Nursing Home Transition & Diversion Waiver (NHTD) Waiver Program

ElderChoice | Syracuse, NY


ElderChoice is an approved Medicaid provider of Traumatic Brain Injury services for Central New York including: the Syracuse, Oneida, Cortland, and Auburn NY and surrounding areas.

What is Nursing Home Transition & Diversion (NHTD) Waiver?

The NHTD program is a New York State Medicaid Waiver program that offers individuals with disabilities and seniors who are eligible for nursing home placement to receive services in their home and community. This option allows for a greater quality of care in the least restrictive setting possible.

Service Coordination

Assists the individual in applying for the NHTD Waiver and supports the participant in monitoring all services being provided in order to ensure quality, continuity and person centeredness.

Home and Community Support Staff (HCSS)

HCSS is a service designed to support and assist the individual with activities of daily living, both in their home and community. All HCSS are certified personal care aides.

Structured Day Program (SDP)

Structured Day Program is a group service, which provides individuals the opportunity to socialize, re-integrate into their community and develop additional leisure and recreational skills in a supported environment.


This service is designed to provide natural supports that tend to a loved one’s daily needs with a “relief” period. This service can only be utilized in 24 hour periods and is congruent with the services offered by the HCSS/PCA staff.

Eligibility & Referrals 

• Must be an active Medicaid recipient.
• Must be screened eligible for Nursing Home level of care.

The NHTD Waiver Program is a choice-based model; however, referrals must first be made to the Department of Health’s Regional Resource Development Center. After which the participant is free to interview and choose ElderChoice as their service provider, if they so desire.


Reimbursement for this program is made exclusively through New York State Medicaid, although ElderChoice also provides all Nursing Home Transition and Diversion Waivering (NHTD) services on a private pay basis.

Contact Us today for rates and more information or call us at 800-718-4352. ElderChoice, your best choice for Nursing Home Transition and Diversion Waiver (NHTD) services in Upstate New York including Syracuse, Oneida, Cortland, and Auburn NY and surrounding areas.

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NHTD Waiver?

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       NYS DOH NHTD Waiver Initiatives

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