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NHTD & TBI Waiver Program

Nursing Home Transition and Diversion (NHTD) & TBI Waiver Program for seniors and families in Brooklyn, Bronx, Manhattan, Queens, Staten Island, Westchester County.

At Amelia Home Care, we are committed to helping individuals maintain their independence and quality of life within their communities. One of the key programs we support is the Nursing Home Transition and Diversion (NHTD) Waiver Program, which is designed to help Medicaid-eligible seniors and individuals with physical disabilities move from institutional settings to community-based living. This program offers a range of essential services that allow participants to live safely and comfortably in the place they call home.

What is the NHTD Waiver Program?

The NHTD Waiver Program is a New York State initiative that provides individuals with the necessary support to leave institutional care, such as nursing homes, and transition into community living. The program includes services tailored to meet the unique needs of each participant, ensuring they receive the care and assistance needed to live independently.

What is the TBI Waiver Program

TBI-Traumatic Brain Injury is a Medicaid-sponsored program that offers people living with TBI a chance to get the home health aide hours they need to be successful and supported in their community. NHTD would apply to anyone who is in danger of being permanently institutionalized in a long-term facility because they need more home health aide hours than their current Medicaid program has authorized

Services Offered Through the TBI / NHTD Waiver Program

Participants in the NHTD program benefit from a variety of services that help them manage their health, daily living activities, and overall well-being within their communities. These services include:

  • Service Coordination: Participants are assigned a service coordinator who assists them in managing their care, coordinating services, and advocating on their behalf. The coordinator ensures that each participant has access to the resources they need.
  • Housing Assistance: The program offers subsidies to help participants secure and maintain affordable housing, making the transition from institutional care more feasible.
  • Personalized Service Plans: Each participant has a customized service plan that outlines the specific support they will receive. These plans, such as the Initial Service Plan (ISP) and the Plan of Protective Oversight (PPO), are designed to address the participant’s individual needs and goals.

By providing these services, the NHTD program helps individuals regain control over their lives while remaining active members of their community.

Medicaid Managed Care and TBI / NHTD Services

Amelia Home Care works with Medicaid Managed Care plans to integrate NHTD services. These plans ensure participants have access to coordinated care, helping them receive the necessary medical services and community support. Through this partnership, participants can access comprehensive care while staying within their communities.

NHTD Waiver Program | New York | Amelia Home Care

How the TBI / NHTD Waiver Program Empowers Individuals

At Amelia Home Care, we believe that every person deserves the opportunity to live independently, no matter their age or physical condition. The NHTD Waiver Program aligns with this belief by emphasizing community living and personalized care. The program fosters:

  • Empowerment: Participants have the autonomy to make decisions about their care and services. By giving them the tools and support they need, we encourage self-reliance and personal growth.
  • Inclusion: Community living provides opportunities for social interaction, skill development, and meaningful participation in everyday life. The program creates an environment where individuals can feel included and connected.
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NHTD Waiver Program | New York | Amelia Home Care

Financial Considerations

Applicants must meet specific income and asset limits to qualify for the NHTD Waiver Program. For example, individual applicants have an income limit of $1,732 per month in 2024, while couples applying together have a limit of $2,351 per month. The program also considers asset limits and looks at financial records from the previous five years to ensure compliance with Medicaid’s eligibility rules.

Participant Rights and Safety

At Amelia Home Care, participant safety is a top priority. While the NHTD program encourages independence, it also ensures that services are delivered in a way that promotes health, welfare, and community engagement. Participants are actively involved in the decision-making process, giving them the ability to shape their care plans based on their own preferences and needs.

Eligibility and Application Process

To qualify for the NHTD Waiver Program, individuals must be Medicaid-eligible and able to live safely in a community setting with the help of program services. The application process includes several steps:

  1. Referral to the Regional Resource Development Center (RRDC): This step connects potential participants with resources and begins the intake process.
  2. Selecting a Service Coordinator: Participants choose a coordinator to help them navigate the program.
  3. Application Submission and Review: The RRDC reviews the application, and participants receive a Notice of Decision, which determines eligibility.

The process typically takes 2-4 months, depending on individual circumstances, but it may take longer for those transitioning from nursing homes or other healthcare facilities.

A Path Toward Independence

The TBI / NHTD Waiver Program is an essential resource for those who want to maintain their independence while receiving the care they need. At Amelia Home Care, we are dedicated to helping our clients navigate this program and access the services that will improve their quality of life. Our goal is to empower individuals to thrive within their communities, living safe, fulfilling lives with dignity and respect.

For more information on how Amelia Home Care can support you through the NHTD Waiver Program, contact us today. We are here to help you take the next steps toward a more independent future.

Looking for NHTD Waiver Program in New York? Amelia Home Care provides Medicaid Waiver services using the NHTD Waiver Program in NY.

Frequently Asked Questions About NHTD/TBI Waiver Program in New York

The NHTD/TBI Waiver Program aims to help individuals transition from nursing homes or other institutional settings to living independently in their communities. It provides the necessary services and support for Medicaid-eligible seniors and individuals with physical disabilities, enabling them to live safely and comfortably outside of institutional care.

Referrals to the NHTD/TBI Waiver Program can be made by various individuals and entities, including family members, healthcare providers, nursing homes, or even the individual seeking services themselves. The referral typically goes through a Regional Resource Development Center (RRDC), which assists with intake and service coordination.

Yes, participants in the NHTD/TBI Waiver Program have the freedom to choose their service providers. This allows them to select professionals and organizations they feel comfortable with, ensuring a more personalized and tailored experience. Amelia Home Care can work with individuals to navigate these choices and coordinate care.

The NHTD/TBI Waiver Program provides access to various assistive technologies designed to help individuals live independently. This could include home modifications, communication devices, or mobility aids. These technologies are part of the personalized service plans and are selected based on the individual’s specific needs.

There is no set time limit for participation in the NHTD/TBI Waiver Program as long as the individual continues to meet eligibility requirements. However, regular reassessments are conducted to ensure that participants still qualify for the program and that their service plans are meeting their needs effectively.

If a participant’s needs change, their service coordinator can adjust the personalized service plan to reflect these new requirements. The flexibility of the program ensures that participants continue receiving appropriate support, even if their health or living situation evolves over time.
Yes, if a participant’s condition changes and they require more intensive care that cannot be provided in a community setting, they have the option to transition back to institutional care. Service coordinators can assist with this process and ensure a smooth transition if necessary.
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