PROGRAM INFORMATION

Nursing Home Transition and Diversion Waiver is a home and community-based program provided by the New York State Department of Health that helps Medicaid-eligible people with physical disabilities and seniors receive the services they need while living in a community-based setting, rather than in a nursing home. Program participants may come from a nursing facility (transition) or choose to participate in the waiver to prevent placement into nursing facility (diversion).  Program participants receive services based on their unique strengths, needs, choices, and goals. The participant is the primary decision makers. Participants must also complete the Freedom of Choice form. 

ELIGIBILITY

• Be enrolled in NYS Medicaid

• Assessed as needing nursing home level of care

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

• Able to live safely in the community with services and supports offered by the waiver program and other community resources

SERVICE COORDINATION (SC)

Service Coordination is a person-centered program provided by qualified personnel for individuals served. Our Service Coordinators provide the primary assistance to the waiver participant in gaining access to needed waiver and Medicaid Plan Services.  Service Coordinators coordinate and monitors the provision of all services in the plan once the individual is determined eligible.

Service Coordinators also assist waiver participants in improving their functional independence by identifying and accessing community resources (e.g., finances, home care, transportation, vocational, mental health, and other community-based services) that can meet their environmental, personal, or interpersonal needs. 

The Service Coordinators at D&M Social Services coordinate assessments, make referrals, provide information regarding benefits and entitlements, monitor, and maintain most services/supports as they apply to the waiver participant.

PROGRAM INFORMATION

The Home and Community Based Services Medicaid Waiver for individuals with Traumatic Brain Injury (HCBS/TBI) is a community-based program, specifically designed to assist adults who have sustained a traumatic brain injury. The intent of this waiver is to provide specialized services to the individual in order to terminate and/or circumvent a skilled nursing home or rehabilitation center admission. All services through this Waiver are provided under the individual's NYS Medicaid. 

ELIGIBILITY

• Be enrolled in NYS Medicaid

• Be between ages of 18 and 64 with a physical disability or be age 65 and older upon application to the waiver

• Have a diagnosis of traumatic brain injury or related diagnosis

• Be assessed to be in need of a nursing facility level of care

• Choose to participate in services through the TBI Waiver

SERVICE COORDINATION (SC)

Service Coordination is a person-centered program provided by qualified personnel for individuals served. Our Service Coordinators provide the primary assistance to the waiver participant in gaining access to needed waiver and Medicaid Plan Services.  Service Coordinators coordinate and monitors the provision of all services in the plan once the individual is determined eligible.

Service Coordinators also assist waiver participants in improving their functional independence by identifying and accessing community resources (e.g., finances, home care, transportation, vocational, mental health, and other community-based services) that can meet their environmental, personal, or interpersonal needs. 

The Service Coordinators at D&M Social Services coordinate assessments, make referrals, provide information regarding benefits and entitlements, monitor, and maintain most services/supports as they apply to the waiver participant.

• Home and community support services

• Community integration counseling

• Independent living skills and training

• Home modifications, such as ramps

• Assistive technology devices, such as control for lights, phones, and heat

• Peer mentoring

• Moving Assistance

• Respiratory therapy

• Structure Day Program

• Transportation to social activities

• Wellness Counseling

• Coordination and planning for all services you receive