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<meta name="description" content="New Hampshire's Katie Beckett option is called HC-CSD. It counts only the child's income, not the parents'. That can open NH Medicaid, and Medicaid-covered ABA, to higher-income families.">
<title>Katie Beckett in New Hampshire: How Home Care for Children with Severe Disabilities (HC-CSD) Opens Medicaid to Your Child Even When Your Income Is Too High | 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</h1><p>New Hampshire's Katie Beckett pathway is officially called Home Care for Children with Severe Disabilities, or HC-CSD. It lets a child qualify for NH Medicaid on the child's own income and resources, disregarding what the parents earn.</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">Apply Via</div><div class="info-value">NH EASY</div></div></div>
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<section><p>Katie Beckett is the nickname. In New Hampshire the program is <strong>Home Care for Children with Severe Disabilities</strong>, HC-CSD, written into the state's Medical Assistance Manual at section 231. It exists for one reason: a child with significant disabilities can qualify for Medicaid on the child's own income and resources, not the family's.</p>
<p>A family that earns too much for regular Medicaid can still get their child covered.</p></section>
<section><h2>Who qualifies</h2><ul>
<li>Child is under 19 and lives in New Hampshire</li>
<li>Child meets an <strong>institutional level of care</strong> but is cared for at home</li>
<li>The state confirms the disability and level-of-care criteria</li>
<li>Only the <strong>child's</strong> income and resources are counted</li>
</ul>
<p>New Hampshire's rules also state the child does not need to be deprived of parental support or care. Two working parents does not disqualify anyone.</p>
<div class="highlight-box"><p><strong>The level-of-care test is the real hurdle, not the money.</strong> HC-CSD asks whether your child's needs are severe enough that they could be served in an institution. Plenty of autistic kids do not meet that bar. Plenty do. Worth applying to find out rather than assuming.</p></div></section>
<section><h2>How to apply</h2><ol>
<li>Apply through <a href="https://nheasy.nh.gov" rel="nofollow noopener" target="_blank">NH EASY</a>, the state benefits portal, or ask for the paper application.</li>
<li>Questions go to the DHHS Customer Service Center, <strong>1-844-275-3447</strong>, weekdays 8:00 a.m. to 4:00 p.m.</li>
<li>Expect a disability and level-of-care review. Send the diagnostic evaluation and therapy records.</li>
</ol>
<p>Gather paperwork before applying. Families who show up with the evaluation and a clear description of daily support needs move faster than families who apply first and hunt for documents later.</p>
<p>Once NH Medicaid is active, applied behavior analysis is covered under EPSDT for a child with autism spectrum disorder. It does not run through Connor's Law or your employer's plan at all. For a family whose commercial plan is self-funded and will not budge, HC-CSD can be the whole ballgame.</p></section>
<section><h2>Frequently Asked Questions</h2>
<div class="faq-item"><h3>How long does approval take?</h3><p>New Hampshire does not publish a guaranteed timeline, so anyone quoting an exact number of weeks is guessing. Ask the Customer Service Center for a current estimate when you apply.</p></div>
<div class="faq-item"><h3>Can my child keep private insurance too?</h3><p>Yes. Medicaid becomes secondary behind a commercial plan, and the provider coordinates the billing. Achieving Stars Therapy accepts NH Medicaid and delivers ABA in the home in <a href="/location/city/aba-therapy-concord-nh">Concord</a>, <a href="/location/city/aba-therapy-manchester-nh">Manchester</a>, and across <a href="/location/states/aba-therapy-new-hampshire">New Hampshire</a>.</p></div>
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<p class="disclaimer">Reflects the New Hampshire Medical Assistance Manual section 231, read July 14, 2026. Eligibility is determined by the state, not by Achieving Stars Therapy.</p>
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<h2>Start ABA Once Medicaid Is Active</h2>
<p>Free benefits check. BCBA-led, in-home, flexible day and evening scheduling.</p>
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<div class="cta-item"><div class="cta-item-label">Ages</div><div class="cta-item-value">18 months to 15 years</div></div>
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