Acquired Brain Disorder

Acquired Brain Disorder is a severe and lifelong disabling condition that significantly impairs a person’s ability to function in society. At The Moore Center, we can help determine a person’s eligibility for services, and from there we offer a range of individualized services to meet specific needs. We also subcontract with a variety of external vendors who provide appropriate supports and services within our community.

We emphasize Participant Directed and Managed Services to allow the individual or their representative the greatest degree of choice and autonomy possible. 

Below you’ll find more information about our programs for individuals with acquired brain disorders.

How do I determine eligibility?

To determine eligibility please visit our Start Here page.

What age groups do you serve?

Ages 0 to 3

Early Supports and Services (ESS) is at the heart of the comprehensive services we offer for children between birth and age three and their families. Providing family-directed, individualized supports, our offerings encompass Early Supports and Services, Autism Protocol Services and a number of other relevant services. For more information please visit our Early Supports & Services page. 

Ages 3 to 13

The Moore Center provides services to children between age three and 13 and their families. We provide age-appropriate family-directed, supports and services that assist families such as respite, consultation, information and referral and “In Home Supports,” a specific waiver service.

Ages 14 to 21

Along with standard offerings like Family Support Services, we provide a number of services geared to people between the ages of 14 and 21. For instance, we help young adults to transition from the school system to adult services; we help those who are 18 or older to identify and apply for appropriate state and federal benefits; and we work with young adults who want to live in the community and need minimal supports to maintain their independence.

Ages 21+

Our comprehensive community-based services for adults age 21 and older feature Residential Services, Community Based Services, and Employment Services, Our Residential Services create a safe, caring and at-home atmosphere for people who require different levels of support. Community Based services encompass a number of individualized supports for living in the community. And our Employment Services range from career development and mentoring to job training and placement with local businesses and organizations.

Client Benefit Services

Staff in the Client Benefit Services’ (CBS) department of The Moore Center are available to help Area Agency eligible individuals 18 or older and their families. Services include things such as reviewing their current benefits, answering questions and helping to resolve issues to ensure that Area Agency clients receive all the benefits they are entitled to receive. They can also help determine benefit eligibility for clients and assist with the application process for state and federal medical and financial benefits, including but not limited to:

  • State of NH Medicaid programs including APTD, ANB, MEAD
  • Social Security programs including SSI,SSDI
  • Medicare Programs including Part D prescription programs

In additional to helping clients apply for benefits and problem solve issues, The Moore Center is also available to manage their benefits. This service is available for clients 21 years and older who are in The Moore Center’s Residential and Independent Living Programs.

For more information, please contact:

  • Client Benefits Services Coordinator – Audrey Mason –603-206-2770 Benefits Review
  • Medicare and Client Benefits Specialist – Mary Roberge – 603-206-2799 Medicare A,B & PART D
  • Client Benefits Services Specialist – Dawn Ojey – 603-206-2769 – MEAD/Benefits Review
Family Support Services

The Moore Center recognizes the undeniable value of family members as caregivers for a child or adult with an intellectual / developmental disability and or acquired brain disorder. Any person regardless of age who is eligible for services through The Moore Center and who lives at home with a family member is also eligible for Family Support Services. This support can come in a variety of ways:

  • Support: Through the respite program
  • Social: Through recreation events like the annual holiday party
  • Informational: With staff aiding family members in negotiating the challenges of the Medicaid system and the procurement of services

The New Hampshire Bureau of Developmental Services established and supports the Family Support Councils for each of its ten service areas. The council advises and monitors the area agency regarding family issues and helps to develop goals and family support plans with The Moore Center’s Family Support department. 

The Family Support Council works closely with The Moore Center to work through issues relevant to families. It is made up entirely of parents and guardians and meets the second Tuesday of every month. For general information about Family Support or to learn more about the council, please call 603-206-2794. 

Transitional Services

The Moore Center provides transition services to eligible young adults transitioning from school to adult services.  Transition coordination is provided for those ages 14 -21 years.  Coordination includes support and information in the development of a school transition plan that will better prepare our young adults as they move out of the school system to adult services as appropriate. 

