Positive Behavioral Interventions and Supports (PBIS) Software

PBIS Documentation Software for NHTD & TBI Waiver Agencies in New York

Home Health Diary is PBIS software built for NHTD waiver agencies in New York. Our Medicaid PBIS software keeps every participant's behavioral records organized, compliant, and ready for RRDC review without spreadsheets or manual follow-up.

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PBIS Documentation Software
✓ Audit Ready
RRDC Compliant

What is PBIS Under the NHTD Waiver?

Positive Behavioral Interventions and Supports (PBIS) services are individually designed and delivered to waiver participants who have significant behavioral difficulties that affect their ability to remain in the community.

PBIS is provided in the environment where the behavior occurs. Every PBIS session must be documented against the participant's Detailed Behavioral Treatment Plan.

Session notes must capture behaviors addressed, strategies used, and progress toward plan goals. Without accurate records, over-limit RRDC requests are denied, and agencies face serious compliance risk.

Behavior Support Plans Treatment Plan Goal Monitoring Behavior Progress Tracking Medicaid Billing Documentation

PBIS Service Parameters

Every PBIS provider must stay within the following NY DOH-approved service limits. Home Health Diary tracks all four automatically per participant.

240

hrs/year

Annual PBIS service hours per participant. RRDC approval is required to exceed this limit.

Annual Cap
8

hrs/day

Maximum PBIS service hours per day, and Home Health Diary tracks daily totals automatically.

Daily Maximum
10

hrs/SP period

Maximum hours for the initial behavioral assessment. Tracks service delivery hours.

Initial Assessment

RRDC Approval Required

RRDC approval is required to exceed limits. Home Health Diary stores all RRDC authorization records.

Over-Limit Rule

What PBIS Services Include Under the NHTD Waiver

PBIS is a structured, multi-component service. Each element has documentation requirements your agency must meet to remain compliant.

Comprehensive Behavioral Assessment

A full behavioral assessment tied to the participant's diagnosis, environment, skills, and natural supports. Initial assessments may not exceed 10 hours. Home Health Diary tracks assessment and service hours separately.

Structured Behavioral Treatment Plan

A structured, Detailed Plan with specific, realistic goals usable by all providers and natural supports. The plan must be stored, version-controlled, and linked to every PBIS session note in the participant's record. Use Home Health Diary to track history.

Training of Family & Natural Supports

Training family members and other providers on the behavioral plan's principles and implementation. Training session hours count toward the 240-hour annual limit and must be documented as PBIS service hours. Home Health Diary tracks them automatically.

Regular Reassessments

Ongoing plan reviews to assess effectiveness and adjust goals as the participant's needs change. Home Health Diary sends reassessment reminders on schedule. Missed behavioral plan reviews put your agency out of compliance and put your RRDC relationship at risk.

Source: NYS DOH NHTD Medicaid Waiver Orientation Training, Unit 4
PBIS Documentation

How Home Health Diary Keeps Your PBIS Documentation Organized

As PBIS software for waiver agencies, we manage compliance.

Annual Hour Tracker

Every participant has a live balance. See hours used against the 240-hr annual cap. Use our PBIS data collection tools to track progress.

Daily Session Logging

Log PBIS sessions by participant and date. As behavior tracking software for home care, we track daily totals automatically.

Behavioral Treatment Plan Record

Store the Detailed Behavioral Treatment Plan and link it to session notes. Use our PBIS behavior plan builder to manage versions.

Initial Assessment Sub-Tracker

The initial behavioral assessment up to 10 hrs per service plan period is tracked separately so you always have a clear, accurate picture of time spent in assessment vs. service delivery.

Reassessment Reminders

Home Health Diary prompts your team when the plan is due for review. Keep documentation current without manual follow-up. Avoid compliance risks and RRDC issues.

RRDC Documentation Storage

Store RRDC documentation for additional hours. Approvals and records are tied to the participant's profile. Access them instantly during reviews.

AI-Assisted PBIS Note Writing AI-POWERED

Our Medicaid PBIS software includes a built-in AI editor that helps coordinators write PBIS session notes. The AI suggests language appropriate for behavioral support documentation and recalls each participant's history.

See How Home Health Diary Protects Your PBIS Program from Compliance Risk

Book a 30-minute demo. We'll walk through PBIS hour tracking, behavioral plan version control, reassessment reminders, and RRDC documentation storage, built specifically for NHTD and TBI waiver agencies.

PBIS FAQ's

Frequently Asked Questions

Everything you need to know about our pricing.

Positive Behavioral Interventions and Supports (PBIS) are individually designed services for waiver participants with significant behavioral difficulties, delivered in the environment where the behavior occurs. Every session must be documented against the participant's Detailed Behavioral Treatment Plan.

PBIS is capped at 240 hours per participant per year, with a maximum of 8 hours per day. The initial behavioral assessment may not exceed 10 hours per service plan period, and RRDC approval is required to exceed any limit. Home Health Diary tracks all four automatically.

Yes. Training family members and natural supports on the behavioral plan counts toward the 240-hour annual limit and must be documented as PBIS service hours. Home Health Diary logs training sessions with the same note structure as direct service.

It sends reassessment reminders on schedule, so plan reviews never slip. Missed behavioral plan reviews put your agency out of compliance and can put your RRDC relationship at risk this removes that manual follow-up.

Yes. Supervisor digital approval is built into the workflow and linked to each session note — no paper sign-offs and no approval delays.

Yes. The built-in AI editor suggests language appropriate for behavioral documentation behaviors addressed, strategies applied, and goal progress and recalls each participant's Behavioral Treatment Plan history automatically.

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