B. Issues That Impact Eligibility

Federal policy prohibits participation in two HCBS waivers at the same time. Some examples of other HCBS waiver programs include:

  • Long Term Home Health Care Program (LTHHCP)
  • Office of Mental Retardation and Developmental Disabilities/Home and Community Based Services Waiver (OMRDD/HCBS)
  • Traumatic Brain Injury Program (TBI)

If an individual is already receiving services from one of these federal waiver programs and wishes to be considered for participation in the NHTD waiver program, he/she must be informed that if approved, they must be discontinued from their current program to participate in the NHTD waiver.

An individual currently residing in or planning to reside in a facility under the Assisted Living Program (ALP) is not eligible for the NHTD waiver.

In addition, Medicaid regulations will not allow for duplication of services. Therefore, individuals enrolled in a Managed Long Term Care Program (MLTC), a Program of all Inclusive Care for the Elderly (PACE) or receiving Comprehensive Medicaid Case Management (CMCM) through a targeted case management program are not eligible for the NHTD waiver unless they are disenrolled from these programs.