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<title>Katie Beckett NH Medicaid (HC-CSD) in New Hampshire | Eligibility, Income Rules, How to Apply, DHHS Forms, Timeline and ABA Therapy Coverage for Autism | Achieving Stars Therapy</title>
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<div class="hero"><div class="hero-inner"><span class="location-badge">New Hampshire Medicaid</span><h1>Katie Beckett in New Hampshire: NH Medicaid for Children with Severe Disabilities</h1><p>Yes, the state has a Katie Beckett option. Its official name is Home Care for Children with Severe Disabilities, or HC-CSD. It gets a child under 19 onto NH Medicaid using the child's own income, so what the parents earn does not count.</p></div></div>
<div class="quick-info"><div class="info-item"><div class="info-label">Program</div><div class="info-value">HC-CSD</div></div><div class="info-item"><div class="info-label">Child's Age</div><div class="info-value">Under 19</div></div><div class="info-item"><div class="info-label">Parent Income</div><div class="info-value">Not counted</div></div><div class="info-item"><div class="info-label">Child's Resources</div><div class="info-value">$1,000 limit</div></div><div class="info-item"><div class="info-label">Decision</div><div class="info-value">Up to 90 days</div></div><div class="info-item"><div class="info-label">Apply Via</div><div class="info-value">NH EASY</div></div></div>
<div class="content">
<section><p>Katie Beckett is the nickname. The real name sits in section 231 of the state's Medical Assistance Manual, and the Department of Health and Human Services (DHHS) runs it. A child with a serious disability or complex medical needs can get Medicaid coverage even when the family earns too much for regular children's Medicaid.</p>
<p>It is a Medicaid eligibility category, not a waiver, though people say "Katie Beckett waiver." A few national guides claim the state has no such option. The state's own children's Medicaid page lists HC-CSD and adds: "Commonly known as the 'Katie Beckett' option."</p></section>
<section><h2>Eligibility for Katie Beckett in NH: who qualifies</h2><ul>
<li>The child is under age 19 and lives in the state.</li>
<li>The child needs an <strong>institutional level of care</strong> but is being cared for at home.</li>
<li>The state's Disability Determination Unit agrees the child meets its medical disability rules.</li>
<li>Care at home costs less than care in an institution would.</li>
<li>Only the <strong>child's</strong> income and resources are counted.</li>
</ul>
<p>The manual also says the child "does not need to be deprived of parental support or care." Two working parents does not knock anyone out.</p>
<div class="highlight-box"><p><strong>The disability review is the real hurdle, not the money.</strong> The question is whether your child's health care needs are heavy enough that an institution could be the alternative. Plenty of autistic kids do not meet that bar. Plenty do.</p></div></section>
<section><h2>Financial eligibility: whose income and resources count</h2>
<p>Regular children's Medicaid looks at the whole household. This program does not. The manual's instruction to state workers is one line: "Count only the income and resources that belong to the child."</p>
<p>Disability Rights Center-NH, an outside advocacy group not affiliated with Achieving Stars Therapy, says it the same way: "Eligibility for Katie Beckett is based on the child's disability and income (parents' income is not considered)."</p>
<p>For most kids that is very little. The part to ask DHHS about is money held in the child's own name, because the limit on the child's resources is <strong>$1,000</strong>. The child's income has a limit too, tied to the state's nursing facility limit. Ask DHHS for the current figure.</p></section>
<section><h2>How to apply through the Department of Health and Human Services</h2><ol>
<li>Apply online at <a href="https://nheasy.nh.gov" rel="nofollow noopener" target="_blank">NH EASY</a>, or on paper with DFA Form 800 (Application for Assistance) or Form 800MA.</li>
<li>The money check comes first. A state worker looks at what the child has and earns.</li>
<li>If that passes, the medical review starts. The Disability Determination Unit, DDU for short, decides whether the child meets the disability and care rules.</li>
<li>A written Notice of Decision arrives. If the answer is no, the DHHS page says "you may request an Administrative Appeals hearing."</li>
</ol>
<p>Questions go to the DHHS Customer Service Center at <strong>1-844-275-3447</strong>, Monday through Friday, 8:00 a.m. to 4:00 p.m.</p></section>
<section><h2>Forms and paperwork for the disability review</h2>
<p>Most guides stop at "apply online." The state manual names the actual paperwork, in section 231.03, last updated September 2024.</p>
<div class="table-wrap"><table>
<tr><th>Paper</th><th>What the state calls it</th><th>Good to know</th></tr>
<tr><td>DDU Form 968</td><td>Family Information Report</td><td>Lists the child's providers. Start here.</td></tr>
<tr><td>DDU Form 900</td><td>Authorization for Release of Medical Records and Information</td><td>A separate one for each provider on Form 968.</td></tr>
<tr><td>DDU Form 940</td><td>Cover Memo for Medical Eligibility Information</td><td>Travels with the medical file.</td></tr>
