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2026 - 2027 I PY27 NH Fuel Assistance Program (FAP) Procedures Manual 33 Custodial Care Providers – Adult Care

A custodial care provider is defined for FAP purposes as a caregiver who lives with an elderly (60 and over) or disabled individual(s) solely for the purpose of providing essential health or supportive services to the elderly or disabled individual(s).

The custodial care provider will not be included as a household member on the application and the provider income will not be included in the total household income if either of the following conditions exists: • The custodial care provider has a primary residence somewhere else. • The custodial care provider gave up a primary residence for the sole purpose of giving care to the elderly or disabled individual(s).

The applicant must have a letter from a physician stating the medical need for an in-home provider. This procedure should only be utilized in cases when it is readily apparent to the CAA FAP Director that the elderly or disabled head of household's ability to remain in the home is dependent upon this relationship with the custodial care provider.

If an adult in custodial care resides within the care provider household (reverse live-in care, sometimes referred to as ‘Adult Foster Care’), the applicant household should provide documentation that shows they are the legal care provider (i.e. court documentation or home provider agreement). The person receiving care can either be excluded from the household or included in the household, whichever is more beneficial for the applicant household. If an adult receiving care is excluded from the household, the room(s) used exclusively by the adult in custodial care will not be included in calculating the number of rooms in the residence. If the adult receiving custodial care is included in the household, the income related to their care must also be included and all rooms in the household can be included.

In both situations described above, the care provider could be related or unrelated to the person they provide care for.

Nursing Home Clients

If a person is living in a long-term care facility/nursing home permanently, they would not be included in the household. Their income would be counted if it is received by the household member applying. If the person is in a nursing facility for temporary skilled rehabilitation (after a hospital stay, etc.), the person and their income would be counted.

If the person applying is required to pay a mandatory amount of the former household member’s pension, Social Security benefit, or other fixed income to the facility for a person