Making Your Move from Nursing Home to Home Seamless
What is the NHTD Waiver Program?
The Nursing Home Transition Diversion (NHTD) program is a Medicaid funded program that helps elderly and handicapped who DO NOT want to spend their lives in a nursing home or in an institution.
As is its namesake, the NHTD program is especially good for those transitioning from a nursing home to their own residence, as well as those who are in danger of being placed in a nursing home or institution but want to prevent it.
Under this Home and Community-Based Service (HCSB) qualified participants will receive the opportunity and support needed to live in the larger community.
Are you eligible for NHTD?
To be eligible for the NHTD Waiver Program, you must satisfy the following requirements:
Age:
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Individuals aged 18-64
Must have a documented physical disability.
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Seniors aged 65 and older
May apply without needing documented disability but must require at least one waiver service.
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Medicaid Eligibility
The applicant must be a Medicaid recipient.
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Nursing Home Level of Care
Be evaluated as requiring the level of care offered in a nursing home.
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Desire to Live in the Community
You prefer living in the community to a nursing facility or institution.
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Appropriate Living Arrangement
You must identify a safe and suitable living environment.
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Service Availability
You must be able to access the funding and services offered under the HCBS/NHTD waiver and the New York State Medicaid State Plan.
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No Participation in Other Waivers
You cannot be actively enrolled in another HCBS waiver program.
You can learn more about this HCBS here
Service Coordination
The coordinating of various NHTD services to ensure you receive the necessary supports to maintain your independence and quality of life in your home Â
Independent Living Skills Training Services  Â
Individually designed services aimed at improving or maintaining your ability to live as independently as possible in the community. Â
Home Community Support Services
An individualized plan for providing oversight and/or supervision as a discrete service to maintain the health and welfare of the participant living in the community. Personal Care services are provided to assist with Activities of Daily Living (ADL) such as dressing, bathing, hygiene/grooming, toileting, ambulation/mobility, transferring and eating, and/or Instrumental Activities of Daily Living (IADL) such as housekeeping, shopping, meal preparation, laundry, transportation and telephone use essential to the maintenance of the your health and welfare in the community.
Structured Day Program Services
Individually designed services, provided in an outpatient congregate setting or in the community, to improve or maintain the waiver of participant's skills and ability to live as independently as possible in the community. These services may not exceed 10 hours per day Â
Community Integration CounselingÂ
An individually designed counseling service provided to the participant who is coping with altered abilities and skills, a revision of long-term expectations, or changes in roles in relation to significant others. Â
Positive Behavioral Interventions and Support
Services provided to waiver participants who have significant behavioral difficulties that jeopardize their ability to remain in the community of choice due to inappropriate responses to events in their environment
Respite Services
Individually designed services intended to provide relief to natural (informal), non-paid supports who provide primary care and support to a waiver participant for a short time (usually 30 days or less)
Environmental Modifications
This service includes the performance of necessary assessments and project management to determine the type of modifications needed and the assessment that the adaptation has been completed according to the required specification. (Specifically, home modifications and/or vehicle modifications)Â Â
Assistive Technology
The purpose of this service is to supplement the Medicaid State Plan Service for Durable Medical Equipment and supplies, which provides a broad range of special medical equipment and supplies
Respiratory Therapy
An individually designed service, specifically provided in your home, intended to provide preventative, maintenance, and rehabilitative airway-related techniques and proceduresÂ
Peer Mentoring
An individually designed service intended to improve your self-sufficiency, self-reliance, and ability to access needed services, goods, and opportunities in the community.
Moving Assistance Services
Services intended to transport your possessions and furnishings to your home.Â
Community Transitional Services
Individually designed services intended to assist a waiver participant to transition from a nursing home to living in the community
Congregate and Home Delivered Meals
An individually designed service which provides meals for you if you cannot prepare or obtain nutritionally adequate meals for yourself, or when the provision of such meals will decrease the need for more costly supports to provide in-home meal preparation
Home Visits by Medical PersonnelÂ
Individually designed services to provide diagnosis, treatment and wellness monitoring in order to preserve your functional capacity to remain in your own home Â
Nutritional Counseling/Educational Services
Individually designed service which provides an assessment of your nutritional needs and food patterns, and the planning for the provision of food and drink appropriate for your condition(s), or the provision of nutrition education, and counseling to meet normal and therapeutic needs Â
Wellness Counseling
Individually designed service intended to assist the medically stable waiver participant in maintaining optimal health status. (intended for those who do not otherwise have access to nursing services)