The TBI Waiver is a Medicaid Home & Community Services program that supports adults with a traumatic brain injury who require support to remain independent, offering an alternative to an institutional setting for care.  The program is administered through a network of Regional Resources Development Centers that accept referrals, complete intakes, determine eligibility, and approved community-based service plans.   Liberty Resources is a recognized provider for the NYS Department of Health, Traumatic Brain Injury (TBI) Waiver Program and is an approved Licensed Home Care Service Agency (LHCSA).   

Eligibility for the TBI Waiver Program includes: 

• Be a Medicaid recipient 
• Be between 18 and 64 years old at the time you apply for waiver services 
• 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) 
• Be assessed to need nursing home level of care 

 Learn more about this program in the New York State Department of Health Traumatic Brain Injury Medicaid Waiver Program booklet. 

We also support individuals who choose to pay privately using alternative financial resources such as workers’ compensation settlements, long-term care insurance, or personal funds.  Choosing a private pay option offers you and your loved ones greater flexibility and control over services and the design of your care plan.  This approach allows services to be tailored to what matters most – supporting individual needs while aligning with personal goals.  

We understand that placing a value on care can be difficult. Our team is here to guide you with transparent pricing, information, and unlimited conversations so you can make informed decisions with confidence as you explore options for traumatic brain injury care.  

The Service Coordinator / Case Manager partners with the individual to develop a person-centered plan of care that reflects their goals, interests, and desired outcomes. They serve as an advocate, ensuring services are implemented as planned, and collaborate closely with providers to support coordinated, effective care.

Service Coordinators / Case Managers can help families navigate the system, coordinate assessments and services, advocate for the client, monitor the health and safety of the individual, and update the service plan as needs change.  They are often the primary point of contact for the families of individuals with traumatic brain injuries.

Independent Living Skills Training and Development (ILST) is designed to support individuals with TBI as they work towards greater independence in everyday life.  ILST services focus on building practical skills such as self-care, task completion, medication management, problem-solving, as well as household and money management. These services focus on building lasting skills and are intended to conclude once independence and confidence are established.

While ILST is a defined service under the New York State TBI Waiver, similar supports may also be available through private pay, allowing for flexibility in how and when services are accessed.

Structured Day Program (SDP) services are provided in a social setting – in our day program room on-site or out in the community.  Our program is designed to improve or maintain the individual’s skills and ability to live as independently as possible in the community. SDP groups emphasize basic work skills, problem-solving, communication, computer operation, cooking, and a wide range of other activities that work on promoting or sustaining one’s ability to be independent within their community.

Day program services are also available for private pay clients.  This may be well-suited for senior citizens experiencing memory concerns or individuals recovering from a stroke or other cognitive issues, offering structured support in a safe and independent environment.

Our Residential Services provide a safe and supportive home environment for individuals who have sustained a traumatic brain injury (TBI). Residents receive personalized support with activities of daily living, community integration, housekeeping tasks, and other personal care needs. Residences are close to community resources and our Structured Day Program, allowing for easy access to social, educational, and rehabilitation activities. Our specialists offer oversight and safety for individuals who require additional assistance, ensuring that every resident can live comfortably, confidently, and as independently as possible.

These services are available as private pay only.

Our Licensed Home Care Services provide personalized, in-home support for individuals with traumatic brain injury, helping them live safely, maintain independence, and stay connected to their community.  A Registered Nurse (RN) conducts an initial assessment to create a customized care plan tailored to each individual’s unique needs. Certified Personal Care Aides deliver the plan with ongoing RN supervision and monitoring, supporting individuals to live safely and comfortably at home. Following the LHCSA plan of care, aides help with meals, medication support, home care, errands, and other daily tasks—promoting independence while providing compassionate, personalized support.

These services are available under the TBI Waiver only.