Medicaid Waiver Programs - NHTD and TBI

What are the NHTD Waiver and TBI Waiver?

Through our partnership with the New York State Department of Health, True Care participates in the TBI and NHTD Medicaid Waiver programs. These programs offer Medicaid-eligible seniors 65 and older and people with disabilities a way to remain in the community instead of in a nursing home setting. Both programs provide full-time home care for those eligible for the waiver.

These Medicaid-approved programs, typically offered at no cost to you, can be applied for directly through Medicaid without the need for a Managed Long-Term Care company (MLTC), which often leaves gaps in care. True Care’s certified Caregivers/Home Health Aides receive specialized training to provide around-the-clock care, with shifts divided into two 12-hour periods to attend to your loved one’s needs day and night. Our highly skilled clinical team ensures your loved one is kept safe at home, providing the necessary support systems to assist with personal care needs and improve quality of life.

What does True Care offer for its NHTD and TBI clients?

The TBI and NHTD Medicaid Waiver programs were developed based on the philosophy that individuals with TBI, a chronic disability, and senior citizens should be allowed to remain at home as they successfully transition out of a nursing home or long-term care facility. The programs ensure participants stay in their communities while receiving the services they need.

True Care will guide you through the process each step of the way. To determine eligibility, we will provide you with paperwork to sign as well as organize an interview. A comprehensive nurse assessment to determine your care needs will form another part of the process. The Waiver programs offer many services, including Caregiver/Home Health Aide services. Additional services we offer are meal delivery, home safety modifications, medical home visits, nutritional counseling, behavioral support, transportation, and more. Our dedicated team serves all five New York City boroughs and Westchester County.

In these programs, participants are the primary decision-makers. Clients, families, and loved ones work in cooperation with True Care to develop a plan of services that promotes health and well-being, personal independence, and community inclusion.

Services We Offer

Home Care Services

Home Health Aides (HHA)

Private Pay Program

Memory Care

Veteran Care

Hospice and Palliative

Recreational and Engagement Programs

Medical Escort

Care Management

Companion Care

TBI / NHTD / Waiver Program

Who Qualifies for the TBI and NHTD Medicaid Waiver Programs?

Participants Must:

Be between the ages of 18-64 and have a verified disability or age 65 or older when applying to the programs

Have active Medicaid or be eligible for community-based long-term care Medicaid coverage

Be determined as needing nursing home level of care through assessment

You must also be able to live safely in the community with the services and supports offered through Medicaid, the waiver services and other community resources.

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Journey Today

Please complete the form and a True Care representative will get back to you. We look forward to discussing your needs and finding the best home care solution for you.

Client Testimonials

“Front desk is really helpful and they take their time to listen to your problem, they have empathy for the aides. I love to work with the agency”

Lola A.

“My experience is great with them. They take care of me and are very attentive to my needs.”

Viola A

“I am very satisfied with true care. My home attendant is very helpful and patient. She has basically become like family.”

Katherine A

“I love this home care. My grandma has been with this agency for the past 7 years and she never had a problem/ bad experience. They always prompt on substitutes if needed or any updates that are happening at the agency. ”

V. S.

True Care really does care about their clients. It’s taken a little while to get to the aid that I currently have but she’s irreplaceable and hard working. Everyone I’ve had the pleasure of speaking to is professional and kind. I’m very thankful that we found this agency because there are a lot of Home Care agencies out there but very few that really care, consider their clients and ultimately want what’s best for them.

Julia D

Frequently Asked Questions

What does TBI/NHTD Waiver mean?

TBI-Traumatic Brain Injury NHTD-Nursing Home Transition and Diversion These are Medicaid-sponsored programs that offer people living with TBI a chance to get the home health aide hours they need to be successful and supported in their community. NHTD would apply to anyone who is in danger of being permanently institutionalized in a long term facility, because they need more home health aide hours than their current Medicaid program has authorized or granted.

Does my insurance cover TBI/NHTD Waiver programs?

This program is covered by Medicaid.

Why should I change to the Waiver program if I’m already getting home health aide services through my current Medicaid provider?

Medicaid Long Term Care (MLTC) may not be able to provide the number of hours that is needed or required to keep the patient safe in their home. MLTC services often leave gaps where families and friends have to assist, or the patient is alone. Also, home health aides who are providing care to patients in the waiver program are required to undergo additional training that is specialized for the needs of TBI and NHTD patients.” into its own question section

Who is eligible for the waiver programs?

Anyone who is Medicaid Eligible

Ages 18-64 with a documented physical disability OR over the age of 65

Must have a place to live with adequate and appropriate living arrangements.

Anyone who is not safe to be left alone or needs supervision/assistance 24 hours/day

Can’t be living in a facility, such as an Assisted Living Facility

How long is the process to be admitted to a waiver program?

Approximately 3 months

What is the process to get approved for a waiver program?

True Care’s waiver program team will hold your hand and guide you through the process step by step. There is a required interview and paperwork to sign to determine preliminary eligibility. Another part of the process is a comprehensive nursing assessment.

Does the Waiver program offer other services besides home health aide care?

The Waiver program offers many services, one of which is home health aide services. True Care will work with you to arrange your home health aide services and assist you with accessing the other services that are available for waiver program participants. Some of the additional services available for waiver program participants are meal delivery, home modifications for safety, medical home visits, nutritional counseling, behavioral support, transportation and more.

True Care Medicaid Waiver Programs for NHTD and TBI

What are the NHTD Waiver and TBI Waiver?

What does True Care offer for its NHTD and TBI clients?