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Nursing Home Transition and Diversion

The NHTD waiver program is a program that helps elders and people with disabilities get services to live outside of a nursing home.

This program is for people who are:

  • Eligible for community-based Medicaid,

  • Assessed as needing nursing home level of care, and

  • Either between the ages of 18-64 and have a verified physical disability or are age 65 or older when applying to the program.

The Nursing Home Transition and Diversion (NHTD) Medicaid waiver was developed based on the philosophy that individuals with disabilities and/or seniors have the same rights as others. This includes the right to be in control of their lives, encounter and manage risks and learn from their experiences. This is balanced with the waiver program’s responsibility to assure the waiver participants’ health and welfare.

Waiver services are provided based on the participant’s unique strengths, needs, choices and goals. The individual is the primary decision-maker and works in cooperation with providers to develop a Service Plan. This process leads to personal empowerment, increased independence, greater community inclusion, self-reliance and meaningful productive activities. Waiver participant satisfaction is a significant measure of success of the NHTD waiver.