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.
Yes, the NHTD Waiver is a Medicaid program. You must have active Medicaid coverage and maintain it throughout your participation.
Yes. Applicants must be:
- Between 18 and 64 with a physical disability, or
- 65 and older at the time of application.
No. If you are enrolled in Medicaid, all services offered through the NHTD Waiver are fully covered.
- 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
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.
FAQs
You provide the home, we provide the care. If you have any questions, let us know.
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.
Individual Home Care Providers offers a comprehensive range of services, including:
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Home Health Aides (HHA)
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Nursing Services
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Homemaker Services
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Medicaid Planning
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Managed Long Term Care (MLTC)
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NHTD Waiver Program Services
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TBI Services
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VA Services
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Immediate Needs / DSS
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Private Pay Services
These services are tailored to meet the unique needs of each client, ensuring comfort and safety at home.
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.
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.