The Nursing Home Transition Diversion (NHTD) Waiver Program gives older adults and individuals with physical disabilities an opportunity to avoid institutional placement. Designed for those who are eligible for nursing home care but prefer to live at home, the program delivers Medicaid-funded services in a residential setting.
By shifting the focus from long-term care facilities to community-based living, the program emphasizes autonomy and quality of life. Participants can receive essential care while remaining close to their families and communities. GALAXY HOME CARE OF NYC is proud to support this mission by helping eligible individuals access the care they need, where they feel most at ease—at home.
Why This Waiver Program Matters In A City Like New York
New York City’s aging residents face distinct challenges—rising care costs, limited nursing home availability, and emotional disruption from institutional transitions. The waiver program offers a city-friendly solution: it helps people stay in their homes while receiving structured, coordinated care.
For those living in crowded apartments or multigenerational households, remaining in a familiar environment provides stability. GALAXY HOME CARE OF NYC helps clients safely navigate these urban realities by offering customized care and support that meets both medical and personal needs.
Key Benefits Of The Nursing Home Transition Diversion Waiver Program For NYC Residents
Participants in the NHTD Waiver Program gain access to tailored services that encourage independent living and support medical, emotional, and social needs:
- Personal Care Services: Help with bathing, dressing, meal prep, and mobility.
- Home Modifications: Improvements like ramps, grab bars, or widened doorways for safety.
- Assistive Equipment: Tools such as walkers or emergency alert systems.
- Case Management: Coordinators develop and monitor care plans.
- Community Integration: Activities and services that reduce social isolation.
These services help individuals thrive at home, reduce unnecessary hospital stays, and improve long-term health outcomes. With the guidance of GALAXY HOME CARE OF NYC, families can access all these benefits with ease and confidence.
Are You Or A Loved One Eligible? Understanding The Requirements
Eligibility for the NHTD Waiver Program begins with Medicaid. Applicants must qualify for New York State Medicaid, which typically involves meeting income and asset guidelines.
They must also require a nursing home level of care based on a clinical evaluation. This includes individuals with mobility challenges, cognitive limitations, or chronic health conditions that affect daily living.
Other requirements include:
- Being 18 years or older
- A stable and safe home environment
- Willingness to receive services at home rather than in an institution
The team at GALAXY HOME CARE OF NYC helps guide families through eligibility checks, Medicaid paperwork, and coordination with state agencies to simplify the process.
Types Of Services Covered Under The Program
The NHTD Waiver includes a broad range of services, each designed to replace what might otherwise be offered in a nursing facility:
- Home and Community Support Services
- Independent Living Skills Training
- Nutritional Counseling
- Respite Care for Family Members
- Behavioral Support Services
- Transportation for Medical or Community Events
GALAXY HOME CARE OF NYC works closely with clients to build a care plan that includes the most relevant services, ensuring every individual receives comprehensive and compassionate care at home.
How GALAXY HOME CARE OF NYC Helps Clients Access The Waiver Program
The application process and paperwork can be overwhelming for families unfamiliar with the Medicaid system. GALAXY HOME CARE OF NYC makes the process easier with expert support at every stage.
Professionals assist with:
- Verifying Medicaid eligibility
- Organizing documentation
- Scheduling assessments
- Developing person-centered care plans
- Coordinating approved services and caregiver scheduling
With our experienced and bilingual team, families receive clear communication, timely updates, and peace of mind knowing their loved ones are in good hands.
How The Waiver Transforms Lives At Home
The NHTD Waiver is not just a benefit—it’s a life-changing resource. Consider an older adult recovering from surgery who lives alone in the Bronx. Previously facing permanent nursing home placement, they enroll in the waiver program through GALAXY HOME CARE OF NYC and return home with the help of an aide, a mobility aid, and regular nursing visits.
Now surrounded by familiar routines, friends, and their favorite neighborhood park, they continue to heal and live comfortably. Without the waiver, their only option might have been institutional care.
Thousands of similar success stories unfold across NYC each year. Our team is proud to be part of that transformation.
Application Process And What To Expect Along The Way
Getting started with the NHTD Waiver Program involves a few key steps:
- Contact GALAXY HOME CARE OF NYC or the regional NHTD office for initial guidance.
- Verify Medicaid eligibility or begin the Medicaid application process.
- Complete a clinical assessment to confirm the need for nursing home-level care.
- Work with a service coordinator to create an individualized care plan.
- Once approved, begin receiving services through a network of trained providers.
Our care coordinators walk families through every step, minimizing stress and ensuring timely service delivery.
Let’s Keep Families Together—Your Next Step Starts With GALAXY HOME CARE OF NYC
The NHTD Waiver Program allows New York City residents to remain in their homes, surrounded by the people and places they love. It promotes dignity, flexibility, and safety—three pillars of aging well.
If you or a family member needs long-term care but wants to avoid a nursing home, GALAXY HOME CARE OF NYC is ready to help. Our experienced team provides the knowledge, compassion, and resources to navigate the program successfully.
Reach out today to learn how we can help you or your loved one live independently, comfortably, and confidently—with care that truly feels like home.
Frequently Asked Questions About The Nursing Home Transition Diversion Waiver Program
Who is eligible for the NHTD Waiver Program?
Adults 18+ who qualify for Medicaid and need nursing home-level care but prefer to live at home.
What services are included?
Support includes personal care, home modifications, assistive devices, transportation, and care coordination.
Can someone in a nursing home apply?
Yes. Eligible individuals can use the program to transition back home.
Is there a cost for services?
No. Services are fully covered by Medicaid for approved participants.
Who can help with enrollment?
GALAXY HOME CARE OF NYC provides full guidance through every step.