Nursing Home Transition and Diversion
The NHTD waiver program is a home and community-based program that helps New York ́s Medicaid-eligible seniors and people with physical disabilities receive comprehensive services they need while they live in a community-based setting, rather than in a nursing home, congregate care setting, or other institution.
The individual is the primary decision-maker and works in cooperation with providers to develop a Service Plan. This process leads to personal empowerment, increased independence, greater community inclusion, self- reliance, and meaningful productive activities.
It is a counseling service provided to the waiver participant who is coping with altered abilities and skills, a revision of long term expectations, or changes in roles in relation to significant others.
The need for CIC could occur at the time of transition from a nursing home or at various times during the participant`s involvement in the NHTD waiver. CIC services are primarily provided in one-to-one sessions. The counselor also works with a person’s other service providers to maximize the entire recovery process.
As a provider of service coordination, we assist individuals with program eligibility and potential enrollment. After a participant is enrolled, we assist them in gaining access to waiver and Medicaid State Plan services, as well as local, state, and nationally supported educational, vocational, social, and medical services. These services are organized using a service plan that aims to increase the waiver participant's independence, integration, and productivity while ensuring their health and well-being.
Our Agency will support the participant in acquiring and organizing the services required for their return to or continued residence in the community (preventing placement into a nursing or institutionalized facility).
The ILST (Independent Living Skills Training) program aims to support individuals with disabilities in achieving and maintaining an independent lifestyle in the community. The program focuses on helping participants acquire the necessary skills for recovery, which may have decreased or disappeared due to their disability. The ILST program assists people with disabilities in performing activities related to daily life (ADL) and instrumental activities related to daily life (IADL).
Personal Management: grooming, eating, health maintenance, safety, clothing coordination, and medication management
Home Management: sewing, cleaning, meal preparation, grocery planning, and minor home repair.
Communication: time management, phone usage, money management, writing, organization, and adaptive device usage
Information Access and Technology: using magnifiers, video magnification systems, low-vision devices, and adapting technology for the individual's use