Making the Move: How to Transition from Institutional Care to NHTD Services
- Bezalel
- Jul 30
- 3 min read
Updated: Jul 31
What Is the NHTD Waiver?
The NHTD Waiver is a Medicaid-funded program designed to support individuals who would otherwise need nursing home care. It provides community-based services that allow eligible adults to live safely and independently in homes of their choosing rather than in institutional facilities.
This program is especially helpful for those who value autonomy and want to remain connected to their communities while still receiving the level of care they need.
Who Is Eligible?
To participate in the NHTD program, individuals must meet the following criteria:
Be a resident of New York State
Be enrolled in Medicaid
Require a nursing home level of care
Be at least 65 years old, or between 18 and 64 with a physical disability
Be able to live safely in the community with services
Not be enrolled in another Medicaid waiver program
The Transition Process: Step-by-Step
1. Get Started with a Referral
If the individual is currently in a nursing facility, the facility’s discharge planner can refer them to their local Regional Resource Development Center (RRDC). Those living in the community can also reach out to the RRDC directly to begin the process.
2. Complete an Assessment
The RRDC will coordinate a review to verify Medicaid eligibility and assess the individual’s need for nursing-level care.
3. Create an Individual Service Plan (ISP)
If found eligible, the person will begin working with a Service Coordinator to build a personalized plan. This ISP outlines the specific supports and services they’ll need to live safely and comfortably in their new setting.
4. Secure Housing and Services
Part of the transition may include help finding housing, setting up home modifications, or securing rental assistance. The ISP will also address any personal care or in-home support services the participant may need.
5. Put the Plan Into Action
Once housing and services are in place, the individual will officially transition to their new home. The Service Coordinator will monitor the plan’s effectiveness and make updates as necessary.
6. Understand the Timeline
In general, the transition process takes about 3 to 6 months. This can vary based on how quickly documents are submitted and how easily services can be arranged.
What Paperwork Is Required?
To move forward with the NHTD application, participants will need to provide:
Proof of Medicaid enrollment
Documentation of age or qualifying disability
Medical records indicating a need for nursing home–level care
Information about a potential living arrangement
Financial records, such as income and assets
Services Available Under the NHTD Program
Each service plan is customized to meet the individual’s specific needs. Depending on the plan, services may include:
Service coordination
Personal care assistance
Independent living skills training
Home modifications and assistive technology
Transportation
Respite care for family caregivers
Counseling, peer support, and more
Additional supports like housing subsidies may be available depending on the region and individual circumstances.
Supporting Independence, Dignity, and Choice
The heart of the NHTD Waiver Program is a belief in person-centered care that individuals should have control over where and how they live. By helping people safely return to or remain in their communities, the program enhances quality of life while reducing long-term reliance on institutional care.
Ready to Take the Next Step?
If you or someone you care for is interested in transitioning to the NHTD Waiver Program, we’re here to guide you every step of the way. From assessments to service coordination, our experienced team will make sure the process is smooth, supportive, and tailored to your needs.
📞 Contact us today to learn more or get started: [212.918.1660]
Let’s work together to bring care home where it belongs.
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