NHTD Waiver Program Services In New York

Helping individuals with disabilities and seniors remain active, independent, and connected within their communities.

Discover the Difference

The Nursing Home Transition and Diversion (NHTD) Waiver is a Home and Community-Based Services (HCBS) program offered through the New York State Department of Health. This Medicaid-funded initiative supports individuals with physical disabilities and older adults who either wish to transition out of nursing facilities—or avoid institutionalization altogether—by receiving services at home or within their community.

NHTD services are ideal when existing Medicaid programs, informal caregivers, or local resources are not enough to ensure a person’s health, safety, or independence.

At its core, the NHTD program embraces the belief that individuals with disabilities and seniors have the same rights as anyone else—to make choices, take risks, learn through experience, and live life on their own terms.

The waiver is a useful program to prevent seniors and/or individuals with disabilities from institutionalization.

The philosophy of the program is that individuals with disabilities and/or seniors have the same rights and therefore should be in control of their lives, encounter and manage risks and learn from their experiences.

Each participant in the waiver will have a Service Coordinator who will assist them in gaining access to needed services, as well as other local, state and federally funded educational, vocational, social, medical and any other services.

NHTD Enrollment Process

We make the process clear and manageable, guiding you every step of the way.

Call the RRDC

Reach out to your local Regional Resource Development Center (RRDC) and ask to begin the NHTD Waiver application.

Nurse evaluation

A nurse from the RRDC will schedule an in-home visit to determine your eligibility for the waiver.

Select Agency

Once approved, you’ll select a Service Coordination provider—like Individual Home Care—to help create your Initial Service Plan (ISP) and begin receiving support.

Frequently asked questions about NHTD

Do I need Medicaid to be in the NHTD program?

Yes, the NHTD Waiver is a Medicaid program. You must have active Medicaid coverage and maintain it throughout your participation.

Is there an age requirement for the NHTD program?

Yes. Applicants must be:

Between 18 and 64 with a physical disability, or
65 and older at the time of application.

Will it cost anything to participate?

No. If you are enrolled in Medicaid, all services offered through the NHTD Waiver are fully covered.

What types of services are available through the NHTD Waiver?

Service Coordination
Assistive Technology
Community Integration Counseling
Community Transitional Services
Congregate and Home Delivered Meals
Environmental Modification Services
Home and Community Support Services
Home Visits by Medical Personnel
Independent Living Skills Training
Moving Assistance
Nutritional Counseling/Educational Services
Peer Mentoring
Positive Behavioral Interventions and Supports
Respiratory Therapy
Respite Services
Structured Day Program Services
Wellness Counseling Services

What People Say

    
 
 
         
   Tamara Quinn 
 
 
 
 Trustindex verifies that the original source of the review is Google. I love working for this company they make sure  you are comfortable  with  your cases that  you will be doing everyday, they stay in contact with you and make sure you are doing everything to your best abilities. they allow improvements and want you to succeed and improve. they are encouraging as well. They paid very well thank you Charles and Scott for the job Opportunity I recommend anyone to come work for this company.
  
 
        
   Pat Ryan 
 
 
 
 Trustindex verifies that the original source of the review is Google. As a homecare provider myself, I cannot say how impressed and happy I am with Individual Home Care. In the world of home care it is important to be hands on, caring, compassionate and readily available if and when there are issues. Charles and his staff are all of those things. I have gotten to see Charles on many occasions speak with our mutual clients and clients of his own. It is always done so with care, real time advice and direction, and a top priority to Charles and staff. They are able to smoothly navigate Medicaid and any bumps in the road that come with the process. I strongly recommend every and all of our clients to Charles with extreme confidence on a daily basis. Thank you Individual Home Care!!!!!
  
 
        
   Mike Geoffrion 
 
 
 
 Trustindex verifies that the original source of the review is Google. Greta service, great company and great customer service.
  
 
        
   Yossi Gleiberman 
 
 
 
 Trustindex verifies that the original source of the review is Google. Individual is da best! Anyone in LI who needs care, - use them! They care. They are nice. And they are so professional! 7 Stars!!
  
 
        
   Tzvi Cohen 
 
 
 
 Trustindex verifies that the original source of the review is Google. Excellent home care! The staff are very nice and caring.
  
 
        
   Ethan Moskowitz 
 
 
 
 Trustindex verifies that the original source of the review is Google. Great agency! Highly recommend. The staff is always trying to help and make sure everything is ok. The home health aides care.
  
 
        
   Yiddy Lemmer 
 
 
 
 Trustindex verifies that the original source of the review is Google. Scott and Charles are amazing clients and run a top of the line home care agency!
  
 
        
   janet salvaggio 
 
 
 
 Trustindex verifies that the original source of the review is Google. I recently switched my agency to Individual Home Care. I was with my last agency for 13 year for my 35 year old son. What I thought would be a stressful transfer was not! The staff at Individual are phenomenal and I can’t say enough good things about the HHA’s. They are so kind, compassionate, and caring. Thank you Individual!!!
  
 
        
   Nadia Pelage 
 
 
 
 Trustindex verifies that the original source of the review is Google. I use Individual Home Care for my mom. They are a wonderful agency! The Home Health Aides are caring and kind, they treat my mom like family.

Empowering Seniors and Individuals with Disabilities

When it comes to the care of your loved ones, there are no compromises. Our dedicated team works side-by-side with you to ensure individualized care is always provided. Our warm and supportive approach puts our patient’s minds at ease and allows them more control over their own care.

Call Us (631) 467-4435

FAQs

You provide the home, we provide the care. If you have any questions, let us know.

Call Us (631) 467-4435

Do I automatically qualify for home care if I have Medicaid?

Not automatically. In New York, having Medicaid is a prerequisite, but you must also meet specific medical and financial criteria to qualify for home care services. Eligibility is determined through assessments conducted by programs like the Managed Long-Term Care (MLTC) plan or the Community Health Assessment. These evaluations assess your need for assistance with daily activities and determine the appropriate level of care.

What services do you offer?

Individual Home Care Providers offers a comprehensive range of services, including:

Home Health Aides (HHA)
Nursing Services
Homemaker Services
Medicaid Planning
Managed Long Term Care (MLTC)
NHTD Waiver Program Services
TBI Services
VA Services
Immediate Needs / DSS
Private Pay Services

These services are tailored to meet the unique needs of each client, ensuring comfort and safety at home.

How do I pay for home care?

Payment options include private pay, long-term care insurance, and Medicaid through programs like MLTC for those who qualify. Some veterans may also be eligible for benefits that cover in-home care services. It's advisable to consult with a care coordinator to explore the best payment option for your situation.

What languages do you speak?

Individual Home Care Providers is committed to serving a diverse community and offers services in multiple languages to accommodate clients' needs. Please contact us to inquire about specific language support available.