Medicaid Waiver Management Platform

NHTD & TBI Waiver Software Built for New York Agencies

Home Health Diary helps New York Medicaid waiver agencies simplify compliance and daily operations by streamlining Service Coordination, ILST, CIC, and PBIS workflows with automated ISP and RSP deadline tracking, ISR collection, e-signatures, and RRDC compliance management across all 9 New York RRDC regions.
Every ISP
RSP
and PPO tracked
Organized, and Deadline-Proof.
Documentation Status
Service Coordination — All monthly notes current
48 participants • 0 overdue
CIC Hours Tracked — 187 / 220 hrs used
3 participants • updated today
PBIS Sessions Logged — All notes up to date
12 participants • next review in 8 days

Know Every NHTD & TBI Service Hour Balance Before Your RRDC Review

Real-time tracking across CIC, PBIS, E-mods, and Respite. No spreadsheets. No billing surprises for your eMedNY claims.

220 hrs

CIC Annual Hours

Track every session against the annual limit, always know where you stand.

240 hrs

PBIS Annual Hours

Behavioral session hours tracked per participant, per service plan period

$45k

E-mods Budget / 36 Months

Environmental modification budgets tracked with RRDC documentation.

30 Days

Respite Services Cap

Respite days are tracked in 24-hour blocks across your full participant list.

Common Documentation Challenges

5 Documentation Challenges NHTD & TBI Waiver Agencies Face Daily

Managing ISP, RSP, ISR, and RRDC documentation across 10–17 participants per coordinator is genuinely hard. Home Health Diary solves each one.

Missing the ISP/RSP Deadline

Manual ISP/RSP tracking across large caseloads leads to missed 60 days deadlines, vendor holds, and lost Medicaid revenue.

Home Health Diary sends alerts at 60, 45, 30, and 15 days, giving your team a clear view of every participant status in one dashboard.

  • Pre-Participant Reminders
  • Caseload Overview
  • Due-Date Alerts

Tracking CIC Hour Limits

Tracking New York’s 220-hour annual cap and 4-hour weekly participant limits manually creates compliance risks and overages.

Home Health Diary shows live balances, weekly usage, and annual limits for every participant in one dashboard. Alerts fire before limits are reached, protecting your billing and RRDC standing.

  • Live Hour Balance
  • Weekly View
  • Annual Limit Awareness

PBIS Session Documentation

PBIS services require a Behavioral Treatment Plan, regular reassessments, and 240-hour annual tracking. Missed plan reviews increase RRDC audit risk.

Home Health Diary tracks PBIS session hours per participant and sends automated reminders for behavioral plan reviews, with digital supervisor approvals.

  • Session Hour Tracking
  • Plan Review Reminders
  • 240-Hr Awareness

ILST Sessions to UAS & ADL Goals

ILST sessions must align with UAS-NY Uniform Assessment System goals including ADL and IADL outcomes.

Home Health Diary links each ILST session note to UAS-NY goals while tracking ADL/IADL progress.

  • UAS Goal Linking
  • Session Logging
  • Progress Tracking

RRDC Documentation & PRI/SCREEN Expiration

NHTD & TBI services require RRDC approvals, AT authorizations, E-mod records, & valid PRI/SCREEN; expiration can interrupt services and trigger reportable incidents.

Home Health Diary stores all RRDC data per participant, including approvals, authorizations, and PRI/SCREEN files. AT authorizations and E-mod records are stored separately.

  • RRDC Record Storage
  • PRI/SCREEN Alerts
  • Easy Retrieval
BUILT-IN AI

AI Note Writing Built for NHTD & TBI Waiver Documentation

Home Health Diary includes AI trained on real waiver service types not generic healthcare. ISP goal language, RRDC field requirements, and NHTD/TBI program rules, not generic healthcare templates.

AI-Assisted Note Writing

Built-in AI editor supports all waiver services. SC notes, ISP/RSP updates, PBIS logs, CIC counseling, and ILST goals. Start typing.


The AI structures the note for that exact service type. Every required RRDC field is captured automatically.

Smart Suggestions Service-Specific Format Faster Every Time
Session Note Editor
Participant engaged in community integration activities...
AI suggests: “focusing on developing independent transportation skills and social interaction with community members”

AI That Remembers Your Participants

Home Health Diary remembers every participant's diagnosis, active service plan, ISP goals. PPO status, PRI/SCREEN dates, and past notes.


When a coordinator opens a new note, the AI pre-fills context from previous sessions automatically. The 12th note is faster than the first.

Participant Context History-Aware Improves With Every Session
AI Participant Context
Coordinator opens a new note for a returning participant..
AI suggests: Participant improving transportation and community engagement skills.

Our Coverage Across New York State

Western New York
Finger Lakes
Southern Tier
Central New York
North Country
Capital District
Hudson Valley
Long Island
New York City

RRDC Documentation, Organized and Accessible

Home Health Diary stores all RRDC-related documentation per participant approvals, authorization dates, and PRI/SCREEN files. Your team finds what they need in seconds, not minutes.

PROGRAM BUILT

Purpose-Built Software For NHTD & TBI Waiver Programs

Whether you manage NHTD, TBI, CMH, ABA, or multiple agencies, Home Health Diary is designed around your workflows, helping you simplify compliance, reduce administrative burden, and run operations more efficiently.

PBIS

Positive Behavioral Intervention & Support Software

Software built for NHTD and TBI waiver programs to manage behavior support plans, documentation, and compliance with ease.

  • Behavior Support Plan Templates
  • 240-hour session tracking with automated alerts
  • Supervisor approvals built into workflow
  • Audit-ready reporting for RRDC compliance
Explore PBIS Features →
ILST

Independent Living Skills Training Platform

Platform designed around UAS-NY goals to track ADL and IADL progress with clear, structured documentation for waiver programs.

  • UAS-NY Goal Alignment
  • ADL & IADL progress tracking for all participants
  • Session notes structured for eMedNY billing
  • Consistent, goal-linked documentation workflow
Learn About ILST →
CIC

Community Integration Counseling Management

Platform for managing CIC services with structured tracking of hours, goals, and participant progress for RRDC compliance.

  • 220-Hour Compliance Tracking
  • 4-hour weekly limit monitoring per participant
  • Goal setting and progress documentation
  • Real-time reporting for audit readiness
Discover CIC Tools →
QUICK IMPLEMENTATION PROCESS

Up and Running in 24 Hours

Perfect for startup NHTD/TBI Agencies and solo Service Coordinators starting from day one.

NHTD/TBI Agencies
24hr Setup
01

Onboard Your Agency

Create your account, add your staff, configure your service types. Our onboarding team guides you through a 1-hour call. No lengthy implementation like Netsmart.

02

Configure Your Services

Select your program types SC, PBIS, ILST, or CIC. Import participant data. Set your RRDC region and compliance deadlines.

03

Run Automated Operations

Deadline tracking runs automatically. Documentation templates are pre-built. Your team focuses on participants, not paperwork.

Ready to see the demo?

Contact us to get first insight of your customized Medicaid waiver software.

Contact Now! →
CLIENT SUCCESS STORIES

Built With Agencies. Trusted by Agencies.

The only customized platform that truly understands Medicaid Waiver workflows, PBIS documentation, compliance tracking, and agency operations.

Finally, Medicaid Waiver software that understands PBIS workflows. We cut documentation time by 60%, and our audit scores went from Good to Excellent in the first quarter.

MR

Maria R.

Clinical Director, Home Care Agency, NY

The visit tracking system paid for itself in the first month. No more missed check-ins, no more compliance calls from the state.

JT

James T.

Agency Operations Manager
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