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NHTD Waiver in the Bronx NY — Services, Eligibility, and How to Enroll
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title: NHTD Waiver in the Bronx NY — Services, Eligibility, and How to Enroll
brand: priority_groups
target_page: /nhtd-waiver-bronx/
keywords: nhtd waiver bronx, nhtd services bronx ny, nursing home transition diversion bronx, medicaid waiver bronx
date: 2026-04-06
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# NHTD Waiver in the Bronx NY — Services, Eligibility, and How to Enroll
The NHTD Waiver in the Bronx is a Medicaid-funded program that helps eligible adults with disabilities and older adults live in their homes and communities instead of nursing facilities. The Bronx has a high concentration of residents who qualify — yet many families never learn about this option until a nursing home is already under consideration. This guide explains what the NHTD Waiver covers in the Bronx, who qualifies, and how to apply.
What Is the NHTD Waiver?
The Nursing Home Transition and Diversion (NHTD) Waiver is a New York State Medicaid Home and Community Based Services (HCBS) waiver. It serves two groups:
1. Transition — People currently living in a nursing facility who want to return to the community
2. Diversion — People living in the community who are at risk of nursing home placement and need intensive supports to remain home
The waiver is individualized — each participant works with a Service Coordinator to build a plan based on their personal goals, health needs, and living situation. This is distinct from standard home care, which is physician-directed rather than participant-directed.
NHTD Waiver Services Available in the Bronx
Eligible Bronx residents enrolled in the NHTD Waiver can receive a range of services, including:
- Home and Community Support Services (HCSS) — Personal care and daily living assistance similar to HHA services, provided by trained aides
- Service Coordination — A dedicated coordinator manages the participant’s plan, appointments, and provider relationships
- Assistive Technology — Equipment to support independence, such as communication devices, mobility aids, and monitoring systems
- Environmental Modifications — Home alterations including ramps, grab bars, accessible bathroom fixtures, and doorway modifications
- Structured Day Programs — Community-based activity programs that promote socialization, skill-building, and independence
- Community Transitional Services — Supports for individuals moving from nursing facilities back into the community
- Respite — Temporary caregiver relief services
Participants may receive multiple services simultaneously based on their individual plan of care.
Who Qualifies for NHTD Services in the Bronx?
To qualify for NHTD services in the Bronx NY, an individual must:
- Be 18 years of age or older
- Be enrolled in New York Medicaid
- Meet nursing home level of care — assessed by the State as requiring the level of care typically provided in a skilled nursing facility
- Be able to live safely in the community with the services provided
- Not already be enrolled in another conflicting HCBS waiver
Physical disability, traumatic brain injury, and age-related functional decline are the most common reasons Bronx residents qualify. Priority Cares can discuss level-of-care criteria in more detail during an initial consultation.
The Enrollment Process for Bronx NHTD Waiver Applicants
Applying for the NHTD Waiver in the Bronx involves the following steps:
1. Contact the NYC RRDC. The Regional Resource Development Center for New York City manages initial intake for NHTD Waiver applicants in the Bronx. They conduct a screening to determine if the person may be eligible.
2. Level of Care Determination. A licensed evaluator conducts a formal assessment to confirm nursing home level of care. This assessment is free and separate from a standard home care assessment.
3. Service Plan Development. The applicant works with a Service Coordinator to develop an Individualized Service Plan (ISP) that identifies needed services and community living goals.
4. Provider Enrollment. The participant selects approved providers for each service in their plan. Priority Cares is an approved NHTD Waiver provider serving Bronx residents.
5. State Approval and Service Start. Once the ISP is approved by the NYS DOH, services can begin. The full process typically takes 60–90 days.
Families dealing with urgent nursing home discharge situations should begin the process immediately and contact us for guidance on timelines.
Bronx Neighborhoods Where We Provide NHTD Waiver Services
Priority Cares serves NHTD Waiver participants throughout the Bronx, including South Bronx, Mott Haven, Fordham, Tremont, University Heights, Riverdale, Pelham Bay, Wakefield, Co-op City, and all surrounding communities.
Learn more at [https://prioritygroups.org/nhtd-waiver-bronx/](https://prioritygroups.org/nhtd-waiver-bronx/).
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Frequently Asked Questions
Q: Can I get NHTD Waiver services if I’m already getting home care through Medicaid?
A: You may be able to transition from standard Medicaid home care to the NHTD Waiver if you meet nursing home level of care criteria and want the broader range of services the waiver offers. Contact the NYC RRDC to discuss your situation. A Service Coordinator can help evaluate which program is the better fit.
Q: How is the NHTD Waiver different from an MLTC plan?
A: An MLTC plan is a managed care plan that coordinates and funds home care and other long-term services for Medicaid recipients. The NHTD Waiver is a fee-for-service waiver that is built around a participant-directed service plan. The key difference is the level of individualization and the types of services available — the NHTD Waiver covers items like environmental modifications and assistive technology that MLTC plans typically do not.
Q: Is Priority Cares an approved NHTD Waiver provider in the Bronx?
A: Yes. Priority Cares is an approved provider of NHTD Waiver services in the Bronx and across New York City. We can discuss the specific services we provide under the waiver when you call.
Q: What happens if someone is currently in a nursing home and wants to return to the Bronx?
A: The NHTD Waiver’s “Transition” component is specifically designed for this situation. Community Transitional Services under the waiver can cover moving costs, household setup, and initial supplies when someone leaves a nursing facility. Contact us or the NYC RRDC to begin the discharge and transition planning process.
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Call us at (718) 400-6166 or visit [https://prioritygroups.org/nhtd-waiver-bronx/](https://prioritygroups.org/nhtd-waiver-bronx/) to discuss NHTD Waiver eligibility in the Bronx.