Melissa Hardy, division director for Long‑Term Supports and Services at the Department of Health and Human Services, presented the fiscal year 2025 quarter‑2 wait‑list report to the Health, Human Services and Elderly Affairs Oversight Committee on April 25 and said the department is currently funding all requests that meet program criteria.

"We currently fund 100% of the requests that come into our department as far as wait list for the developmental disabilities waiver, the acquired brain disorder waiver, and the children's in home support waiver," Hardy said.

Key figures from the quarter‑2 report, as presented:
- Developmental Disabilities (DD) waiver: 75 individuals requested services and were funded; 29 of those withdrew their request. Of the remaining 46 individuals, 42 were projected to start services in the quarter and 30 actually began services; 12 did not start. The most common documented reason for not starting was that Medicaid eligibility was not yet established (eight cases), and some families chose to delay start dates.
- In‑Home Supports (children's waiver): 11 requests were funded; two withdrew and nine allocations remained; all nine started either full or partial services in the quarter.
- Acquired Brain Disorder (ABD) waiver: four requests were submitted; three withdrew and one was funded but did not start services because Medicaid coverage had not yet been opened.

Hardy noted that area agencies collect registry data from families and predict future service needs; she explained the distinction between being found eligible for DD services under RSA 171‑A (eligibility to receive DD supports) and the separate Medicaid eligibility process necessary for waiver payments. When asked by Representative Lamontagne, Hardy said delays were most commonly due to Medicaid paperwork or families choosing to defer start dates.

Committee members asked whether lack of provider workforce limited service starts; Hardy said workforce capacity issues exist but the cases in the quarter were primarily delayed for eligibility or family choice. Representative McDonald asked whether there is currently a wait list; Hardy replied that there is not, and that she believed the last formal wait list had been in 2020.

Ending: The division reported continued monitoring and that funded slots are reserved and reallocated when applicants withdraw. Members asked for continued updates on eligibility processing delays and provider capacity as the department continues to administer waiver slots.