New York's primary in-home Medicaid waiver for seniors needing nursing-home-level care is the Nursing Home Transition and Diversion (NHTD) Medicaid Waiver, a federal 1915(c) HCBS waiver administered by NYSDOH through Regional Resource Development Centers.
What NHTD covers, and what it does not
NHTD funds home and community-based services intended to transition a Medicaid-eligible senior or person with a physical disability out of a nursing facility, or to divert them from institutional placement altogether. It pays for services, not room and board or rent.
In practice, most Nassau and Suffolk seniors needing ongoing community-based long-term care are more commonly directed toward Managed Long Term Care (MLTC) enrollment, which has been mandatory in both counties since 2013 for Medicaid recipients who need more than 120 days of community-based long-term care and can remain safely at home at enrollment.
Who administers it locally
Start with the Nassau County Office for the Aging (516-227-8900) or the Suffolk County Office for the Aging (631-853-8200), both of which serve as local NY Connects access points and can screen for NHTD and MLTC eligibility.
Source: NYSDOH NHTD Waiver program page
