Services
NHTD Medicaid Waiver Services
The NHTD waiver program is a home and community-based program that helps New York´s Medicaid-eligible seniors and people with physical disabilities receive comprehensive services they need while they live in a community-based setting, rather than in a nursing home, congregate care setting, or other institution. Program participants receive services based on their unique strengths, needs, choices, and goals. The participants are the primary decision makers. Participants choose the services they receive, the service providers they will work with, and the outcomes they will achieve.
The NHTD Medicaid waiver was developed based on the philosophy that individuals with physical disabilities and seniors have the same rights as others. This includes the right to be in control of their own lives, encounter and manage risks and learn from their experiences. This is balanced with the waiver program´s responsibility to ensure the waiver participants´ health and welfare in the community. The individual is the primary decision maker and works in cooperation with providers and others they may choose to develop a Service Plan. This process leads to personal empowerment, increased independence, greater community inclusion, self-reliance and meaningful productive activities.
TBI Medicaid Waiver Services
The New York State Department of Health (DOH) Traumatic Brain Injury (TBI) waiver program provides services to persons with a TBI. The purpose of the program is to help persons with a TBI live in the community setting of their choice. Medicaid funds the program. To enroll in the TBI waiver, you must:
• Be a Medicaid recipient;
• Choose to live in the community rather than in a nursing facility;
• Be between 18 and 64 years old at the time you apply for waiver services 1 ;
• Have a primary diagnosis of TBI or similar non-degenerative condition that results in deficits similar to a TBI such as stroke, or anoxia (oxygen supply loss);
• Be assessed to need nursing home level of care; and
• Have an approved plan of available services that reflects the services you need in order for you to live safely in the community.
Services included in the TBI Waiver are:
• Service Coordination;
• Independent Living Skills Training;
• Structured Day Programs;
• Substance Abuse Programs;
• Positive Behavioral Interventions and Supports;
• Community Integration Counseling;
• Home and Community Support Services;
• Environmental Modifications;
• Respite Care;
• Assistive Technology (special medical equipment and supplies);
• Waiver Transportation; and
• Community Transitional Services
Service Coordination
Service Coordination assists the individuals in becoming waiver participants and then coordinates and monitors the delivery of all services in home. These services could include federal, state, and locally funded resources as well as educational, vocational, social and medical services with the goal of increasing the participant's independence, productivity and integration into the community while maintaining the health and welfare of the individual.
