Nursing Home Transitionion & Diversion Waiver (DOH)

The Nursing Home Transition and Diversion (NHTD) program uses Medicaid funding to assist individuals with disabilities avoid placement in a nursing home or moving from a nursing home back into a place of their own while maintaining the services needed for good health and an active life.

The goal of the program is to foster greater community inclusion, self-reliance and independence.

EPI offers Nursing Home Transition and Diversion services to adults, 18 years of age or older, with disabilities who are Medicaid recipients and are eligible for nursing home level assistance.

A nursing home level of care might include the inability of a person to complete daily living activities; a cognitive impairment caused by a disease, an accident or stroke; medical needs, such as help with injections or catheters; or behavioral problems, such as dementia or aggressive behavior.

The Nursing Home Transition and Diversion program provides individuals with an array of support services necessary to continue an independent life at home.  At EPI, we tailor each service plan to meet the individual’s strengths, capabilities, interests and needs while providing medical support, counseling and skills training.  

We offer a comprehensive array of services including: Community Integration Counseling, Structure Day/Evening Program, Independent Living Skills Training, Home Health Aide and Companion Care, Environmental Modification and Assistive Technology. [LINKS] For more information, contact us today at or (585) 442-4430.


We are here to help. Get in touch with us if you have questions, need assistance or more information.


Phone (585) 442-6420