NHTD & TBI - Citi Health

NHTD & TBI Medicaid Waivers

Live independently. Choose your services. Stay in your community.

CitiHealth NY helps eligible New Yorkers access the NHTD and TBI Waiver Programs—so you can live safely at home with the right supports.

Get Help with Enrollment Check Eligibility

Nursing Home Transition & Diversion (NHTD)

Helps Medicaid-eligible seniors and people with physical disabilities live in community settings with comprehensive supports.

Participants are the primary decision-makers and select their services, providers, living setting, and personal outcomes. Services may include service coordination, home and community supports, personal care, environmental modifications, and assistive technology tailored to your goals. CitiHealth NY partners with you and your family to create a person-centered plan that maximizes independence while ensuring health, safety, and community inclusion.

Senior and caregiver reviewing options at home

Philosophy of Choice

Rights to self-direction, responsible risk-taking, and learning—within a framework that protects health and welfare.

Eligibility (NHTD)

Assessed as needing nursing home level of care
Medicaid recipient eligible for Community-Based Long-Term Care services
At least 18 years of age
Safe, adequate community housing
Needs can be met within available Waiver and Medicaid resources
Require at least one waiver service per month to assure health and welfare

Traumatic Brain Injury (TBI) Waiver

Supports individuals with a TBI—or similar non-degenerative condition—to live in the community with needed services.

Rehabilitation professional supporting a client

Eligibility (TBI)

Medicaid recipient; ages 18–64 at application
Choose community living vs. nursing facility
Primary diagnosis of TBI or similar condition (e.g., stroke, anoxia)
Assessed as needing nursing home level of care
Approved service plan ensuring safety in the community

General Waiver Eligibility

Need nursing home level of care
At least 18 years of age
Safe, adequate community housing
Eligible for Medicaid Community-Based Long-Term Care
Needs met within waiver/Medicaid resources
Receive at least one waiver service per month

Who Might Qualify?

Adults with physical, cognitive, or behavioral challenges
Spinal cord injury, stroke, Alzheimer’s, MS
Seniors who are elderly and frail

Key Services & Supports

Coordinator reviewing a service plan with client

Service Coordination (SC)

Access & maintain services and housing
Coordinate & monitor the Service Plan
Promote community integration & inclusion
Ensure other supports are used before waiver services
Reviews: every 6 months (TBI) / annually (NHTD)

Home support aide helping with daily tasks

Home & Community Support Services (HCSS)

Supervision and/or assistance with activities of daily living—while fostering independence and participation.

Environmental Adaptations

Assistive Technology: Devices & maintenance to remain independent
Environmental Modifications: Home/vehicle changes for barrier-free access

Medication organizer and medical supplies

Personal Care Functions

Bathing, grooming, skin care
Toileting, walking/mobility
Use of medical supplies & equipment
Assist with self-administration of medication

Nutritional Support

Menu planning, grocery lists & shopping
Meal preparation & feeding assistance
Measure & record intake as required

Housing Programs (HCBS)

Locate, obtain, and maintain housing that supports safe, independent community living.

Housing Support

Through Home and Community-Based Services (HCBS) Waiver Housing Programs, participants receive help in locating, obtaining, and maintaining housing that supports independent community living.

Get Enrollment Support for NHTD or TBI Waiver Services

Our team can walk you through eligibility, documentation, and service planning—so you can live safely and independently at home.

Email Us: intake@citihealthny.com Call: (718) 715-0388

* Programs administered by the New York State Department of Health (DOH); Medicaid-funded. PCCCF provides guidance and support for applicants and participants.

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