3 stacked bars as a hamburger menu


Close this search box.


Quick Links

*Some Adult services may be available for 18-21 year-olds. See our Adult services.

Children’s Service Coordination (CSC)

Children’s Service Coordination (CSC) provides resources to families who have a child (age 3 to 21) with a developmental disability or chronic health condition. The services provided are initiated by each family and are unique to their specific needs.

Determine eligibility and start the
intake process for your child:

Our Focus:

The focus of Children’s Service Coordination is to assist the family in accessing services. Our goal is to educate and empower families to identify, access and utilize available resources in ways that are most helpful to them. This is achieved by partnering with a Children’s Service Coordinator.

Children’s Service Coordination (CSC) provides:

  • information and referral to community services
  • Early Supports and Services 
  • assistance in planning for transitions
  • access to training
  • assistance with future planning
  • In Home Supports
  • information about acquiring benefits
  • parent-to-parent matches
  • referral to appropriate support programs
  • assistance to families with the special education process

The Family Council

The Family Council is an advisory group to the Area Agency, made up of parents and family members of children and adults with developmental disabilities. Learn more here.  

Environmental Modifications

Environmental Modifications (E-mods) are physical adaptations to a person’s home that are necessary to ensure the health, welfare and safety of the person. E-mods may also be made to a vehicle if it is the primary source of transportation to a person who receives services. Examples of E-mods include wheelchair ramps and lifts, hand rails, roll-in showers, lifts, automatic door openers and widened doorways and hallways. E-mods enable a person to live with greater independence. For individuals with unsafe wandering and running behaviors, outdoor fencing may be a needed e-mod. E-mods do not include the purchase of a vehicle or improvements to a home or vehicle that are not medically necessary or are not needed for a person’s independence in their home or community.

In-Home Support (IHS) SDS

In-Home Support (IHS) services provides residential habilitation for children or young adults who have a developmental disability and significant medical or behavioral challenges.

These supports, provided with the help of an In-Home Support service coordinator, include personal care and other related services to promote greater independence and skill development for children or young adults to allow them to remain living at home with their family and actively engage with their community.

To qualify, a child must have Medicaid, live at home with their family, and be 0-through age 21 and still in school.

In Home Supports services are intended to help the child and the family develop the skills that child needs to become an independent adult including such activities as:

  • Working on making meals and snacks.
  • Learning self-help skills such as showering, brushing teeth, dressing, and such.
  • Practicing using money and making purchases at stores.
  • Participating in social and recreational activities.
  • Learning how to be safe at home and in the community.
  • Getting exercise while having fun.
  • Learning to make choices.

Project SEARCH Employment Training

Project SEARCH provides a comprehensive approach to employment training and career advancement for individuals between 18-34 years of age with developmental disabilities. The program provides real world skills training through a series of internships and classroom learning, all designed to teach marketable skills that will transfer to a variety of employment settings.

Project SEARCH (Students Exploring Alternative Resources Children’s Hospital) began at the Children’s Hospital Medical Center in Cincinnati in 1996, to create an opportunity for individuals between 18-34 years of age with developmental disabilities to obtain marketable employment skills. Since then, Project SEARCH has grown to more than 200 sites across the U.S. and in four other countries. 

In the Monadnock Region Project SEARCH partners are Monadnock Developmental Services, NH Vocational Rehabilitation, and Cheshire Medical Center/Dartmouth Hitchcock (CMC/DH), where the program takes place. CMC/DH offers a wide variety of opportunities for employment training, from stocking to housekeeping to food service to office tasks. The program runs on an academic calendar: Monday through Friday, from 8:00 a.m. to 2:30 p.m. Interested candidates must apply to and be accepted into the program.

The minimum requirements for Project SEARCH applicants:

  •  Are receiving services from MDS, have Medicaid and are, or can be, open for the Developmental Disabilities (DD) Waiver.
  • Have current application for, or are receiving active services with New Hampshire Vocational Rehabilitation Services (NHVR).
  • Can pass the required comprehensive background check.
  • Are able to work with some degree of independence.
  • Have a reliable method of communication.
  • Have a desire to gain employment skills and are committed to finding employment at the end of the program.

Graduates work in a variety of jobs. Some work in an office environment, others in retail, manufacturing, environmental services, food service, and recreation. On average, graduates of Project SEARCH earn an hourly wage of $10.41 and work 16.5 hours per week.

Questions about Project Search:

Transition Services

A transition coordinator is assigned to all young adults nearing the end of their education who will need support services after graduation. The transition coordinator works closely with the student & family, the local vocational rehabilitation agency and schools to help with goal attainment and to prepare for the support the student will need after high school. In partnership with parents, transition coordinators also ensure that all state requirements to transition from Children’s to Adult Services are completed accurately and on time.

In addition to Family Support Services, transition services include assistance with guardianship and its alternatives, applications for social security and Medicaid benefits, participating in the state-required Supports Intensity Scale evaluation, participating in school meetings and coordinating with other agencies in the community such as mental health practitioners and behavioral health wraparound services.

Respite Services

The respite program at MDS allows family caregivers a much needed break, while giving the individual receiving respite care a chance to spend time in the community and enjoy personal interests with a trusted provider. The majority of individuals who receive respite funding have it covered through Medicaid. For those who do not qualify for Medicaid, MDS has additional limited funds available through a variety of grants such as Cheshire County grant and private donations.

How to use the respite allocation

Those receiving a respite allocation have a number of options, including:

Family Reimbursed Respite

The family pays out of pocket to cover respite hours, then submits a reimbursement form to receive their payment. They can choose whom they would like for a provider.

Respite Provider Hired Through MDS

The provider applies for the position through MDS. They would have an initial meeting with the family to see if it is a good fit. The family will not need to pay out of pocket; staff complete a timesheet, have the family sign off on it, and submit to MDS.

For more information on Respite Services:


Talk to your Service Coordinator.

Mountain and Sun from the MDS logo with no text or background colors

Contact Us

Contact Form Popup

Skip to content