Services
NHTD AND TBI MEDICAID WAIVER PROGRAM ADMINISTERED BY THE NEW YORK STATE DEPARTMENT OF HEALTH
Nursing Home Transition Diversion (NHTD Program)
The NHTD waiver program uses Medicaid funding to provide supports and services to assist individuals with disabilities, traumatic brain injury, and seniors towards successful inclusion in the Community. Waiver participants may come from a nursing facility or other institution (transition) or choose to participate in the waiver program to prevent institutionalization (diversion).
Traumatic Brain Injury (TBI)
The Home and Community-Based Services Medicaid Waiver for Individuals with Traumatic Brain Injury (HCBS/TBI) is one component of a comprehensive strategy developed by the New York State Department of Health to assure that New Yorkers with traumatic brain injury may receive services within New York in the least restrictive setting
Service Coordination-Involves having a Nurse that coordinates all services to ensure your receive all services needed for you to be home safe
A manager of your services.
An aide that helps you live in your home by helping with personal care and reminders. This service has additional eligibility requirements.
A goal-oriented trainer who helps you develop skills to be more independent.
ILST is not intended to be long-term support.
Changes in your home to help you be more independent such as installing ramps or modifying bathrooms.
Equipment to help a person live at home and be more independent such as special cooking equipment.
A counselor to help you deal with the problems that brought you to the program.
A program you go to safely develop social skills and take part in activities.
A therapist who works with you to change things that you do that cause you and other problems.
Funds to help you set up a home after being in a Nursing Home.
PRI (Patient Review Instrument)
Description:
A Patient Review Instrument (PRI) is an assessment tool developed by the New York State Department of Health to assess selected physical, medical, and cognitive characteristics of nursing home residents, as well as to document selected services that they may receive. The PRI includes assessment items in each of the following general areas:
Administrative Data - used to identify and track both the resident being assessed (name, social security number, date of birth, etc.) and the facility in which the assessment takes place. The purpose of a Screen is to determine the patient's ability to return to the community or qualify for long term placement. You can find more information about PRI@ https://www.nyconnects.ny.gov/services/pri-patient-review-instrument-400
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The Uniform Assessment System
In 2013, the Office of Health Insurance Programs, Division of Long-Term Care, implemented the Uniform Assessment System for New York (UAS-NY). This comprehensive training program was designed as an assessment system within the state’s in-home and community-based long-term care services and programs.
Premier’s Utilization Review/Care Management Services Division provides delegated member assessment services (enrollment, reassessment, SCIC) on behalf of health plans for:
- Medicaid
- PACE
- MAP
- FIDA (dual eligible products)
- MLTC/MLTSS managed care programs
Premier maintains separate (and distinct from its traditional home care operations) specially trained RNs that have completed state specific assessment training to provide these services as well as Premier’s managed care and risk/quality score training. Complementing the RN field assessment staff is an in-house administrative team providing:
- Support
- Scheduling
- Quality audit
- IT
- Managed care program submission and reporting services
The RN assessors work in conjunction with health plan managers to develop the member person centered plan of care.
For more information about Premier Home Health Care Services, Inc., our health risk assessment process, or our adherence to the Uniform Assessment System, call 1-866-675-6807
Home is where you should be
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About Us
We are Social Workers
We are Certified Special Education Teachers
We are Certified Special Education Teachers
“Stepping into someone else’s shoes” and recognizing that experiences, perceptions, and worldviews are unique to each individual enables social workers to better understand and build stronger relationships with clients. It is a vital skill that helps social workers to determine a client’s needs based on his or her unique experiences in order to efficiently provide service
We are Certified Special Education Teachers
We are Certified Special Education Teachers
We are Certified Special Education Teachers
An effective special education teacher needs to have intuitive skills to sense underlying issues behind an individual's behavior, along with helping them as situations occur. Calming nature. ... Creating a safe environment
We are Registered Nurses
We are Registered Nurses
We are Registered Nurses
An effective nurse is caring, understanding, nonjudgmental, and has a strong ability to empathize with patients from all walks of life. Nurses are advocates for their patients
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We are Registered Nurses
We are Registered Nurses
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