NHTD Waiver in 2026: What Every NY Caregiver and Family Needs to Know
New York's NHTD Waiver program supports over 5,000 adults with physical disabilities annually. Here is what changed in 2026 and what it means for caregivers working in the program.
The NHTD (Nursing Home Transition and Diversion) Waiver continues to be one of New York's most important Medicaid home-and-community-based programs for adults with physical disabilities.
What the NHTD Waiver Covers
The waiver allows individuals who would otherwise require nursing home care to receive services at home. This includes personal care, home health aide services, respite care, home modifications, and community integration services.
What Changed in 2026
The New York State Department of Health expanded the program's income eligibility threshold and streamlined the assessment process, reducing wait times from 90+ days to under 45 days in most counties. Monroe County and the five NYC boroughs saw the largest capacity expansions.
What This Means for Caregivers
More approved clients means more open caregiver positions. If you hold an HHA or PCA certificate and want to work under the NHTD Waiver, now is the right time to join a LHCSA (Licensed Home Care Services Agency) like Priority Cares.
How to Get Certified
HHA certification requires 75 hours of training through a state-approved program. Many training providers offer free programs for new caregivers in NYC. After completion, you can start earning $18–22/hr working under the NHTD Waiver program.