Specialized Medicaid Care that
helps your loved one stay home.

New York’s NHTD and TBI waiver programs are built to help people who might otherwise need a nursing home stay safely in their own community. Welcome Homecare can guide you through every step.

Home Home Aides & Personal Care Aides

Where your loved one stays
in charge of their own care.

Most care options decide things for you. These waivers do the opposite. Your loved one is the primary decision maker, choosing the services they receive, the people who provide them, and the goals they want to reach.

The NHTD and TBI waivers are New York State Medicaid programs with one shared purpose: helping people who would otherwise need a nursing home build a life at home instead.

NHTD WAIVER

Nursing Home Transition & Diversion

For adults 18 and older with a physical disability, and for seniors 65 and older, who are at risk of nursing home placement but want to stay in their community.

TBI WAIVER

Traumatic Brain Injury

For adults between 18 and 64 living with a traumatic brain injury, who need a nursing home level of care but want to remain at home.

HOW IT HELPS

Support built around independence.

These programs bring together a range of services that help your loved one live safely and fully at home.

Staying in the community

Care that helps your loved one remain at home, rather than move into a facility.

A personalized plan

Services chosen around your loved one’s own strengths, needs, and goals.

Real choice

Your loved one decides which services they receive and who provides them.

Leaving the nursing home

Support for those leaving a nursing home who want to return to the community.

Help with daily living

Hands-on support with the everyday tasks that make staying home possible.

A team beside you

Guidance through the process, so you never have to navigate it alone.

Our Promise To you

Your family deserves care you can trust.

Families often reach out during a stressful, uncertain time. We're here to make the next step feel simple, with clear answers, a warm team, and care you never have to second-guess.

Need help choosing care?

Talk with our team about whether a waiver could be the right next step for your loved one.

WAIVER ELIGIBILITY

Who may qualify for a waiver in New York?

Eligibility depends on your loved one’s situation and on current New York State rules. In general, a person needs to meet the criteria below.

Medicaid eligible

The person must be eligible for Medicaid in New York.

Nursing home level of care

Their needs would otherwise call for a nursing home level of care.

Age & diagnosis fit

They meet the age and diagnosis criteria for the NHTD or TBI waiver.

Safe at home

They can live safely at home with the right support in place.

How to get started

Applying for a NHTD or TBI in 4 easy steps.

These programs can feel complicated from the outside. From your first call onward, we’ll make each step clear.

Fill Out the Simple Form

Complete our quick application form in less than 30 seconds so our team knows how to reach you.

Find the right waiver

We’ll help you understand which program may fit and what it involves.

Build the care plan

Together, we shape the services around your loved one’s needs and goals.

Begin support at home

Once everything is in place, your loved one receives care right where they want to be.

How to get started

Questions about
NHTD & TBI waivers.

They're New York State Medicaid programs that help people who would otherwise need a nursing home receive care at home and in their community instead. Both are built around keeping your loved one independent, with services shaped around their own needs and goals.

The programs work in nearly the same way; the difference is who they serve. The NHTD waiver is for adults 18 and older with a physical disability, and for seniors 65 and older. The TBI waiver is for adults between 18 and 64 living with a traumatic brain injury. Our team can help you figure out which one fits your loved one's situation.

In general, a person needs to be eligible for Medicaid in New York, require a nursing home level of care, meet the age and diagnosis criteria for the waiver, and be able to live safely at home with the right support in place. Eligibility always depends on individual circumstances and current state rules, so the best way to know is to talk with us.

Waivers can bring together a range of supports to help your loved one live safely at home, such as help with daily living, care coordination, and services that make the home safer and more accessible. The exact mix is built around what your loved one actually needs.

Yes, and that's what makes these programs stand out. Your loved one is the primary decision maker. They choose the services they receive, the people who provide them, and the goals they want to work toward.

Call us or fill out the short form, and a member of our team will reach out to learn about your loved one's situation. From there, we'll help you understand which waiver may fit, what's involved, and exactly what to do next.