Community Living
Support is centered on helping eligible participants live safely in a community-based setting.
NHTD Waiver Support
Support for Living Safely and Independently in the Community
The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver is a New York State home- and community-based program for eligible individuals who would otherwise require nursing-home level care. CityWide Home Care can help families understand available support and next steps.
How NHTD Works
Helping Eligible Individuals Remain Part of Their Community
NHTD is intended to help eligible people receive services and supports in a community setting rather than an institutional setting. The specific services available depend on the individual’s approved plan and program requirements.
Individualized Planning
Services are organized around the participant’s needs, goals, safety, and approved service plan.
Transition Support
The program can support eligible individuals transitioning from institutional care to community living.
Personal Independence
The waiver emphasizes independence, choice, community inclusion, and participant-centered support.
Medicaid-Based Program
NHTD is a New York Medicaid waiver program with program-specific eligibility and approval requirements.
Application Guidance
Families may need help understanding referrals, service coordination, required information, and next steps.
Getting Started
Understanding the NHTD Process
The application process generally involves referral to the appropriate Regional Resource Development Center (RRDC), an intake process, and development of an approved service plan with a Service Coordinator.
1
Discuss your situation and confirm the appropriate referral path.
2
Work through eligibility, intake, and service-planning requirements.
3
Begin approved services once the program authorizes participation.
Important Program Information
NYSDOH NHTD Information
Program Rules and Availability Can Change
NHTD eligibility, referral procedures, enrollment availability, and covered services are controlled by New York State. Families should confirm current requirements with the New York State Department of Health or the appropriate RRDC.