New Hampshire’s Department of Health and Human Services requests your input as the Bureau of Developmental Services (BDS) begins the Developmental Disability (DD) Waiver renewal process. Every five years the Centers for Medicaid and Medicare Services (CMS) requires that the state renew their Home and Community Based Care 1915 (c) waivers.

The renewal process is lengthy and includes collaborative meetings with a wide range of stakeholders to gather input on the waiver. BDS is working with the Institute on Disability (IOD) to deliver four listening sessions statewide. BDS encourages people to participate in the listening sessions noted below or to provide input by email or mail. Sharing what has worked and what needs attention helps inform waiver changes in the application that will be available for public comment in the Fall of 2020.

The Developmental Disability (DD) Waiver provides Service Coordination, Residential Habilitation Personal Care, Community Support Services, Day Habilitation, Respite, Environmental & Vehicle Modifications, Specialty Services, Crisis Response Services, Supported Employment Services, Assistive Technology, Wellness Coaching, to New Hampshire’s eligible participants with a developmental disability. The waiver is comprised of both participant directed and managed services (PDMS) as well as traditional services. NH has a host of service providers that are able to work within either model. Within the PDMS model of service delivery, there are three options, and eligible individuals and or their guardians/families have two authorities, employment authority and budget authority. PDMS services are provided in accordance with He-M 525, and traditional services are provided in accordance with He-M 503, He-M 521, He-M 1001, and He-M 507. The rules can be found here: http://www.gencourt.state.nh.us/rules/state_agencies/he-m500.html

The intent of the these services is to assist people to remain living, working and recreating within the community versus receiving institutional care. Home and Community Based Services (HCBS) are intended to provide a comprehensive supports and services system that ensures the health, welfare and safety of individuals. In addition, waiver services are intended to maximize participant’s autonomy by encouraging choices about their life as well as enjoying meaningful relationships and accessing and actively participating in all aspects of community life.

To view the current Developmental Disability (DD) Waiver visit this link: https://www.dhhs.nh.gov/dcbcs/bds/documents/ddwaiver.pdf

Requests for a hard copy of the current Developmental Disability (DD) Waiver should be submitted by email or phone to: Ms. Jessica Kennedy; This email address is being protected from spambots. You need JavaScript enabled to view it.; Phone: 603-271-5034. A hard copy of the current DD Waiver can also be picked up, with prior notice, at BDS, which is located at: New Hampshire Department of Health and Human Services Bureau of Developmental Services (BDS) The Main Building 105 Pleasant Street Concord, NH 03301

Due to COVID-19 all listening sessions will be held remotely using a call in option or video conferencing (Zoom)
There are several ways to give your input to BDS:
• Attend one of the four (4) listening sessions held on the dates noted below. At the listening sessions, you can give verbal or written comments.
• Email comments to This email address is being protected from spambots. You need JavaScript enabled to view it. or mail written comments to: Ms. Jessica Kennedy New Hampshire Department of Health and Human Services Attn: DD Waiver Renewal Input 105 Pleasant Street Concord, NH 03301

The four listening sessions are as follows:
DATE: Tuesday, May 5th TIME: 5-7 pm
Zoom link: https://unh.zoom.us/j/99607405238
Call-In Option – Dial: +1 312 626 6799, Meeting ID: 996 0740 5238

DATE: Monday, May 11th TIME: 5-7 pm
Zoom link: https://unh.zoom.us/j/91920032636
Call-In Option – Dial: +1 312 626 6799, Meeting ID: 919 2003 2636

DATE: Wednesday, May 20th TIME: 5-7 pm
Zoom link: https://unh.zoom.us/j/95218816220
Call-In Option – Dial: +1 312 626 6799, Meeting ID: 952 1881 6220

DATE: Friday, May 29th TIME: 10am – 12noon
Zoom link: https://unh.zoom.us/j/95146246506
Call-In Option – Dial: +1 312 626 6799, Meeting ID: 951 4624 6506

Accommodations: If accommodations are needed for communication access such as interpreters, CART (captioning), assistive listening devices, or other auxiliary aids and/or services, please contact Linda Bimbo at This email address is being protected from spambots. You need JavaScript enabled to view it. or 603-228-2084 as soon as possible. Every effort will be made to accommodate needs identified with advance notice.

There will be further opportunities to provide additional stakeholder feedback and public comment on the waiver prior to submission to CMS. BDS, working with the IOD, will also provide public notice of formal public comment sessions in the Fall of 2020. All information regarding the Developmental Disabilities (DD) Waiver renewal process is on the DHHS web site at https://www.dhhs.nh.gov/ under “Quick Links.” BDS will update this website throughout the listening sessions, public comment, and CMS renewal submission process. The NH Bureau of Developmental Services Page is https://www.dhhs.nh.gov/dcbcs/bds/index.htm.