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NHTD Waiver Program & TBI

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Private Duty RN and LPN Home Care Services in Brooklyn NY providing skilled in-home nursing

Who We Are

A Path Back to
Community Living

The Nursing Home Transition and Diversion (NHTD) Waiver Program helps people with disabilities and older adults move out of institutional care, or avoid it altogether, and back into life in the community. It’s part of the broader Medicaid Home and Community-Based Services (HCBS) waiver, built around one goal: more independence, more freedom, and a better quality of life, with support delivered right at home.

Z Best Homecare also supports individuals through the Traumatic Brain Injury (TBI) Waiver Program, which offers similar community-based services for people recovering from a brain injury who don’t need institutional-level care but still need consistent, long-term support.

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NHTD & TBI Services

Support That Moves With You

Both waiver programs offer a wide range of services designed to help participants live independently and stay connected to their community. Here’s what’s included.

Service Coordination

A dedicated coordinator makes sure participants receive the full range of services and support they’re approved for, across both the NHTD and TBI programs.

Community Integration & Peer Mentoring

Counseling to ease the transition into community life, plus the chance to connect with peers who’ve successfully made that same transition themselves.

Home & Environmental Modifications

Practical changes to a participant’s home, ramps, grab bars, layout adjustments, so it’s safe and accessible for their specific needs.

Assistive Technology & Independent Living Skills

Devices and equipment that support daily tasks, along with skills training (part of the TBI Waiver) to help participants live more independently over time.

Structured Day Programs & Nutritional Support

Meaningful, structured activities that promote community involvement, along with nutritional counseling to support each participant’s specific health needs.

Cognitive Rehabilitation & Respite Care

For TBI participants, cognitive rehabilitation helps rebuild skills affected by brain injury, while respite services give family caregivers a needed break.

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(718) 709 5400

Eligibility

Who Qualifies for These Programs

Eligibility differs slightly between the two waivers, but both are built for people who need a nursing-home level of care and want to receive it in the community instead.

NHTD Eligibility

New York State residents, Medicaid-eligible, either 65 or older or 18 to 64 with a physical disability, and able to live safely in the community with support.

TBI Eligibility

New York State residents, Medicaid-eligible, ages 18 to 64, with a traumatic brain injury sustained after age 18, and able to live safely in the community.

Medicaid Required

Both programs require Medicaid eligibility as a baseline qualification.

Nursing-Home Level of Care

Applicants must be assessed as needing that level of care to qualify for either waiver.

Not sure which waiver fits your situation? We’ll help you figure it out.

Z Best Homecare

NHTD Waiver Program & TBI

Common Questions

Frequently Asked Questions

What's the difference between the NHTD and TBI Waiver Programs?

NHTD serves older adults and people with physical disabilities who want to transition from or avoid a nursing home. TBI serves people ages 18 to 64 who sustained a traumatic brain injury after turning 18. Both provide similar community-based support.

No. Both waivers support people transitioning out of institutional care as well as those trying to avoid it in the first place, as long as they meet the nursing-home level of care requirement.

No, applying is free. Our team can walk you through the process at no charge.

Yes. Many participants combine waiver services with caregiver support or private duty nursing for a more complete care plan.

Timelines vary based on individual assessments and Medicaid eligibility review, but our team helps keep the process moving and keeps you informed along the way.

Call us at (718) 709-5400 or apply online, and we’ll help determine which waiver program fits your situation.

Let’s Talk About Care

Have questions about NHTD or TBI waiver eligibility, or which program is the right fit? Our team is ready to help.

Call Us: (718) 709 5400

Care for the people you love, right at home.

Talk to us. We’ll walk you through what’s available and help you figure out what actually fits your family.
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(718) 709 5400

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Z Best Homecare Agency
At Z Best Homecare Agency, we are dedicated to providing exceptional and compassionate in-home care services. Our team of experienced healthcare professionals is committed to enhancing the quality of life for our clients and their families.

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