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What is the Nursing Home Transition and Diversion Waiver Program (NHTD)?

What is the Nursing Home Transition and Diversion Waiver Program (NHTD)?

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

What is the Nursing Home Transition and Diversion Waiver Program (NHTD)? What is the Nursing Home Transition and Diversion Waiver Program (NHTD)?

The NHTD Program Covers several different scopes of service:

  • Service Coordination
  • Assistive Technology (AT)
  • Community Integration Counseling (CIC)
  • Community Transitional Services (CTS)
  • Congregate and Home Delivered Meals
  • Environmental Modifications Services (E-mods)
  • Home and Community Support Services (HCSS)
  • Home Visits by Medical Personnel
  • Independent Living Skills Training (ILST)
  • Moving Assistance
  • Nutritional Counseling/Educational Services
  • Peer Mentoring
  • Positive Behavioral Interventions and Supports (PBIS)
  • Respiratory Therapy
  • Respite Services
  • Structured Day Program Services
  • Wellness Counseling Service

More information about NHTD in our video on YouTube channel

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Testimonials
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  • #Patient
  • Physical Therapy
Angel Care provided physical therapy and personal care services to assist my husband in regaining his mobility and independence. The physical therapist assigned to my husbands case visited him twice a week to address his mobility and strength limitations. The personal care assistant assigned to my husbands case assisted him with showering, dressing, and safely navigating his apartment. It has been approximately four months since my husbands accident and he is now able to walk. The therapist that Angel Care assigned to my husbands care was aggressive in pushing him to regain his mobility, yet in a positive manner. We are grateful for the professional care that my husband received from Angel Care. more
03.12.2025
  • #Patient
  • Сertified HHA
After Dad's heart surgery, Angel Care provided daily assistance for the first crucial month. The aide helped with bathing, dressing, mobility, medications, and monitoring for complications. Her cardiac care experience was invaluable. Dad has fully recovered, and we couldn't have navigated those initial weeks without Angel Care's professional support. more
19.11.2025
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  • Сertified HHA
My father has dementia, and Angel Care has been caring for him for almost a year. They understand dementia patients' special needs. His aide is patient, learns his routines, and helps with personal care, meals, and activities. The consistency of having the same aide has been vital for Dad's comfort and stability. Their Brooklyn pricing is reasonable, and staff are responsive to our scheduling needs. more
15.11.2025
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  • Pphysical Therapy
Prior to my husband's stroke, he require physical therapy and personal care services in his own home. With the addition of these responsibilities, I felt completely overwhelmed and did not know where to begin. Fortunately, Angel Care was able to coordinate the necessary physical therapy sessions, as well as assign a personal care assistant to assist with daily tasks. The skilled nurse assigned to my husbands care visits him twice a week to administer physical therapy. My husband has made significant progress over the past three months, and I believe this is largely attributed to the professionalism, punctuality, and genuine concern exhibited by the staff at Angel Care. Overall, I feel compelled to express my gratitude for the exceptional care that my husband has received. more
28.10.2025
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  • Сertified HHA
My dad has struggled with diabetes and required ongoing monitoring and management of his diabetic condition. Angel Care assigned a home health aide to assist in this process. This aide would visit my dads home three times a week to monitor his blood sugar levels, administer his insulin, and ensure that he is consuming the proper foods. In my opinion, the cost associated with this care plan has been worth every cents. more
21.10.2025
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  • Сertified HHA
My mother has been cared for by Angel Care for roughly eight months and I truly am unsure of how we would be able to continue to provide for her without this service. Following her hip surgery, she required assistance with almost everything - bathing, clothing, food preparation. Rosa, the aide that Angel Care assigned to my mother has been nothing short of wonderful. Her patience, gentleness, and respect for my mother are qualities that I am extremely grateful for. To say that my mother now looks forward to her visits is a testament to Rosa's ability to connect with my mother on a level that was previously unattainable due to my mothers resistance to accepting the concept of having a "stranger in the house." Additionally, the scheduling flexibility that Angel Care provides is greatly appreciated considering the unpredictability of my work schedule. I would highly recommend Angel Care to anyone in Brooklyn who may be experiencing similar challenges. more
10.09.2025
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  • Сertified HHA
Angel Care has helped our mom with Parkinson’s manage her disease. Caregiver assists her with bathing, dressing, feeding, exercise, and social interaction. The communication among the aides has been flawless. Each aide reviews the care log and is aware of Mom’s specific needs. While I will not deny that this service is expensive, the quality of care provided by Angel Care is outstanding. Most importantly, Mom feels safe and comfortable, which is truly the greatest benefit. more
22.08.2025
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  • Сertified HHA
My grandmother 87 years old and we began to experience increasing anxiety regarding her ability to manage independently. At 87 years old, she is no longer as steady on her feet as she once was. We initially contracted Angel Care to assist my grandmother with basic household duties a few hours a day. Our caregiver Maria often prepares my grandmother's favorite Polish dishes, and the two women frequently share laughter. Honestly, contracting Angel Care has provided our entire family with a great deal of peace of mind, thank for your work. more
17.08.2025
  • #Patient
  • Сertified HHA
