Definitions
NHTD Waiver Age Consideration
eligibility criteria state that participants must be Medicaid recipients aged between 18 and 64 with a physical disability, or individuals aged 65 and above
The Application Process for NHTD Waiver must involve?
This process involves the submission of an application packet, the development of an initial service plan, and an assessment of community suitability.
NHTD
Nursing Home Transition/Diversion Waiver
Valid documentation of a physical disability
hose seeking participation in the program must provide verification of their physical disability through documentation from healthcare providers or social services.
What is an initial service plan?
It is a crucial component of the application process, as it demonstrates the specific needs and goals of the participant in relation to community-based care
RRDC
Regional Resource Development Center
who collaborates to create the service plan?
The initial service plan is a collaborative effort between the applicant, their designated service coordinator, and healthcare providers.
TBI
TRAUMATIC BRAIN INJURY
Why is community suitability so important?
the determination of community suitability plays a vital role in ensuring that participants can effectively transition from institutional care to community living while receiving the appropriate level of support and services tailored to their unique needs and circumstances.
HCBS
Home and Community Based Services (HCBS) Settings Rule issued by CMS in 2014. This rule emphasizes the importance of integration, access to community life, choice, autonomy
Time frame for participant approval
The Regional Resource Development Center (RRDC) oversees this process and conducts an intake meeting to assess eligibility within 30 days from the referral to the RRDC. While the actual timeframe for approval can vary based on individual circumstances, it typically takes approximately 2-4 months for those with a residence, sufficient informal supports, and a Service Coordinator in place.
CMS
Centers for Medicare and Medicaid Services