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NHTD / TBI

At Welcome Care Inc, aging shouldn’t mean giving up your independence. Through the Nursing Home Transition and Diversion (NHTD) Program, we help Medicaid-eligible individuals remain safely in their homes and communities—rather than moving to a nursing facility.

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Through the NHTD and TBI programs, we are committed to helping individuals stay safely at home, surrounded by care, compassion, and a team that’s always by their side.

NHTD Program

Our Nursing Home Transition & Diversion (NHTD) program is designed to help you live with independence, dignity, and comfort in your own home and community. We understand that many people prefer to avoid moving into a nursing facility, and this program provides the right support to make that possible.

The NHTD (Nursing Home Transition & Diversion Waiver) is a New York State Medicaid program that allows individuals who qualify for nursing home–level care to receive those same services at home. It supports both people currently living in institutions who wish to return to the community, and those who want to remain at home rather than transition to a facility.

Benefits of the NHTD Program

How the NHTD Program Improves Quality of Life

Remain in the comfort of your own home, surrounded by family, friends, and community.

Improved quality of life, with familiar surroundings that support emotional and physical well-being.

Reduced risk of unnecessary hospitalizations or emergency visits thanks to ongoing care and monitoring.

Lower costs compared to long-term institutional care, while still receiving comprehensive support.

The NHTD Program is open to New York State residents who fulfill the eligibility requirements:

Must Have Medicaid Eligibility

To enroll in the NHTD program, individuals must qualify for community-based Medicaid.

Can Live Safely at Home with Support

Applicants must be able to remain safely in their home or community when supported by services offered through the NHTD program, Medicaid, and other available resources.

Adults with Disabilities or Seniors

Eligible individuals include adults ages 18–64 with a documented physical disability, or anyone 65 and older at the time of application.

Our mission is simple: to bring health, dignity, and independence back where it belongs—home.

TBI Program

Our TBI Program is designed to support individuals living with the long-term effects of a traumatic brain injury or similar non-degenerative conditions. Through personalized care planning, rehabilitation support, and community-based services, we help participants regain independence, build confidence, and live safely at home.

We work closely with individuals, families, and healthcare providers to create care plans that reflect each person’s goals, strengths, and challenges—ensuring dignity, safety, and quality of life every step of the way.

The TBI program is open to New York State residents who fulfill the following eligibility requirements.

Live in Community, Not in a Facility.

The TBI program supports individuals who prefer to remain in their communities instead of moving into a nursing home, while still receiving the care they need.

Be assessed as needing nursing care to live safely in the community.

Needing a level of care typically provided in a nursing facility, but with proper support and a safe environment, you can live successfully in the community.

Aged 18 to 64 with TBI or Similar Condition.

Applicants must have a primary diagnosis of TBI—or a non-degenerative condition with similar cognitive or physical impairments, such as stroke—that significantly impacts daily functioning.

With the right care and guidance, 70% of people living with brain injury can maintain their independence at home.

How to Enroll in 3 Simple Steps

Ongoing Care Follow-Up

At Welcome Care, we regularly check in to ensure your needs are being met. Our team is always available to answer questions, address concerns, and adjust your care plan as needed.

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Eligibility Determination

Welcome Care will guide you through the necessary paperwork and schedule an interview to assess your eligibility for the Waiver Programs. We’ll ensure you meet the requirements to access these services.

Nurse Assessment

One of our skilled nurses will conduct a comprehensive assessment to understand your unique care needs. From there, we create a personalized care plan designed just for you.

Begin Services

Once approved, you’ll start receiving essential services such as caregiver support, home modifications, meal delivery, and more—all tailored to help you live safely and independently at home.