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NHTD Waiver Program Services in New York

Get Up to 24 Hour Home Care with The Nursing Home Transition and Diversion (NHTD) Waiver Program – Covered by NY State Medicaid

  • Promote independence and personal choice
  • Provide a cost-effective alternative to nursing homes
  • Enhance the quality of life through community inclusion

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What is the NHTD Program?

The Nursing Home Transition and Diversion (NHTD) Waiver Program is a New York State Medicaid initiative that enables individuals who meet nursing-home level of care requirements to receive services in their own homes or community instead of institutions.

The “NHTD” acronym stands for Nursing Home Transition and Diversion, reflecting its dual mission: helping people transition out of nursing homes and divert those at risk of entering one .

It’s designed for New Yorkers who:

  • Are 18 or older, with adults under 65 requiring documentation of a physical disability; seniors 65+ automatically qualify.
  • Are Medicaid-eligible and assessed as needing nursing-home level care.
  • Prefer community-based living and have or can arrange a suitable residence.

 

Through Medicaid-funded supports—such as personal care, assistive technology, environmental modifications, community integration counseling, and service coordination—the NHTD Waiver empowers participants to maintain independence, dignity, and engagement within their communities.

What Services Are Covered Under the NHTD Waiver Program?

You need help maintaining your quality of life. Maybe you find it hard to dress, shower, or perform basic grooming tasks on your own.

Trusted

A dedicated Service Coordinator works directly with each participant to design a personalized care plan, identify necessary supports, and coordinate with all service providers. This ensures your loved one receives the right balance of resources—no more, no less—tailored exactly to their unique situation.

Home and Community Support Services

From help with daily living—like bathing, dressing, meal prep, housekeeping, and errands—to community participation, these supports are flexible and responsive. Whether it’s a few hours a day or around‑the‑clock coverage, the plan adapts to changing needs.

Assistive Technology

Devices and tools—such as emergency call systems, mobility aids, or adapted communication devices—are provided as needed. Each piece is selected to empower independence and safety in the participant’s home and community routines.

Home Modifications

Practical home upgrades like grab bars, ramps, widened doorways, or stair lifts remove barriers and create a safer living space. Modifications are customized based on the participant’s home and personal mobility requirements.

Independent Living Skills Training

Through ILST—Independent Living Skills Training—participants learn essential daily skills (e.g., budgeting, cooking, medication management) to increase self-reliance and confidence in community living.

Personal Care Assistance

Amazing Home Care’s Home Health Aides (HHAs) and Personal Care Assistants (PCAs) deliver compassionate, hands‑on support with everyday activities—from hygiene and dressing to mobility and meal assistance. These trained professionals play a vital role in delivering consistent, person‑centered care aligned with each client’s preferences.

Who Is Eligible for the NHTD Waiver Program?

To qualify for New York’s Nursing Home Transition and Diversion (NHTD) Waiver, applicants must satisfy the following criteria:

  • Age Requirement: Applicants must be at least 18 years old. Individuals aged 65 or older may apply without additional documentation of disability.
  • Disability Documentation (Ages 18–64): Applicants under 65 must provide verification of a physical disability. Acceptable documentation includes SSI/SSDI award letters, medical assessments, or official documentation from local disability services.
  • Medicaid Enrollment and Level of Care: Candidates must be enrolled in Medicaid and require a nursing-facility level of care, as determined via a state-approved assessment instrument .
  • Community-Based Residence: A qualifying residence is essential; applicants should already live—or have plans to live—in a home, apartment, or licensed adult-care setting (not in an institution) .
  • Financial Eligibility: Applicants must comply with state Medicaid income and asset thresholds .

Because eligibility guidelines may vary by state and program capacity, it is advisable to consult your local Medicaid office or Regional Resource Development Center for precise information and current availability.

Amazing Home Care’s Role in Supporting NHTD Participants

Amazing Home Care isn’t new to Medicaid waiver programs — our agency has guided countless New Yorkers through them. We’ve been around since 2008, and folks often tell us they appreciate how we break things down, one step at a time.

We offer all the services NHTD participants need – from personal care to independent living training, assistive tech, home modifications, and case coordination. And yes, our HHAs and PCAs step in daily to help with everything from bathing and dressing to light housekeeping and errands.

Something that really matters to us: cultural competence. Amazing Home Care’s aides can communicate in over a dozen languages—including Spanish, Russian, Mandarin, and more—so we forge genuine connections with New York’s richly diverse communities. We’ve found that clients relax and open up more when they can speak in their native tongue—it really makes a difference on comfort and trust.

We’ve earned trust. Families come to us when facing long-term care decisions, and our benefits specialists help them sort through Medicaid eligibility, referrals—you name it—to make the transition smoother.

Get Started with NHTD Waiver Services Today

Navigating NHTD Waiver services doesn’t have to be overwhelming. At Amazing Home Care, we offer one-on-one support to help you understand your options, determine eligibility, and handle the paperwork—without the usual stress. We’ve helped hundreds of families through this process, and we know the hurdles. Let us take care of the logistics so you can focus on your loved one’s care.

📞 Call 646-859-6406
📧 Email info@amazinghc.com

Our intake specialists walk you through every phase—from your first questions to setting up services that fit your needs.