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2026 Standard of Need and Income Changes January 1, 2026 Page 2

The Department of Health and Human Services’ Mission is to join communities and families in providing opportunities for citizens to achieve health and independence. Maximum residential fees, based on the individual’s social security amount, will remain unchanged as listed below:

 $848 for He-M 1001 Certified Staffed Residences, He-M 521 Certified Family Setting; or He-M 525 Certified Family Setting with a residential service; and  $966 for individuals in He-M 1001 Certified Enhanced Family Care Residences or He-M 525 Certified Enhanced Family Care residences.

The Nursing Facility (NF) Cap, used for Medicaid financial eligibility determinations has increased to $2,982 from $2,901 per month; GROSS income must be equal to or less than $2,982/month. Individuals with monthly income in excess of $2,982 may be able to “Spend Down” to the Protected Income Limit (PIL) to gain Medicaid eligibility; the PIL for an individual remains the same at $916 per month.

If you have questions, you may contact BDS@dhhs.nh.gov, the BDS main line at 603-271-5034, or your regional liaison.

BDS Regional Liaison contact list: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/bdsregionalliaisonlist.pdf

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Official source

2026 Standard of Need and Income Changes January 1, 2026 Page 2

The Department of Health and Human Services’ Mission is to join communities and families in providing opportunities for citizens to achieve health and independence. Maximum residential fees, based on the individual’s social security amount, will remain unchanged as listed below:

 $848 for He-M 1001 Certified Staffed Residences, He-M 521 Certified Family Setting; or He-M 525 Certified Family Setting with a residential service; and  $966 for individuals in He-M 1001 Certified Enhanced Family Care Residences or He-M 525 Certified Enhanced Family Care residences.

The Nursing Facility (NF) Cap, used for Medicaid financial eligibility determinations has increased to $2,982 from $2,901 per month; GROSS income must be equal to or less than $2,982/month. Individuals with monthly income in excess of $2,982 may be able to “Spend Down” to the Protected Income Limit (PIL) to gain Medicaid eligibility; the PIL for an individual remains the same at $916 per month.

If you have questions, you may contact BDS@dhhs.nh.gov, the BDS main line at 603-271-5034, or your regional liaison.

BDS Regional Liaison contact list: https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/bdsregionalliaisonlist.pdf