New York Releases RFA to Administer NHTD, TBI HCBS Waiver Services
The Situation Report | February 24, 2025
The New York State Department of Health (DOH) recently released a request for applications (RFA) seeking applications from potential regional resource development centers (RRDCs) to administer services available through the Nursing Home Transition and Diversion (NHTD) and Traumatic Brain Injury (TBI) home and community-based services Medicaid 1915c waivers. The NHTD and the TBI 1915c waivers provide a community-based alternative for eligible adults who require an institutional level of care but have chosen to receive care in their homes. The two waivers enroll individuals eighteen (18) years of age or older, who, considered as an aggregate group, can be served appropriately and at less cost than institutional care in a community setting.
The NHTD and TBI waiver programs are designed and implemented to reduce the incidence of unnecessary institutionalization through:
Transition - Assisting eligible individuals currently living in nursing homes to move to appropriate community-based settings.
Diversion - Preventing in-state and out-of-state facility placements through development of community based services and supports for waiver eligible individuals.
DOH seeks to contract with not-for-profit agencies to manage between one and nine of the geographical regions designated in the RFA. Only one (1) application per region per Applicant is allowed. Waiver providers are not allowed. Applicants may seek to serve more than one region. Applicant cannot be a current Department enrolled provider of waiver services, subcorporation, foundation or any other legal entity under the control of a waiver service provider
agency. However, separate RRDC applications must be submitted for each regional award sought. The RRDC contracts will be awarded for nine (9) regions as: single or multiple region Grantees, or a single statewide Grantee covering all New York State counties.
There is nearly $65 million available over five years to support the RRDCs. Applications are due March 27, 2025 and contracts are expected to run from February 1, 2026, to January 31, 2031.
Questions Due: February 27, 2025 by 4:00 PM
Questions, Answers and Updates Posted (on or about): March 13, 2025 by 4:00 PM
Applications Due: March 27, 2025 by 4:00 PM
Questions can be directed to:
Thomas Rees
New York State Department of Health Office of Aging and Long-Term Care
One Commerce Plaza, Room 1610
Albany, NY 12210
Telephone: 518-474-5271