The NHTD Program: A Possible Alternative to Managed Long Term Care

Learn more about the NHTD program from somekh & associates in New York.

What is the NHTD Program? 

The Nursing Home Transition and Diversion (NHTD) Medicaid Waivered is a Home and Community-Based Services program that uses Medicaid funding to support and assist individuals with disabilities as well as seniors to promote community inclusion. When informal supports locally funded services, and Medicaid State Plan services do not meet a client’s needs, the NHTD may be a good alternative.

How Do I Know If I’m Eligible? 

If you’re looking to participate in the NHTD program, you must meet all the following criteria to be approved:

  • Be a recipient of or apply for Medicaid coverage that supports community-based long-term care services. 
  • Be between 18 and 64 years of age with a physical disability, or be 65 or older. 
  • Require nursing home level care determined by the Patient Review Instrument and Screen. 
  • Sign the Freedom of Choice form indicating that you choose to participate in the NHTD waiver. 
  • Be able to identify the living arrangements in which you’ll be living when participating in the waivered program. 
  • Complete and submit an application packet that includes with the proposed services in cooperation with the Service Coordinator. 
  • Have a completed Plan for Protective Oversight and someone to direct your Service Plan legally. 
  • Services agreed upon in the Initial Service Plan must meet regional and statewide cost neutrality requirements. 
  • Be able to live in a community where your health and welfare can be maintained. 

What Services Are Available? 

If you’ve been approved for the Nursing Home Transition and Diversion Medicaid Waiver, a plethora of services will be available for you. Some of these services include: 

  • Service Coordination
  • Home and Community Support Services
  • Respite Services
  • Independent Living Skills Training and Development Services 
  • Structured Day Program Services 
  • Positive Behavioral Interventions and Support Services 
  • Community Integration Counseling Service 
  • Environmental Modifications Service
  • E-mods for Vehicles 
  • Assistive Technology 
  • Community Transitional Services 
  • Moving Assistance 
  • Congregate, and Home Delivered Meals 
  • Home Visits by Medical Personnel 
  • Nutritional Counseling/ Educational Services 
  • Peer Mentoring 
  • Respiratory Therapy  
  • Wellness Counseling Service 
  • Waiver Transportation

If you or a loved one recognize some of these services as being helpful and don’t know whether or not you’re eligible or require additional information, contact Lori Smokeh at Somekh & Associates for more information.

Medicaid is tricky, and few things are as stressful as the process of getting yourself or your loved one the healthcare needed. With the ever-changing Medicaid landscape, it can be even more challenging, which is why turning to an experienced Elder Law attorney like Somekh & Associates can make a world of difference for you and your family.

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