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The Home and Community Based Services Nursing Home Transition and Diversion Waiver (HCBS/NHTD) provides support and services to assist individuals with disabilities and seniors toward successful inclusion in the community. Participants may come from a nursing facility or other institution, or choose to participate in the program to prevent institutionalization. HCBS/NHTD waiver services may be considered when informal supports, local, state and federally funded services and Medicaid State Plan services are not sufficient to assure the health and welfare of the individual in the community.
EligibilityTo be eligible for the NHTD Medicaid Waiver an individual must:
Traumatic Brain Injury (TBI) Program
The Traumatic Brain Injury (TBI) Program provides support and services to assist individuals, who have experienced a Traumatic Brain Injury towards successful inclusion in the community. The TBI program was developed based on a philosophy that an individual with a TBI has the same right to be in control of his or her life and should be able to choose where and with whom he or she will live, and who will provide needed services.
To be eligible for the program, you must be:
The following services are available under the HCBS/TBI waiver program:
Service Coordination (SC)
The Service Coordinator is the participant’s planner, organizer, and service plan writer. Service Coordinators obtain and coordinate the services that are necessary for the participant to return to or remain in the community. These services may include waiver services, Medicaid State Plan services, educational, vocational, social, and medical services available within the community.
Positive Behavioral Interventions and Supports (PBIS)
PBIS Services are provided to participants who have significant behavioral difficulties that jeopardize their ability to remain in the community of choice due to inappropriate responses to
Community Integration Counselor (CIC)CIC services are designed to help participants more effectively manage the emotional difficulties associated with adjusting to and living in the community. It is a counseling service provided to those coping with altered abilities and skills, the need to revise long term expectations, and changed roles in relation to significant others. This service is generally provided in the provider’s office or the participant’s home. It is available to participants and/or anyone involved in an ongoing significant relationship with the participant when the issues to be discussed relate directly to the participant.
Independent Living Skills Trainer (ILST)
ILST services are designed to improve or maintain the ability of the participant to live as independently as possible in the community. ILST assists in recovering skills that have decreased as a result of the onset of disability. Also, ILST will primarily be targeted to those individuals with progressive illnesses to maintain essential skills.
Community Transitional Services (CTS)
CTS services are intended to assist participants with the physical transition from a nursing home to living in the community. CTS is a one-time service per enrollment and is ONLY provided when transitioning from a nursing home.
Structured Day Program (SDP)
Structured Day Program services are designed to improve or maintain the participant’s skills and ability to live as independently as possible in the community. These are typically provided as outpatient services due to the difficulty that many individuals with physical or cognitive disabilities have transferring or generalizing skills learned in one setting to another. This service provides the skills training that is needed as well as the consistent reinforcement of those skills in real-life settings.
163 Van Buren Street
Brooklyn, NY 11221
Phone: (718) 789-7539
Fax: (718) 443-7857
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