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NHTD & TBI MEDICAID WAIVER PROGRAMS

New Yorkers with disabilities and/or seniors can choose to participate in these New York State Home and Community-Based Medicaid Waiver Programs and live safely in their community.

WHAT ARE THE WAIVER?

  • Nursing Home Transition and Diversion (NHTD)
  • Traumatic Brain Injury (TBI)

To Apply:

  • Contact your local Regional Resource Development Center (RRDC).
  • Request an application for the waiver of your choice.

NHTD & TBI MEDICAID WAIVER PROGRAMS OVERVIEW

Helping you live the best life you can…because we care.

WAIVER PROGRAM ELIGIBILITY

Individuals seeking to participate in the NYS Home & Community-Based Medicaid Waiver Program must:

  • Be at least 18 years of age.
  • Be an active New York State Medicaid recipient.
  • Have medical documentation of brain injury, have a physical, medical or cognitive diagnosis.
  • Be eligible for skilled nursing facility level of care.
  • Choose to live in the community rather than a skilled nursing facility.
  • Be able to identify a safe living arrangement that will meet their needs.
  • Be capable of living in the community with appropriate supportive services.

What services are available under the waiver programs?

  • Service Coordination
    • A coordinator is chosen by the waiver participant and/or guardian to work with them in identifying and coordinating support and services and developing a written service plan.
  • Home and Community Support Staff
    • Similar to Home Care services, this service also provides oversight, cognitive cueing and support to enable the waiver participant to reside safely within the home and community environments.
  • Independent Living Skills Training
    • One-to-one training to improve or maintain the ability to live as independently as possible, focusing on essential community living skills.
  • Community Integration Counseling
    • Counseling service for those who are coping with changes in their abilities and skills, as it relates to their disability/diagnosis.
  • Structure Day Program
    • Community based social model program to provide socialization and skill building opportunities.
  • Positive Behavioral Interventions and Supports (PBIS)
    • A community-based provision of direct assistance to individuals who may present with challenging behaviors.
  • Social Transportation
    • Provides the means to access and use non-medical services in the community and improve integration in the community.
  • Environmental Modifications
    • Provides adaptations to residences to promote independence and to ensure safety.
  • Assistive Technology
    • Equipment that will improve independence, decrease reliance on staff and be a cost-effective aid for community integration.
  • Community Transitional Services
    • Assistance in transitioning from a nursing home back to the community, including the cost of moving, essential furnishings, deposits for utilities, security deposits or one-time cleaning services prior to occupancy.
  • Other services include:
    • Respite services, substance abuse programs, congregate & home delivered meals or community transitional services.