SERVICES
Understanding the NHTD & TBI Programs
The Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) Medicaid Waiver Programs were designed to give people an alternative to nursing home placement.
These programs focus on community-based care, allowing individuals to receive services such as home care, therapy, and support while living at home.
Program Highlights & Benefits
Keeps individuals out of nursing homes whenever safely possible
Supports transitions from nursing homes back into the community
Provides individualized, person-centered care planning that may qualify more hours of care
Promotes independence, safety, and quality of life
Supports families with guidance, coordination, and advocacy
Covered by Medicaid for eligible participants

Who Qualifies?
Conditions That May Qualify for NHTD or TBI Programs
- Stroke
- Traumatic Brain Injury (TBI)
- Parkinson’s disease
- Multiple Sclerosis (MS)
- Alzheimer’s disease or other dementias
- Spinal cord injuries
- Neurological or neuromuscular conditions
- Chronic illnesses that impact daily functioning
Eligibility is determined individually and many families are surprised to learn they qualify.
What Align Does for You
- Education about program options and eligibility
- Step-by-step enrollment guidance
- Life planning and individualized Service Plans (ISPs)
- Coordinating approved waiver services
- Ongoing monitoring, advocacy, and support
You are never alone. We manage the system so you can focus on your loved one. Let us show you what community-based care can look like.

Who We Serve

Community & Healthcare Partners
We collaborate with:
- Hospitals and discharge planners
- Rehabilitation and skilled nursing facilities
- Social workers and care managers
- Home care agencies and insurance professionals

Families & Caregivers
We support families who are:
- Feeling overwhelmed by care decisions
- Facing pressure toward nursing home placement
- Trying to plan for long-term support at home
- Seeking guidance, advocacy, and peace of mind
Strong partnerships lead to smoother transitions and better outcomes.
Ready to take the first step?
Speak with a coordinator today to check eligibility and explore your options.
