The Home and Community-Based Services Nursing Home Transition and Diversion (NHTD) Medicaid waiver program provides supports and services to people with disabilities and the elderly who wish to continue living in their homes. 

Under the NHTD waiver, AIM provides Service Coordination, Community Integration Counseling, Positive Behavioral Interventions and Supports and Independent Living Skills Training. Our service coordinators can also arrange a wide array of other available services for participants in this program. 

AIM's NHTD program serves Allegany, Broome, Chemung, Chenango, Schuyler, Steuben and Tioga counties.

Services available through this program include: 

  • Service Coordination*
  • Community Integration Counseling*
  • Independent Living Skills Training*
  • Positive Behavioral Interventions and Supports*
  • Assistive technology
  • Community transitional services
  • Congregate and home-delivered meals
  • Environmental modifications
  • Home and community support services
  • Home visits by medical personnel
  • Moving assistance
  • Nutritional counseling/education services
  • Peer mentoring
  • Respiratory therapy
  • Respite services
  • Structured day programs
  • Wellness counseling

*AIM provides this service


  • Be capable of living in the community with assistance from available informal supports, non-Medicaid supports and/or Medicaid State Plan services and be in need of one or more waiver services
  • Be eligible for nursing-home level of care
  • Be authorized to receive Medicaid Community Based Long Term Care
  • Be at least 18 years of age or older
  • Be considered part of an aggregate group that can be cared for at less cost in the community than a similar group in a nursing home
  • Choose to live in the community as a participant in this waiver rather than in a nursing home, and not participate in another HCBS waiver

To watch an introductory video on the NHTD program, click here

For more information, contact Rhona Johnson, Director of NHTD and TBI Waiver Programs, at (607) 962-8225, ext. 228.