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Traumatic Brain Injury Waiver

Generated from the gc-benefits catalog. It lists what the owner record states. It is not an eligibility decision; confirm current rules with the program.

The waiver provides Medicaid-funded services to help persons with a traumatic brain injury live in the community setting of their choice. Respite Services provide relief to informal, non-paid supports, such as family and friends, who help with primary care and support.

  • Owner record: ny/traumatic-brain-injury-waiver
  • Jurisdiction code: NY
  • Frame: care_recipient
  • Review by: 2026-11-11
  • Also called: TBI Waiver; TBI Medicaid Waiver

Offering 1: home_and_community_care

Medicaid-funded waiver services, provided according to an approved service plan, help eligible people with traumatic brain injury live safely in the community. Services include Home and Community Support Services and Respite Services.

  • Availability (owner codes): {"checked": null, "intake": "unknown", "type": "unknown"}
  • Amounts (as stated by the owner): []

Conditions:

  • All of these:
  • Fact rule: recipient.medicaid_eligible is true
  • Fact rule: recipient.nursing_facility_level_of_care is true
  • Fact rule: recipient.age ≥ 18
  • Fact rule: recipient.age ≤ 64
  • Stated condition, not checked automatically: "at the time you apply for waiver services"
  • Stated condition, not checked automatically: "injured after the age of 18."
  • Stated condition, not checked automatically: "Have a primary diagnosis of TBI or similar non-degenerative condition that results in deficits similar to a TBI such as stroke, or anoxia (oxygen supply loss);"
  • Stated condition, not checked automatically: "Choose to live in the community rather than in a nursing facility;"
  • Stated condition, not checked automatically: "Have an approved plan of available services that reflects the services you need in order for you to live safely in the community."

Access route 1.1

  • Where: NY
  • How: For information about the waiver, call the Regional Resource Development Center (RRDC) serving the county where you wish to receive services, or the New York State Department of Health TBI Medicaid Waiver Program.
  • Url: https://www.health.ny.gov/health_care/medicaid/program/longterm/tbi
  • Phone: 518-474-5271

Evidence

  • /name: "# Traumatic Brain Injury Waiver" (source, capture 2bc04e221fcdff8d2a4fef3f34b626726e3ec13a240a3aa59440afb13406bc7a)
  • /caregiving_effect: "Injury (TBI) waiver program provides services to persons with a TBI. " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /caregiving_effect: "The purpose of the program is to help persons with a TBI live in the " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /caregiving_effect: "community setting of their choice. Medicaid funds the program. " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /caregiving_effect: "Respite Services provide relief to informal, non-paid supports, such as " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /caregiving_effect: "family and friends, who help you with primary care and support. These " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/summary: "* For individuals with Traumatic Brain Injury (HCBS/TBI)\n* One component of a comprehensive strategy developed by the NYS Department of Health to prevent unnecessary entrances into nursing homes and to help individuals leave nursing homes to live in the community\n* Provides 11 Medicaid-funded services needed to assist participants to live in community-based settings and achieve maximum independence; services are used in combination with existing Medicaid services\n* Participants may be eligible for rent subsidies and housing supports and limited one-time payment for furniture and household supplies.\n* Each recipient must be given the choice of living in the community or in a nursing facility, and – if choosing the community – a living arrangement that can meet his or her needs." (source, capture 2bc04e221fcdff8d2a4fef3f34b626726e3ec13a240a3aa59440afb13406bc7a)
  • /offerings/0/summary: "• Have an approved plan of available services that reflects the " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/summary: "services you need in order for you to live safely in the community. " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/summary: "• Home and Community Support Services; " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/summary: "• Respite Care; " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Be a Medicaid recipient; " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Be assessed to need nursing home level of care; and " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Be between 18 and 64 years old at the time you apply for waiver " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "* diagnosed with TBI or a related condition,\n* eligible for nursing facility level of care,\n* enrolled in the Medicaid program, and\n* between 18 and 64 years of age, and injured after the age of 18." (source, capture 2bc04e221fcdff8d2a4fef3f34b626726e3ec13a240a3aa59440afb13406bc7a)
  • /offerings/0/rules: "services 1;" (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Have a primary diagnosis of TBI or similar non-degenerative " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "condition that results in deficits similar to a TBI such as stroke, " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "or anoxia (oxygen supply loss); " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Choose to live in the community rather than in a nursing facility; " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "• Have an approved plan of available services that reflects the " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/rules: "services you need in order for you to live safely in the community. " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/access: "information about the TBI Medicaid Waiver, call the office listed below that " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/access: "corresponds to the county you wish to receive services or the New York " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)
  • /offerings/0/access: "State Department of Health, TBI Medicaid Waiver Program at 518-474-5271. " (source, capture 56c766ea9cdd98f2b8597e4cf311f429c1337f92dddd02ba0e5d909fb811312e)