NHTD & TBI Waiver Management. One Platform. Zero Workarounds.
Home Health Diary is Medicaid waiver software built specifically for New York NHTD and TBI waiver agencies, not generic home care software. It brings your agency’s core workflows into one connected platform, helping teams manage participant documentation, service coordination, compliance requirements, and operational deadlines more efficiently.
From ISP and RSP tracking to RRDC-related workflows, ISR collection, PPO updates, PRI/SCREEN renewal tracking, digital signatures, and service documentation, Home Health Diary helps your team keep critical information organized and accessible in one place.
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Complete Support for Every Part of Your Waiver Workflow
Most home care platforms are built for large hospital systems. Home Health Diary is designed specifically for NHTD and TBI waiver providers, supporting ISP/RSP cycles, RRDC submissions, ISR collection, PPO updates, and vendor hold prevention.
Need a workflow that's unique to your agency? We can customize the platform with agency-specific features, forms, and integrations to fit your Medicaid waiver processes.
Request a ModificationWrite Compliant NHTD & TBI Notes Faster With AI
Unlike CareSmartz360 or Brebo, our AI is trained around NHTD and TBI waiver service types, not generic homecare templates.
Save SC, PBIS, CIC & ILST Notes in Minutes
The built-in AI editor supports every waiver service type. SC visit notes, ISP/RSP updates, PBIS session logs, CIC counseling records, and ILST goal notes. The AI structures the note for that exact service type. Every required RRDC field including goal language, service hours, and supervisor approval fields is captured automatically.
AI That Learns Every Participant
Home Health Diary remembers every participant. Diagnosis, active service plan, goals, PPO status, PRI/SCREEN expiration dates, and past notes are stored and recalled automatically. When a coordinator opens a new note, the AI pre-fills relevant context from previous sessions. The 12th note is faster than the first.
Every Document Your Agency Needs, In One Place
Home Health Diary covers every documentation requirement for NHTD and TBI waiver coordination, monthly visit notes, service plans, incident reports, and compliance tracking. All in one place.
Monthly Visit Notes
Create and store monthly visit notes per participant. Track note status across your full caseload from one dashboard. Know exactly which notes are current and which need attention.
Monthly30-Day Team Meeting Notes
Document team meeting decisions, action items, and follow-ups. Tied directly to the participant profile. Nothing gets lost after the meeting ends.
Team Meetings6-Month Team Meeting Notes
Record semi-annual meeting notes with structured fields. Goals, service updates, and participant progress are all captured in the right format for RRDC review.
Team MeetingsISR Individual Service Report
Complete ISR documentation for NHTD and TBI participants. Structured forms capture every required field. Every ISR is date-stamped and tied to the participant's RSP timeline.
NHTD & TBISRI Serious Recordable Incidents
Record SRIs with date, type, description, and follow-up fields. Stored securely in the participant record. Retrievable instantly during any DOH or RRDC review.
Incident ReportingService Plan Writer
Build complete RSPs directly inside Home Health Diary. Full version history ensures your team always submits the approved copy. AI drafts plans aligned with RRDC approval standards.
AI-AssistedCollect E-Signatures Without the Paper
Missed signatures are a top reason RSPs miss the 60-day deadline. Home Health Diary fixes this. Participants, family members, providers, and authorized POAs sign directly inside the platform. Supervisors review and approve without leaving the system. No printing. No scanning. No third-party tools. Every signature is time-stamped and permanently stored with the participant file.
- Participant signatures
- Family member signatures
- POA (Power of Attorney) signatures
HIPAA-Compliant Cloud Storage
All records are stored on Amazon Web Services S3. The same infrastructure used by major US healthcare systems. Your data is encrypted at rest, backed up automatically, and accessible only to your authorized team. Every RRDC document, signature, and participant record is retrievable in seconds not minutes.
- AWS S3 encrypted cloud storage
- Automatic backups
- Role-based access control
Every Tool Your Homecare Agency Needs, Nothing You Don't
AI Note Editor
Waiver-specific AI for SC, PBIS, CIC, and ILST notes. Suggests compliant language. Structures notes by service type. Cuts documentation time significantly.
