New York Traumatic Brain Injury Waiver, Medicaid, and Fair-Hearing Help
New York operates a Traumatic Brain Injury Medicaid Waiver for some eligible adults who need nursing-facility level of care and choose community living. This page separates the waiver route, complaint route, and Medicaid fair-hearing route.
Start here
If you need home or community support: open the official program links below and ask for the current application or assessment route.
If you already receive services: keep the service plan, assessment, and every written notice together.
If services were denied, reduced, delayed, suspended, or stopped: follow the notice and act before the deadline shown.
Official program and application route
The New York TBI Waiver overview lists current eligibility criteria and explains the role of the Regional Resource Development Specialist and service coordinator.
The TBI Program Manual contains official application, service-plan, rights, provider-selection, and complaint materials. Ask the regional program contact for the current packet and an accessible copy.
If you disagree with a decision
The New York Medicaid application and fair-hearing page lists telephone, fax, online, and mail routes that depend on which agency made the decision. The TBI complaint process lists regional complaint contacts and accommodation information. Follow the notice and ask about aid continuing immediately.
What to save
The exact decision, service, assessment, or accommodation requested.
Every notice, service plan, assessment, email, fax receipt, and call reference number.
The deadline and effective date printed on the notice.
How the decision affects safety, health, communication, mobility, work, or community living.
The name and contact information of every agency, plan, case manager, and representative involved.
Communication support
Ask for plain language, extra processing time during calls, written follow-up, an authorized representative, an interpreter, large print, audio, Braille, or another effective communication method. Put the request in writing when possible and keep a copy.
Official sources
Scope and safety
ABI Resources provides direct care services in Connecticut. This New York page is national informational content and does not claim that ABI Resources provides New York services or represents any government agency. Program rules and deadlines can change. Verify details with the agency and follow your written notice. This is general information, not medical or legal advice. Call 911 for an emergency. Call or text 988 for a suicide or mental-health crisis.
Reviewed: September 19, 2026.
