Resources for Choice for Independence Program
Everything you need to apply for the Choices for Independence Program
What is the Choices for Independence Program?
What is the CFI program? How do I know if I’m eligible? What are my options and my rights? This guidebook will answer all your questions
What you need to know about applying
This letter will provide the information you need to assist in applying for Choices for Independence or Long-term Care Medicaid.
Form 800 Choices for Independence application
This form will open in a new page which you can download and fill out. See also the pre- appointment verification checklist below for a list of documentation that is required.
Mail the completed application to New Hampshire Care Collaborative 105 Castle St. Keene NH 03431.
You can also fax it to 603-352-8822 or
Drop it off at DHHS offices 111 Key Road, Keene, NH 03431
Pre Appointment Verification Checklist
Other Assistance Programs
Speak with Us
If you have questions or would like to learn more, don’t hesitate to reach out.
Resources on This Page
Questions? Contact Us
- Phone: 603-352-7707
- Toll Free: 1-866-826-2340
- Email: [email protected]
- Fax: 603.352.7357
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TTY NH Relay:
English: 1.800.735.2964
Spanish: 1.866.479.7569
