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Two Updates on the NHTD/TBI Waiver Programs

NHTD Draft Audit Protocols

Last week, the New York State Office of the Medicaid Inspector General (OMIG) sent LeadingAge NY a draft of the audit protocols for the Nursing Home Transition and Diversion (NHTD) Waiver program. We will be submitting our comments on the draft protocols before the deadline of Nov. 16th.

The 28 draft NHTD protocols are similar to the 29 Traumatic Brain Injury (TBI) Waiver program audit protocols, which were posted last July. The majority of the audit protocols center on whether staff were properly trained to provide the waiver services, components of the service plan, spend-downs, billing, and nursing visits.

Memorandum to New Waiver Service Providers

The Department of Health (DOH) has issued guidance about the effect of the recent Home and Community-Based Services (HCBS) final rule and services provided under the NHTD and TBI Waiver programs.

We have previously reported on this rule and its implications for home care, assisted living, managed care, and adult day health care programs.

Included in this recent DOH memo is a brief review of the final rule and a list of qualities that programs will be expected to demonstrate in order to receive HCBS Medicaid funding if “heightened scrutiny” is flagged. It states that if a new waiver service provider wants to offer services that are not fully integrated in the community using the criteria outlined in the memo, they will not be approved. Please review the memo if you are considering becoming a provider of waiver services.

For further information, please email nhtdwaiver@health.ny.gov or tbi@health.ny.gov, or call 518-474-5271.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871