Nursing Home Transition and Diversion (NHTD) Medicaid Waiver

The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver is a Home and Community Based Services (HCBS) program, administered by the New York State Department of Health (DOH) through contractual agreements with Regional Resource Development Centers (RRDC) and Quality Management Specialists (QMS).  The RRDC employs the Regional Resource Development Specialist (RRDS) and Nurse Evaluator (NE), who serve specific counties throughout the State.

The NHTD waiver uses Medicaid funding to provide supports and services to assist individuals with disabilities and seniors toward successful inclusion in the community. Waiver participants may come from a nursing facility or other institution (transition), or choose to participate in the waiver to prevent institutionalization (diversion).

Waiver services may be considered when informal supports, local, State and federally funded services and Medicaid State Plan services are not sufficient to assure the health and welfare of the individual in the community, or when waiver services are a more efficient use of Medicaid funds.

The NHTD Medicaid waiver was developed based on the philosophy that individuals with disabilities and/or seniors have the same rights as others. This includes the right to be in control of their lives, encounter and manage risks and learn from their experiences. This is balanced with the waiver program’s responsibility to assure the waiver participants’ health and welfare.

Waiver services are provided based on the participant’s unique strengths, needs, choices and goals. The individual is the primary decision-maker and works in cooperation with providers to develop a Service Plan. This process leads to personal empowerment, increased independence, greater community inclusion, self-reliance and meaningful productive activities. Waiver participant satisfaction is a significant measure of success of the NHTD waiver.

Wheels of Progress is certified by the New York State Department of Health to provide NHTD Waiver services.

Service Coordination

Assistance with the development and implementation of a person-centered individualized Service Plan that will lead to the waiver participant’s independence, integration into the community, health and welfare.

Community Transitional Services

Assistance in transitioning from a nursing home back to the community, including the cost of moving, essential furnishings, deposits for utilities, security deposits or one-time cleaning services prior to occupancy.

Environmental Modifications Services

Are Internal and external physical adaptations to the home necessary to assure the waiver participant’s health and welfare in that setting. Environmental modifications may be made to a residence owned by the participant or to rental units with permission received from the landlord.

Independent Living Skills Training Services

Training to improve or maintain the waiver participant’s ability to live as independently as possible by focusing on essential community living skills such as task completion, money management, interpersonal skills, sensory/motor skills, problem solving skills and the ability to maintain a household.

Moving Assistance

Is transport of the participant’s possessions and furnishings when moving from an inadequate or unsafe housing situation or to a location where more informal supports will be available.

Nutritional Counseling/Educational Services

Assessment, planning, education and counseling for the waiver participant’s nutritional needs and eating patterns.