Nursing Home Transition & Diversion
The NHTD Waiver is a New York State Medicaid program that helps individuals with physical disabilities and seniors transition from nursing facilities — or avoid placement altogether — and live safely in the community.
About the NHTD Waiver
The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver provides home and community-based services to individuals who would otherwise require nursing facility care. The program is designed to give participants maximum choice and control over their own lives.
As your Service Coordination agency, Heavenly Hands works with you to build a service plan that reflects your personal goals, connects you to qualified providers, and ensures you have the support you need to live safely and independently.
Who Is Eligible?
- Adults 18 years of age or older
- Enrolled in Medicaid
- Have a physical disability or are age 65 or older
- Require nursing facility level of care
- Able to live safely in the community with waiver services
- Currently in a nursing facility or at risk of placement
Services Available Through the NHTD Waiver
Service Coordination
A dedicated coordinator develops your plan, connects you to providers, and advocates for your needs.
Independent Living Skills Training
Hands-on training to develop the everyday skills needed to live safely and independently in the community.
Home and Community Support Services
Assistance with daily living activities in your home and community.
Environmental Modifications
Home modifications to ensure your living space is safe and accessible.
Assistive Technology
Devices and technology to support your independence and communication.
Respiratory Therapy
Specialized respiratory care services in the community setting.
Community Integration Counseling
Counseling and support to help participants build meaningful connections and fully engage in community life.
Positive Behavioral Intervention Specialist
Specialized support to address behavioral challenges through evidence-based, person-centered intervention strategies.
Ready to Learn More?
Contact Heavenly Hands today to find out if the NHTD Waiver is right for you or someone you support.