A nurse from Angel Care visited my uncle to assess his wound and establish a care schedule. Every other day, the nurse would visit to clean and replace the dressings and monitor the healing process. After six weeks, my uncle's wound had fully healed. The nurse that was assigned to my uncle's case was highly professional, explained each step of the treatment process clearly, and was available to answer any questions or concerns that we had between visits. I was extremely pleased with the specialized care provided by the skilled nurses at Angel Care. more
14.11.2025
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  • Caregiver
Thank you to the company for the excellent service! The caregiver has been attentive and caring, and has built up a trusting relationship with my grandmother. Since her involvement, there has been a huge improvement in her mood and well-being. We couldn't be happier with the service! more
31.01.2025
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  • Caregiver
We have had a great experience with the company providing my father's care, and also with the service provided by our caregiver. Dana has always been professional, has been always on time for her shifts and genuinely puts my father's health and well-being at the forefront of her work. Dana has a gentle nature and pays close attention to detail in working with my father. more
13.04.2025
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  • Caregiver
Thank you for all the support we have received so far. The caregiver for my mother has been fantastic. She seems to know what she is doing and is not only compassionate, but she is also understanding. My mother is safe and in good hands with her caregiver and this has relieved so much worry and anxiety for us. more
02.02.2025
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  • Caregiver
We are so thankful for the care we have received from Isabella. She has been remarkable in caring for my grandmother. She is always gentle and respectful. Isabella is a true professional in her field, and we are very thankful to have her in our support team made up of family. Highly recommended! more
22.03.2025
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  • Caregiver
The service we have received from the caregiver has been outstanding. Our caregiver has been so kind and attentive. He always goes above and beyond to ensure that my mother has the comfort and care she needs. more
25.04.2025
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  • Caregiver
I want to thank the company for the excellent care. Our caregiver, Sofia, has been kind, patient, and professional. My father is doing much better with her help. With Sofia’s care and kindness, we can see that he is happier and more comfortable. I could not have asked for better care. more
03.06.2025
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  • Caregiver
A massive thank you to the company and our caregiver, John. He has been nothing short of excellent. He is punctual, professional, and has picture-perfect compassion, and although he did not know my dad before he began his work, he has helped my dad feel healthy and at peace in his own home. I would recommend this service to anyone. more
30.01.2025
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  • Caregiver
My family is beyond grateful for the services your company has provided! The caregiver has been so caring and attentive. She not only assisted my grandmother with activities of daily living, but she also became a friend. With this care under her belt, my grandmother feels so much better! I cannot express how grateful we are for the support! more
02.05.2025
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  • Caregiver
Our caregiver, Jordan, has been truly amazing. They go above and beyond in taking care of my uncle, always attentive to his needs and treating him with the utmost dignity and kindness. Jordan’s commitment to providing exceptional care is something we deeply appreciate, and we’re forever grateful for their support. I can’t recommend this company enough – they have truly made a difference in our lives! more
14.01.2025
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  • Сertified HHA
I am absolutely happy with the services offered by this company! My family was looking for a trustworthy home care service for an older family member - we found exactly what we were looking for. The staff are true professionals who are always attentive and caring. My father feels much more comfortable and secure with that level of care. The staff are always friendly and delivered a high level of homecare services and home health aides. We are very thankful to this company for the support and assistance during this difficult time. I would recommend this company to anyone looking for care and support for your family. more
10.02.2025
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  • Сertified HHA
I really appreciate this company and I am glad that we were able to get to such specialists. The employees really know how to find an approach to elderly people. I am surprised how carefully and attentively they treat my father. The care is organized very competently, the nurses are always in touch if something is needed. Very happy. more
02.03.2024
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  • Сertified HHA
We are very grateful to the company for taking care of our mother. The employees are polite, always arrive on time and help with everything that is needed. Grandma is happy and we feel that professionals are taking care of her. This is a great support for our entire family. more
17.01.2024
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  • #Сertified HHA
As an certified HHA I’ve been with Angel Care Inc for four years now, and I couldn’t be happier! From the start, I felt like part of a caring family. The team is incredibly supportive, and I love the flexibility that allows me to balance work and personal life. Each day brings new challenges, but knowing that I’m making a difference in my clients’ lives keeps me motivated. The training and resources provided are top-notch, making it easier for us to give the best care possible. I truly appreciate the positive environment and the way everyone comes together to support one another. more
04.10.2024
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  • #NHTD #HHA
The warmth and genuine concern shown by Angel Care Inc.'s caregivers had been a source of immense comfort for our family. Unfortunately, our father passed away during this pandemic but I still feel grateful to the team and the father's HHA warm and human attitude. They didn't just offer assistance; they provided companionship and a shoulder to lean on. The sense of mutual help and understanding among the team truly sets this agency apart. more
01.01.2024
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What is NHTD program New York?