AIAI Participant Memory
Learn service history, goals, and past notes per participant. Every new session starts with the full context already loaded.
AIService Hour Tracking
Live caps CIC, PBIS, ILST, and Respite. Automatic alerts before any limit is reached. Accurate data for eMedNY billing claims.
Hour ManagementCaseload Dashboard
Real-time view of every participant, note status, hour balances, active services, ISR status, and RSP deadlines.
OperationsPBIS Plan Management
Behavioral treatment plans stored in participant profiles. Linked to session notes and supervisor digital approval workflows.
PBISUAS Goal Tracking (ILST)
Every ILST session note linked to UAS-NY goals. ADL and IADL progress tracked alongside session hours. Always billing-ready.
ILSTRRDC Record Storage
AT authorizations, E-mod approvals, over-limit requests, Notice of Decision records, and PRI/SCREEN files are date-stamped.
DocumentationModification Budget Tracking
E-mods and V-mods tracked with full RRDC documentation, contractor records, and authorization history.
ModificationsVisit Verification (GPS Photo Check-In)
Geo-tagged photos captured via mobile app. Linked directly to the monthly visit note with timestamped proof.
Visit VerificationWhy NHTD & TBI Agencies Switch to Home Health Diary
Most home care software focuses on scheduling and billing. Home Health Diary is built specifically for New York NHTD & TBI agencies, with ISP/RSP tracking, RRDC workflows, ISR collection, PPO management, PRI/SCREEN reminders, and service-specific documentation, all in one compliant platform.
| Feature | Generic Home Care Software | Home Health Diary |
|---|---|---|
| Home care Scheduling & Billing | ✓ | × |
| EVV & Caregiver Management | ✓ | ✓ (where applicable) |
| NHTD/TBI Waiver Compliance | × | ✓ |
| ISP/RSP Lifecycle Management | × | ✓ |
| RRDC Submissions | × | ✓ |
| ISR Collection | × | ✓ |
| PPO Management | × | ✓ |
| PRI/SCREEN Reminders | × | ✓ |
| PBIS Documentation | × | ✓ |
| ILST Documentation | × | ✓ |
| CIC Documentation | × | ✓ |
| Service Coordination Workflows | × | ✓ |
| Waiver-Specific AI Notes | × | ✓ |
See Exactly How Home Health Diary Handle Your Agency's Compliance
Book a 30-minute demo. We cover ISP/RSP Documentation, Deadline Tracking, ISR collection, Digital Signatures, PPO updates, PRI/SCREEN renewals, and every compliance tool for NHTD and TBI agencies in New York.
Schedule a Demo →Frequently Asked Questions
Everything you need to know about our pricing.
Medicaid waiver software is a documentation and compliance platform built for agencies delivering Medicaid waiver services. Home Health Diary is purpose-built for New York's NHTD and TBI waivers, covering ISP/RSP cycles, RRDC submissions, ISR collection, PPO updates, and PRI/SCREEN renewals, rather than generic home care or EHR workflows.
Those platforms are built for large hospital systems or general home care. None of them track ISP/RSP deadlines, automate ISR collection, or alert before vendor-hold risk the way Home Health Diary does. Every module maps directly to NHTD/TBI waiver workflows.
Monthly visit notes, 30-day and 6-month team meeting notes, ISRs (Individual Service Reports), SRIs (Serious Recordable Incidents), and a Revised Service Plan Writer, each structured with the required RRDC fields for NHTD and TBI participants.
Yes. All records are stored on AWS S3 with encryption at rest and in transit, role-based access control, automatic backups, and complete audit logs on every action.
Yes. Home Health Diary is custom-built and can be modified, agencies submit platform modification requests and our development team builds them in, making it a long-term partner rather than a fixed vendor product.
Yes. Session hours and service notes are tracked accurately for eMedNY claims, with live hour balances that help prevent overages before they affect billing.
Yes, all records use AWS S3 encrypted cloud storage. Access is limited through role-based permissions.
Yes, all records use AWS S3 encrypted cloud storage. Access is limited through role-based permissions.