Specific supports provided are based on the age and needs of the young adult and their family, but may include review of  school plans, attendance at school meetings, application for guardianship and requests for adult services funding.

Transitional Services includes Clinical Transitional Services for individuals under 21 with co-occurring disorders and clinically complex presentation.


Respite is short-term temporary relief from care taking responsibilities for the family and/or care providers.


PRIDE is a small discretionary fund available to assist families in emergency situations. Staff and Family Support Advisory Council members review each request. A maximum of $300.00 may be approved in a one-year period if funding allows.


The Family Support Campership program provides families with financial assistance for eligible individuals of all ages to participate in summer camp when resources are available.


Respitality is the “gift of time.” It provides caregivers the opportunity to spend one night at a hotel of their choice (from a list of participating hotels). The vendor will arrange the hotel accommodations. There may be a waiting period depending on where you want to stay.

In-Home Supports

For children that live at home with their family and are eligible on the In-Home Supports (IHS) waiver, we offer the following services:

  • Enhanced personal care: includes assistance and skills training with daily living skills, such as communication, socialization, health and personal safety, physical functioning, community involvement and client-specific goals.
  • Family Management: the Family Manager coordinates all aspects of an individual’s program, including service agreements, IHS services, quality assurance and program budgets, and is a family’s contact person within the program.  Oversight is provided for many aspects of the individual’s program including but not limited to home and community safety, medical/health care, personal care, homemaking, financial management and community mobility.
  • Consultative Services: may include evaluation, training, mentoring and special instruction to improve the ability of the service provider, family or other care-givers to understand and support the individual’s developmental, functional, communication, socialization and health and behavioral needs.
  • Respite services: short-term temporary relief from care taking responsibilities for the family.
  • Environmental Modifications: adaptations to the home environment to ensure access, health and safety, as well as adaptations to vehicles to ensure the child’s safety and access to the community.

Adaptive therapies, recreational camps, assistive technology, mileage and alarm system reimbursement are also available through the IHS waiver. Contact your Family Manager for more information!

Families help make decisions regarding how approved funds are utilized in connection with state regulations.

For more information on the IHS waiver and services we provide, contact Aida Schneider via email or phone at (603) 206-2714.

Case Management

Case management provides coordination and oversight of services for individuals over the age of 21 with intellectual and developmental disabilities or an acquired brain disorder.

Case Managers provide the following types of Case Management, depending on the type of service(s) the individual receives:

  • Clinical Case Management – supporting individuals with co-occurring disorders and clinically complex presentation
  • Family Support Case Management – supporting individuals living at home with a family member
  • Family Directed Services Case Management – supporting individuals and families living together to manage their own services
  • Residential and/or Day Services – provides adults over 21 with various services in residential and community settings
  • Community Supports Services Case Management – offers opportunities for individuals who live independently in the community, but need minimal/occasional supports to maintain their independence

Case Managers follow He-M 503 regulations to ensure regulatory compliance for Case Management services and to best meet the needs of the individuals we serve. These regulations include service planning, meetings requirements, oversight requirements, documentation requirements and many other aspect of the oversight and advocacy role of the Case Manager. 

Families can choose case managers from the case management department or they have the option of choosing their own external Case Manager who meet certain regulatory requirements.

Case Managers negotiate services for the client that would be the most appropriate and cost effective while continually evaluating the quality of services delivered to create opportunities for a good and meaningful life.

Individual Day Services

Individual Day Services supports and enables people to be contributing independent members of their community, to determine safe and healthy life choices, and to establish meaningful relationships with peers, family and friends.

Certified annually by the New Hampshire Bureau of Developmental Services, Individual Day Services provides community-based day and employment services for adults with developmental disabilities and acquired brain injuries.  

Day services include involvement in a variety of activities within the community, such as recreational activities, field trips, shopping, and various events. All Direct Support Professionals are trained and have continuing education. In addition, staff meet training requirements and mentoring that exceed state mandated regulations. 

