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By choosing NHTD & TBI services through Always Home Care, You ensure Expert guidance in Navigating the Complexities of Eligibility, Applications, and Personalized Care designed to Support Your Journey toward greater Independence and Community Living.

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Always Home Care

Nursing Home Transition and Diversion (NHTD) Waiver Program & Traumatic Brain Injury (TBI)

The Nursing Home Transition and Diversion (NHTD) Waiver Program is a crucial service designed to assist individuals 65 years older with disabilities and seniors in moving from institutional care, like nursing homes, back to living within their communities. As part of the broader Medicaid Home and Community-Based Services (HCBS) waiver, this program focuses on increasing independence, personal freedom, and overall quality of life. The NHTD waiver offers a range of personalized services to meet the specific needs of each participant, enabling them to maintain their independence while receiving the necessary care and support in their homes or community environments.

The Traumatic Brain Injury (TBI) Waiver Program offers essential services for individuals 18 years older who have experienced a traumatic brain injury, helping them remain in their communities and avoid institutional care. This program is intended for those who require long-term assistance but do not need the level of care provided in a nursing home or similar facility. Through the TBI Waiver, participants receive a variety of services specifically designed to support their independence while ensuring they receive the care they need.

Who is Eligible for NHTD?

To qualify for the NHTD Waiver Program, individuals must:
Be a resident of New York State
Be eligible for Medicaid
Be 65+ years old or 18-64 with a physical disability
Safely live in the community with proper support
Need nursing home-level care

Who is Eligible for TBI?

Eligibility for the TBI Waiver requires individuals to:
Be a New York State resident
Qualify for Medicaid
Be 18 to 64 years old
Have a traumatic brain injury sustained after age 18
Need nursing home-level care
Safely live in the community with adequate support

Services Provided by NHTD Program

The NHTD Waiver provides a variety of services to help participants live independently in their communities, including:
Service Coordination: Ensuring access to all needed services and support.

Assistive Technology: Supplying devices and tools to help with daily tasks.

Community Integration Counseling: Helping individuals adapt to community living.

Home and Community Support: Offering personal care assistance for daily activities.

Home Modifications: Making necessary adjustments for safety and accessibility.

Nutritional Counseling: Assisting with tailored dietary plans for health needs.

Peer Mentoring: Connecting participants with experienced peers for guidance.

Structured Day Programs:
Engaging participants in meaningful activities for community participation.

Services Provided by TBI Program

Like the NHTD Waiver, the TBI Waiver provides services that support individuals in maintaining their independence, including:
Service Coordination: Ensuring ongoing, comprehensive care.

Cognitive Rehabilitation: Assisting with recovery of cognitive abilities affected by brain injury.

Community Integration Counseling: Helping individuals re-adjust to community life.

Structured Day Programs: Offering activities for meaningful community engagement.

Assistive Technology: Providing tools to assist with everyday tasks.

Home Modifications: Adapting living spaces for safety and accessibility.

Respite Services: Giving caregivers temporary relief.

Peer Mentoring: Connecting participants with peers who’ve successfully transitioned to independent living.

Environmental Modifications: Adapting homes to meet individual needs.

Independent Living Skills Training: Teaching essential skills for self-sufficient living.

NHTD Waiver Application Documentation Requirments

Dear Program Applicant or Family Member,

Thank you for selecting us as your provider of Service Coordination services for the Nursing Home Transition and Diversion (NHTD) Medicaid Waiver Program. As we embark on this journey together, we aim to facilitate a smooth transition for you and your family into the NHTD Waiver program. To initiate the process and ensure your eligibility for services, we kindly request the following documentation. Once gathered, please email the listed items to the address provided:
Completed questionnaire (attached to this document)
Copy of Medicare & Medicaid Card
Copy of other insurances cards - (if applicable)
Copy of social security card
Copy of state identification (e.g., driver's license, passport, or naturalization certificate)
Documentation of health care proxy, power of attorney, or guardianship
Documentation of income: current Social Security Award Letter, Pension Award Letter, Retirment account RMD or bank statement showing Social Security, Pension, and Retirement account RMD Deposits
Medical Documentation of Diagnoses: A list of diagnoses signed by a physician within the last few months, accompanied by a personalized letter describing specific cognitive deficits and a recommendation for 24-hour care. (An optional template is included in this email)
Denial Letter from Managed Care company (if applicable/available): A letter denying 24/7 (split-shift) hours of care requested from the Managed Care company.
Your cooperaion in providing these documents is greatly appreciated as it expedites the process of accessing the services you require. Should you have any questions or require further assistance, please do not hesitate to reach out.

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Frequently Asked Questions

How does the NHTD Waiver help participants stay in their homes?

The NHTD Waiver provides personalized services like home modifications, assistive technology, and in-home support to ensure participants can safely stay in their homes while receiving the care they need. The program is focused on helping individuals live as independently as possible in the community.

What is service coordination in the NHTD Waiver Program?

Service coordination in the NHTD Waiver Program ensures that participants receive continuous and comprehensive care. A service coordinator works with participants to develop personalized care plans, access services, and navigate community resources, ensuring all needs are met.

Can family members provide care under the NHTD Waiver Program?

Yes, family members can often provide care under the NHTD Waiver, but there are guidelines and approval processes in place. The service coordinator will help determine if a family member qualifies as a caregiver, ensuring all care meets program standards.

What is the difference between the NHTD Waiver and traditional Medicaid services?

While traditional Medicaid services are available to eligible individuals, the NHTD Waiver is specifically designed to help those who would otherwise need nursing home care transition to or stay in their communities. The waiver provides additional services, such as community integration counseling, peer mentoring, and assistive technology, to support independent living.

What types of traumatic brain injuries are covered by the TBI Waiver?

The TBI Waiver covers individuals who have sustained traumatic brain injuries after the age of 18, whether caused by accidents, falls, strokes, or other traumatic events. The program provides services to help participants recover and live independently.

How does the TBI Waiver Program support cognitive rehabilitation?

The TBI Waiver offers cognitive rehabilitation services aimed at helping participants regain lost cognitive functions, such as memory, problem-solving, and attention. These services are tailored to the specific needs of each individual, aiding in their recovery and adjustment to community life.

Is respite care available through the TBI Waiver Program?

Yes, respite care is available through the TBI Waiver Program. This service offers temporary relief for primary caregivers by providing care for the participant, allowing family members or caregivers time to rest or attend to other responsibilities.

What is the role of peer mentoring in the TBI Waiver?

Peer mentoring is a key feature of the TBI Waiver Program. It connects participants with individuals who have successfully transitioned to community living after a brain injury. Mentors provide guidance, support, and encouragement, helping participants adapt to their new circumstances and live independently.

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