Who Is Eligible for the NHTD Waiver Program?

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NHTD Eligibility Criteria

NHTD (Nursing Home Transition and Diversion) is a Medicaid waiver program designed to assist individuals in transitioning from nursing homes to community-based settings or to prevent the need for nursing home placement altogether. To qualify for NHTD services, individuals must meet certain eligibility criteria outlined by the state Medicaid program. Below are the general eligibility requirements for NHTD:

  1. Medicaid Eligibility: Applicants must be eligible for Medicaid in the state where they reside. This includes meeting income and asset requirements set by the state Medicaid program.
  2. Nursing Home Level of Care: Individuals must require a level of care typically provided in a nursing home. This level of care assessment is usually conducted by a healthcare professional designated by the state.
  3. Desire to Transition or Divert from Nursing Home Placement: Applicants must express a desire to transition from a nursing home to a community-based setting or demonstrate a need to divert from nursing home placement altogether.
  4. Functional Limitations: Individuals must have functional limitations that necessitate assistance with activities of daily living (ADLs) or instrumental activities of daily living (IADLs). These may include tasks such as bathing, dressing, meal preparation, medication management, and transportation.
  5. Residency: Applicants must be residents of the state where they are applying for NHTD services. Proof of residency may be required.
  6. Age Requirement: While age requirements may vary by state, most NHTD programs target adults aged 18 and older. Some states may have specific age criteria for eligibility.
  7. Assessment and Approval: Upon meeting the eligibility criteria, individuals will undergo an assessment to determine their specific needs and the level of support required. Approval for NHTD services is subject to the assessment results and the availability of waiver slots within the program.

It's important to note that eligibility criteria may vary slightly from state to state, as each state administers its Medicaid program and waiver services. Additionally, there may be waiting lists for NHTD services due to high demand and limited funding. Therefore, it's advisable to contact your state's Medicaid office or a local Aging and Disability Resource Center (ADRC) for detailed information on NHTD eligibility and the application process.

For more information on NHTD eligibility and how to apply for services, contact us today.

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