Traumatic Brain Injury Waiver: Understanding the Benefits

A traumatic brain injury (TBI) can dramatically change a person’s life. Fortunately, the TBI Waiver program helps individuals with brain injuries receive the care they need, right in their own homes and communities.

What Is the Traumatic Brain Injury Waiver?

The Traumatic Brain Injury (TBI) Waiver is a Medicaid-funded program under the 1915(c) Home and Community-Based Services (HCBS) Waiver, approved by the Centers for Medicare & Medicaid Services (CMS). This waiver provides eligible individuals with access to long-term care services outside of institutional settings like hospitals or nursing homes.

Who is Eligible for the TBI Waiver?

To qualify for the TBI Waiver, individuals must meet the following requirements:

• Be Medicaid eligible, meeting income and asset limits
• Have a documented diagnosis of traumatic or acquired brain injury
• Require a nursing home level of care (as determined by the UAS-NY assessment)
• Be able to live safely in the community with support
• Be between the ages of 18 and 64

Key Benefits of the TBI Waiver offered by Venture Forthe

The TBI Waiver provides a wide range of home and community-based services (HCSS) tailored to each person’s needs:

1. Home and Community Support Services (HCSS): Support with daily living activities like bathing, dressing, grooming, and meal preparation.
2. Structured Day Program (Available in Buffalo): Encourages socialization, creativity, and learning in a group setting with peers.

Why the TBI Waiver Matters

• Promotes independence and dignity
• Reduces reliance on institutional care
• Offers person-centered, customized support
• Eases the burden on family caregivers

How to Apply for the Traumatic Brain Injury Waiver

Venture Forthe is here to help. If you or a loved one may be eligible for the TBI Waiver, contact us today. Our team will guide you through the referral process and help submit the necessary paperwork.

The TBI Waiver offers life-changing support for individuals living with the effects of a brain injury. It’s not just about medical care—it’s about helping people thrive in their communities.

Take the first step—reach out to Venture Forthe today.