<tr><td>Proof of age</td><td>"Written verification of the child's age"</td><td>Asked for on every application.</td></tr>
<tr><td>IEP or 504 plan</td><td>A copy, "if available"</td><td>Send it if your child has one.</td></tr>
</table></div></section>
<section><h2>How long does a Katie Beckett decision take?</h2>
<p>Up to 90 days. That is the state's own outer limit, printed in its programs guide (Form 800A, September 2023). Regular children's Medicaid gets up to 45.</p>
<div class="bars">
<div class="bar-label">Regular children's Medicaid</div><div class="bar-track"><div class="bar-fill w45">Up to 45 days</div></div>
<div class="bar-label">Katie Beckett (HC-CSD)</div><div class="bar-track"><div class="bar-fill">Up to 90 days</div></div>
</div>
<p>These are limits, not averages. Once a child is approved, the same guide says there is "no limit to how long you can receive benefits" while the child keeps meeting the rules.</p></section>
<section><h2>Does Katie Beckett Medicaid cover ABA therapy?</h2>
<p>Katie Beckett is a door, not a benefit. It gets your child into the Medicaid program. Once in, your child has the same coverage as any other child on Medicaid, and that includes the children's benefit known as EPSDT (Early and Periodic Screening, Diagnostic and Treatment). Disability Rights Center-NH describes EPSDT as covering "all medically necessary services that the federal government allows Medicaid to cover."</p>
<p>ABA therapy for a child with autism has to meet that medically necessary test. The health plans that manage Medicaid here ask for prior authorization. One plan's request form approves a first block of 3 months, then 6 months at a time, and warns: "Submission of this form does not guarantee authorization of request."</p>
<p>So be careful with any page that promises Katie Beckett "covers 100% of ABA." No state source says that. Medicaid covers medically necessary ABA, and the health plan approves the hours. On copays and premiums, the state pages read for this guide say nothing either way, so ask DHHS when you apply. Private plans follow a different rule, <a href="/guide/connors-law-new-hampshire-aba-coverage">Connor's Law</a>.</p></section>
<section><h2>Where Achieving Stars Therapy fits, and where it does not</h2>
<p>Achieving Stars Therapy does not file the application and has no say in the decision. DHHS decides who qualifies.</p>
<p>The fit comes after approval. Achieving Stars Therapy accepts NH Medicaid and brings BCBA-led, play-based ABA into the home for children ages 18 months to 15, in <a href="/location/states/aba-therapy-new-hampshire">every town in the state</a>. See <a href="/in-home-aba-therapy-new-hampshire">in-home ABA therapy in New Hampshire</a>, the <a href="/guide/aba-therapy-medicaid-new-hampshire">NH Medicaid ABA guide</a>, or <a href="/guide/how-to-get-autism-diagnosis-new-hampshire">how to get an autism diagnosis in New Hampshire</a>.</p></section>
<section><h2>Frequently Asked Questions</h2>
<div class="faq-item"><h3>Can my child keep private insurance too?</h3><p>The eligibility rules in section 231 do not mention private insurance. Tell DHHS and your ABA provider about both plans.</p></div>
<div class="faq-item"><h3>Does my child need an autism diagnosis for Medicaid to pay for ABA?</h3><p>Plans ask for one. One NH Medicaid plan's ABA form asks for a "comprehensive diagnostic evaluation" with the first request.</p></div>
<div class="faq-item"><h3>What happens when my child turns 19?</h3><p>This category is for children under 19. Call DHHS before the birthday and ask which adult Medicaid category fits.</p></div>
</section>
<section><h2>Sources</h2><ol class="src">
<li><a href="https://www.dhhs.nh.gov/programs-services/medicaid/nh-medicaid-medical-assistance-eligibility/nh-medicaid-medical" rel="nofollow noopener" target="_blank">NH DHHS, children's Medicaid</a></li>
<li><a href="https://www.dhhs.nh.gov/mam_htm/html/231_home_care_for_children_with_severe_disabilities_hc-csd_mam.htm" rel="nofollow noopener" target="_blank">NH DHHS Medical Assistance Manual, section 231</a></li>
<li><a href="https://www.dhhs.nh.gov/mam_htm/html/231_03_required_verification_hc_csd_mam.htm" rel="nofollow noopener" target="_blank">Section 231.03, Required Verification</a></li>
<li><a href="https://nheasy.nh.gov/forms/E/800A.pdf" rel="nofollow noopener" target="_blank">NH DHHS Form 800A, Programs and Services Guide</a></li>
<li><a href="https://drcnh.org/disability-issue-areas/medicaid-and-healthcare/healthcare-related-programs/medicaid-for-children/" rel="nofollow noopener" target="_blank">Disability Rights Center-NH, Medicaid for Children</a></li>
<li><a href="https://nhfv.org/wp-content/uploads/2026/09/Maneuvering-the-Maze-1.pdf" rel="nofollow noopener" target="_blank">New Hampshire Family Voices, Maneuvering Through the Maze</a></li>
<li><a href="https://www.wellsense.org/hubfs/Forms/Provider_Forms/Applied_Behavioral_Analysis_Prior_Authorization_Form_NH.pdf" rel="nofollow noopener" target="_blank">Medicaid plan ABA request form</a></li>
</ol></section>
<p class="disclaimer">Sources read October 8, 2026. Eligibility is decided by the state, not by Achieving Stars Therapy. General information, not legal advice.</p>
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