The Nursing Home Transition and Diversion (NHTD) Waiver Program is a unique Medicaid program that supports eligible individuals with disabilities to live independently in their own homes or community settings rather than in nursing homes or other institutions. The program offers a variety of personalized home and community-based services and supports, including:

  • personal care assistance,
  • assistive technology,
  • home modifications,
  • case management, to help participants achieve greater independence and autonomy,
  • transitional services to help individuals who are currently in nursing homes return to their homes or other community settings.

Using the NHTD program could be a preferable option for many individuals for several reasons. For instance, some may want to live independently and maintain their social connections in their own communities, while others may want to save money as home and community-based services offered through the program are often less costly than nursing home care. Additionally, living in one’s own home or community setting can enhance one’s quality of life by promoting greater independence, autonomy, and social connectedness. Furthermore, the program provides access to specialized services and supports, such as assistive technology and home modifications, which can help individuals with disabilities live more independently.

It’s important to note that the decision to use the NHTD program should be based on the individual’s unique preferences, needs, and circumstances. Speaking with a healthcare provider at Angel Care Inc. can help determine whether the program is a good fit for your situation.

NHTD program new york

Eligibility for the NHTD

To determine eligibility for the Nursing Home Transition and Diversion (NHTD) Waiver Program, individuals must meet specific criteria, which may vary depending on the state. However, the following are general eligibility requirements for the program:

  1. Age: Participants must be 18 years old or older.
  2. Disability: Participants must have a physical disability, developmental disability, or traumatic brain injury that results in significant functional limitations in three or more areas of major life activity.
  3. Level of Care Need: Participants must require a level of care typically provided in a nursing facility, as determined by a state-approved assessment tool.
  4. Residency: Participants must live in a community setting, such as an apartment, adult care facility, or their own home.
  5. Income: Participants must meet the Medicaid income and resource guidelines in their state.

It’s important to keep in mind that eligibility requirements may differ slightly across states. Therefore, it’s best to reach out to your state’s Medicaid agency to obtain more information regarding the specific criteria for the NHTD program in your area.

NHTD service coordinator and his role for patient.

The NHTD program provides a Service Coordinator who is responsible for managing and coordinating services and supports for individuals enrolled in the Nursing Home Transition and Diversion (NHTD) Waiver Program. The Service Coordinator works closely with the participant to assess their needs, develop a personalized care plan, and coordinate services to support their transition and continued community living.

Some of the key responsibilities of the NHTD Service Coordinator include:

  • Conducting an initial assessment to identify the participant’s unique needs and preferences.
  • Creating a personalized care plan that outlines the specific services and supports required to achieve the participant’s goals.
  • Coordinating the delivery of services and supports, such as personal care assistance, home modifications, assistive technology, and case management.
  • Monitoring the participant’s progress and adjusting the care plan as necessary.
  • Acting as an advocate and liaison for the participant with service providers, community resources, and government agencies.
  • Facilitating communication and collaboration among the participant, their family, and service providers.
  • Assisting the participant in accessing community resources and supports, including transportation, social activities, and employment services.

The NHTD Service Coordinator plays a crucial role in helping individuals transition from nursing homes to community living and supporting them in their ongoing efforts to live independently. By providing personalized care coordination and support, the NHTD Service Coordinator helps individuals achieve their goals and improve their overall quality of life.

Nursing home transition and diversion

Difference NHTD program in New York

The Nursing Home Transition and Diversion (NHTD) Waiver Program in New York is a Medicaid program aimed at providing home and community-based services and support to eligible individuals who require a nursing facility level of care but would rather live in their own homes or other community settings. While the program may be similar to other NHTD programs in different states, there are key differences to note:

  1. Eligibility criteria: In New York, individuals must have a physical disability, a developmental disability, or a traumatic brain injury to qualify for the NHTD program.
  2. Range of services: The NHTD program in New York offers various services and supports, such as personal care assistance, home modifications, assistive technology, and case management. Moreover, it provides transitional services to help individuals currently in nursing homes transition back to their homes or other community settings.
  3. Funding: The NHTD program in New York receives its funding from the state’s Medicaid program, which serves as a significant source of funding for the program.
  4. Provider network: The NHTD program in New York has a broad network of service providers offering different services and supports to program participants.
  5. Cultural competence: The NHTD program in New York puts significant importance on cultural competence, ensuring that services and supports are provided in a culturally sensitive and appropriate manner.

Overall, the NHTD program in New York has a strong focus on person-centered care and offers a wide range of services to meet the needs of program participants. To know more about NHTD or other Medicaid program ask our team Angel Care. Please find us by phone: 917-507-7500 or e-mail: Access NYC site.