The New York State Nursing Home Transition and Diversion (NHTD) waiver program offers a vital lifeline for seniors and individuals with disabilities, enabling them to live independently at home rather than in a nursing facility. A common question for applicants and their families is what exactly the program covers. Understanding the complete list of NHTD Waiver Services is key to maximizing the benefits and creating a comprehensive care plan. This guide provides a detailed breakdown of the services available through this essential program, helping you understand what is covered and what is not. Reach out today to learn more about how we can help you enhance your golden years.
Core Services in the Complete List of NHTD Waiver Services
The NHTD Waiver program is designed to be flexible, offering a range of services that can be mixed and matched to meet an individual’s unique needs. A service coordinator works with each participant to develop a person-centered plan that utilizes these offerings.
- Service Coordination
This is the foundational service of the NHTD waiver. A dedicated service coordinator acts as your primary point of contact and advocate. They are responsible for:
- Developing, implementing, and monitoring your person-centered service plan.
- Connecting you with approved providers for the services you need.
- Assisting with problem-solving and ensuring your plan continues to meet your goals.
Often referred to as personal care or aide services, HCSS provides hands-on assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). This can include:
- Help with bathing, dressing, and grooming.
- Assistance with mobility and transferring.
- Meal preparation and light housekeeping.
- Medication reminders.
ILST services are designed to help individuals develop the skills needed to live as independently as possible. A specialist works one-on-one with the participant to teach skills related to:
- Managing personal finances and budgeting.
- Using public transportation.
- Household management and organization.
- Problem-solving and self-advocacy.
- Community Integration Counseling (CIC)
Living with a disability or chronic condition can be emotionally challenging. CIC is a counseling service that helps individuals and their families cope with the life changes that come with their circumstances. It addresses issues like anxiety, depression, and adjustment difficulties in a supportive, therapeutic setting.
The NHTD program can cover a wide range of support to make the home safer and more accessible.
- Environmental Modifications (E-mods): This includes physical changes to the home, such as installing wheelchair ramps, grab bars in the bathroom, or widening doorways.
- Assistive Technology (AT): This covers devices and equipment that enhance independence, from medication dispensing systems to communication devices and specialized computer software.
Caring for a loved one can be demanding. Respite care provides short-term relief for unpaid family caregivers. This service ensures the waiver participant receives proper care while their primary caregiver takes a much-needed break.
What Is Generally Not Covered?
While the Nursing and Home Transition and Diversion waiver is comprehensive, there are some things it does not cover. Understanding these limitations is important for planning.
- Rent or Mortgage Payments: The waiver does not cover basic housing costs.
- Room and Board: If living in a supported setting, the waiver covers services, but not the cost of the room or meals.
- Services Already Covered by Medicaid: The NHTD waiver will not pay for services that are already available through the standard New York State Medicaid plan, such as doctor visits, hospital care, or prescription drugs.
- Experimental Treatments: Any therapies or treatments not approved by New York State are not covered.
- Services Not in the Service Plan: All services must be pre-approved and documented in the participant’s official service plan.
How Services Are Chosen
No two individuals on the NHTD Waiver program will have the same set of services. The process is entirely person-centered. The service coordinator conducts a thorough assessment to understand the participant’s strengths, needs, and personal goals. Based on this, they work collaboratively with the individual and their family to select the services that will best support their goal of living independently in the community.
The complete list of NHTD Waiver Services provides a robust and flexible framework to support individuals who wish to avoid institutionalization. From hands-on personal care and therapeutic counseling to home modifications and skills training, the program is designed to empower participants and enhance their quality of life. By understanding what is covered, you can work effectively with your Service Coordinator to build a plan that truly meets your needs.
If you or a loved one is exploring the Nursing and Home Transition and Diversion program, contact your local Regional Resource Development Center or an approved provider agency to learn more about how these services can help you achieve your independence goals. Feel free to call HouseCalls Home Care at 718-922-9200 if you or a loved one requires compassionate and competent home care services. You can also send an email to us at info@HouseCallshc.org for more information. Our goal is to help you find the best support for your needs. Alternatively, you can register your information here https://yuz88hfiyh7.typeform.com/to/E5thuv5G?typeform-source=statics.teams.cdn.office.net, and we will get back to you.
