Nursing Home Transition and Diversion Waiver

Program Information

Nursing Home Transition and Diversion Waiver is one of the options available to individuals with disabilities to receive comprehensive services in their home and community rather than in an institution. The program provides supports and services to assist these individuals towards inclusion in the community. Program participants may come from a nursing facility (transition) or choose to participate in the waiver to prevent placement into nursing facility (diversion). 

  • Be enrolled in NYS Medicaid
  • Be between ages of 18 and 64 with a physical disability or be age 65 and older upon application to the waiver
  • Be assessed to be in need of a nursing facility level of care
  • Choose to participate in services through the NHTD Waiver


Service Coordination is a person-centered program provided by qualified personnel for individuals served. Our highly educated and experienced Service Coordinators assist consumers in exploring and securing supports and services that best meet their needs and desires while allowing consumers to live as independently and productively as possible. In addition, Service Coordinators assist in the development, implementation, and monitoring consumer's Service Plan (SP). 

The Service Coordinator works in partnership with consumers and acts as an "advocate" and a "service broker" guiding them in negotiating the complex health care and service system. Service Coordinators also assist consumers in improving their functional independence by identifying and accessing community resources (e.g., finances, home care, transportation, vocational, mental health and other community based services) that can meet their environmental, personal, or interpersonal needs. 

At Halo, our Service Coordinators coordinate assessments, make referrals, provide information regarding benefits and entitlements, monitor, and maintain most services/supports as they apply to the consumers.


Individuals will have access to professionals, skilled and knowledgeable in providing supportive and clinical interventions. Halo Network professionals will provide 1:1 services at the individual’s home. The social worker will address the consumer's emotional response and reaction to the current abilities and other personal or social problems.


The Independent Living Skills Training Program is designed to assist program participants in gaining the necessary skill to live independently. ILST staff members meet regularly with the participants to assist them with their daily living skills. Participants are trained by the staff on a range of skills including mobility training, grocery shopping, budgeting, safe community travel, handling finances, setting of medical appointments, and living arrangements. Our ILST staff assists the participants in developing their social skill as well as their ability to identify and make use of natural supports and community resources.


CTS provides funding for the reasonable costs of one-time set-up expenses for individuals transitioning from a nursing home to their own home or apartment in the community. Reasonable costs are defined as necessary expenses for an individual to establish the participant’s living space.


Moving Assistance is an individually designed service intended to transport a waiver participant's possessions and furnishings. This service can be used when the waiver participant must be moved from their previous residence to a preferred living option that adequately meets the waiver participant's needs and alleviates the risk of unwanted nursing home placement.


Environmental Modifications (E-mods) are internal and external physical adaptations to the home, which are necessary to ensure the health, welfare and safety of the waiver participant. These modifications enable the waiver participant to function with greater independence and prevent institutionalization.

Halo Network, Inc provide Home modifications, adaptations and repairs to ensure participants safety in their own home. The goal of the service is to provide participants with a greater level of independence allowing them to live at home with increased accessibility and comfort.

E-mods in the home include the purchase and/or installation of:

  • Ramps
  • Lifts: hydraulic, manual or electric, for porch, bathroom or stairs (Lifts may also be rented if it is determined that this is more cost-effective.)
  • Widened doorways and hallways
  • Hand rails and grab bars
  • Automatic or manual door openers and doorbells

Bathroom and kitchen modifications, additions or adjustments to allow accessibility or improved functioning, include:
  • Roll-in showers
  • Sinks and tubs
  • Water faucet controls
  • Plumbing adaptations to allow for cutouts, toilet/sink adaptations
  • Turnaround space changes/adaptations
  • Worktables/work surface adaptations
  • Cabinet and shelving adaptations