For more information on our Individual Day Services, contact Jen Meyer, Director of Community Based Services, via email or phone at (603) 206-2808.

Employment Services

The Moore Center believes that all individuals who want to work should have the opportunity to explore, develop, and succeed in meaningful, community-based employment. We offer:

Career Development – For those seeking long-term careers in area businesses, we assist in obtaining their career objectives through classroom instruction, real-world experience, and internship opportunities. The result: trained, qualified and eager applicants who are ready for hire.

Job Development – We work closely with employers to identify their individual staffing needs, tour businesses, speak with hiring managers, review job requirements, and match up candidates. We specialize in job carving, which takes non-essential tasks from busy, high-level employees and re-designates them to our qualified job-seekers. Employers have found this to be an efficient and cost-effective way to meet their needs.

Customized Employment – Once the person is hired, IDS provides on-going support to both the employee and employer. We assist employers in the on-boarding process through enhanced training and supervision. In a non-intrusive manner, the job coach remains on-site as long as needed to ensure the employee learns the job and meets the employer’s expectations.

For more information on our Individual Day Services, contact Jen Meyer, Director of Community Based Services, via email or phone at (603) 206-2808.

Residential Services

We feel strongly about supporting people with disabilities in their communities. The Moore Center provides adults over 21 with developmental disabilities and acquired brain disorders with various services in residential settings. 

Three community residences are staffed 24 hours a day, providing services to people who require a high level of support, structure and personal care. The most typical residential setting is a shared home where people live with an unrelated family or with a roommate.

Both types of settings are supported by residential teams whose role is to provide a safe, supportive, caring, home-like atmosphere with client driven services meeting standards set not only by regulation, but by high standards set by The Moore Center and its Residential Department.

The Moore Center strives for good long-term placements driven by careful matches between individuals and providers based on interests, activity level, home environment and medical and social needs. Clients/guardians ultimately approve the placement. Staff and home care providers receive ongoing training and mentoring. 

Community Support Services / Independent Living Services

This program offers opportunities for individuals who live independently in the community, but need minimal/occasional supports to maintain their independence. The New Beginnings Transition House offers real world independent living skills for up to three individuals at a time for 12 to 18 months.

Participants live in the house and receive staff coaching throughout their tenure. All participants must be 18 years of age, be motivated to reach independence, and possess self care skills.

Participant Directed & Managed Services

For families who feel comfortable living independently while also receiving the supports they need, Participant Directed and Managed Services (PDMS) gives clients and their loved ones the opportunity to develop and manage their own services.  Families work collaboratively with The Moore Center to best meet the needs of the individual while maintaining the requirements of the federal guidelines.

Participant Directed and Managed Services offers four service models:

  • In-Home Supports: for children that live at home with their family and are supported on the IHS waiver.
  • Participant Directed and Managed Services: for individuals that want to direct their services and foster their independence.
  • Personal Care Services: includes assistance and skills training with basic daily living skills, such as communication, socialization, health and personal safety, and physical functioning.
  • Community Support Services/Independent Living Supports: for individuals who live independently in the community, but need occasional support to maintain their independence.
Personal Care Services

This program is for those that choose to live at home, need supports to do so, but still want traditional day services. This Includes assistance and skills training with basic daily living skills, such as communication, socialization, health and personal safety, and physical functioning. Each individual is assigned a Case Manager who aids in developing and monitoring service plans.

Wait List Information

The Moore Center works hard to assist individuals in identifying their needs and finding the resources available to meet them. When funding does not exist to provide the services needed, individuals are placed on New Hampshire’s Wait List. The Wait List identifies individuals who are 21 years of age and older, are in need and are ready to receive services now, but who do not have funding for the services they require.

All eligible individuals must be at risk of harm, regression and or homelessness and have Medicaid approval. A Supports Intensity Scale (SIS) assessment is completed to determine support level requirements. For more information regarding the SIS, please go to

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