Hampshire, ensuring the delivery of high-quality, compliant, and person-directed services that help individuals remain safely and comfortably in their homes and avoid institutional care.