For many individuals in Brooklyn, NY living with disabilities or recovering from traumatic injuries, maintaining independence while receiving essential care is a top priority. Fortunately, New York State Medicaid offers two specialized programs to support these needs: the Nursing Home Transition and Diversion (NHTD) Waiver and the Traumatic Brain Injury (TBI) Waiver.
At Exclusive Home Care, we specialize in helping individuals and families understand these programs, determine eligibility, and successfully apply—so they can access the life-enhancing services they deserve from the comfort of home.
What Are NHTD and TBI Waiver Programs?
Nursing Home Transition and Diversion (NHTD) Waiver
The NHTD Medicaid Waiver is designed to help seniors and individuals with physical disabilities who are eligible for nursing home care but wish to receive services in their home or community instead. This program promotes independence, dignity, and community integration.
Traumatic Brain Injury (TBI) Waiver
The TBI Waiver supports individuals who have experienced a traumatic brain injury, enabling them to avoid institutionalization and instead receive structured support at home.
Both programs are Medicaid-funded and offer services such as:
Home and Community Support Services (HCSS)
Independent Living Skills Training
Care Coordination
Structured Day Programs
Environmental Modifications
Respite Care for Caregivers
Who Qualifies for NHTD & TBI Services in Brooklyn, NY?
According to industry data and trends for 2025, home health care costs in Brooklyn, NY range as follows:
Eligibility for these Medicaid waiver programs is determined based on medical need, income, and functional limitations. Here’s a breakdown:
NHTD Waiver Eligibility:
Must be 18 years or older
Must be eligible for nursing home level care
Must be Medicaid-eligible
Must prefer to receive services in the community
Must live in a safe and supportive home environment (or be willing to transition to one)
TBI Waiver Eligibility:
Must be 18 to 64 years old
Must have a documented traumatic brain injury
Must be eligible for nursing home level of care
Must be Medicaid-eligible
Must be capable of living safely in the community with supports
Not sure if you or your loved one qualify? Exclusive Home Care can help you assess your eligibility and guide you through the next steps.
How to Apply for NHTD or TBI Services in Brooklyn
Applying for these programs can seem complex—but our team is here to simplify the process:
Step 1: Medicaid Eligibility Assessment
We’ll help determine whether you meet New York State Medicaid’s income, residency, and medical criteria. If you’re not yet enrolled in Medicaid, we can assist you with the application.
Step 2: Choose a Service Coordinator
Applicants must choose a Service Coordinator to develop a care plan and assist with the waiver application. Exclusive Home Care can connect you with experienced coordinators who understand the ins and outs of both waiver programs.
Step 3: Submit the Waiver Application
The Service Coordinator will help submit required documentation, including:
Medical records
Proof of brain injury (for TBI)
Physician’s assessments
Service plan proposal
Step 4: Assessment & Approval
The Regional Resource Development Specialist (RRDS) will review your application, conduct an in-home visit, and determine your service plan approval.
Step 5: Start Receiving Services
Once approved, you can begin receiving home health aide support, personal care services, and other customized care—all in the comfort of your Brooklyn home.
Services Covered Under NHTD & TBI Programs
These Medicaid waiver programs provide an impressive array of home and community-based services, including:
Home Health Aides (HHAs)
Skilled Nursing Care
Home Safety Modifications
Transportation for Medical Appointments
Independent Living Skills Training
Companionship & Social Engagement
Caregiver Respite Services
At Exclusive Home Care, our team of certified HHAs and nurses are specially trained to deliver these services with compassion, professionalism, and personalized care.
Why Brooklyn Families Trust Exclusive Home Care for Medicaid Waiver Support
Our commitment goes beyond care—we provide full Medicaid application assistance, including help with:
Eligibility assessments
Required document collection
Plan selection and enrollment
Waiver program referrals
Long-term support and renewals
When you work with Exclusive Home Care, you gain a trusted partner that understands the NHTD and TBI waiver systems and the importance of personalized, in-home care.
Why Brooklyn Families Trust Exclusive Home Care
While both the Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) waiver programs aim to support individuals in living safely at home instead of in a facility, there are some key differences that can help determine which program is the best fit:
| Feature | NHTD Waiver | TBI Waiver |
|---|---|---|
| Target Population | Seniors & adults with physical disabilities | Adults with a documented traumatic brain injury |
| Age Requirements | 18 years or older | 18–64 years old |
| Medical Requirement | Must qualify for nursing home level care | Must have a medically verified TBI |
| Services Offered | Home care, independent living skills, respite care, transportation | Cognitive rehabilitation, personal care, structured day programs, behavioral support |
At Exclusive Home Care, we take the time to review your health status, goals, and environment to guide you toward the right program. Our experience with both waivers ensures that you don’t miss out on essential benefits due to confusing criteria.
Why Brooklyn Families Trust Exclusive Home Care
We’re not just another home care agency—we are part of the Brooklyn community. Our caregivers are committed to enhancing lives with compassion, respect, and professionalism.
Here’s why families choose us:
Locally operated and community-focused
Reliable, on-time caregivers with verified credentials
Personalized in-home assessments
24/7 support and service availability
Peace of mind for families, dignity for patients
Tips for a Successful NHTD or TBI Waiver Application in Brooklyn
Applying for Medicaid waiver programs can be complex—but preparation makes all the difference. Follow these expert tips to improve your chances of a smooth approval process:
1. Gather Documents Early
You’ll need identification, medical records, proof of income, Medicaid status, and potentially housing verification. Having these ready will speed up your application.
2. Work with an Experienced Agency
Choose a provider like Exclusive Home Care that has direct experience helping Brooklyn residents apply for these specific waiver programs. We know what documents are required, how to interact with RRDS, and how to craft an effective service plan.
3. Be Honest in Assessments
During the home visit and functional assessments, be transparent about the level of support you need. This ensures that the final care plan meets your real-world needs.
4. Follow Up Promptly
Stay in communication with your Service Coordinator, Medicaid caseworker, and care agency to avoid delays caused by missing forms or information.
By partnering with Exclusive Home Care, you gain a dedicated team committed to helping you not only apply—but succeed—with the NHTD or TBI waiver programs in Brooklyn.
Get Help Applying for NHTD or TBI Waiver Programs Today
If you or a loved one in Brooklyn is living with a traumatic brain injury or requires nursing-level care, you may qualify for Medicaid-covered in-home services through the NHTD or TBI waiver programs.
Let Exclusive Home Care make the process easy, fast, and stress-free.
Call now for a free consultation or eligibility screening.