diff --git a/vllm/model_executor/models/nemotron_h_mtp.py b/vllm/model_executor/models/nemotron_h_mtp.py
index bd4b908dc6..f52587ae81 100644
--- a/vllm/model_executor/models/nemotron_h_mtp.py
+++ b/vllm/model_executor/models/nemotron_h_mtp.py
@@ -216,7 +216,7 @@ class NemotronHMultiTokenPredictor(nn.Module):
     def __init__(self, *, vllm_config: VllmConfig, prefix: str = ""):
         super().__init__()
 
-        config = vllm_config.model_config.hf_config
+        config = vllm_config.model_config.hf_config.get_text_config()
 
         self.config = config
         self.vocab_size = config.vocab_size
@@ -322,7 +322,7 @@ class NemotronHMTP(nn.Module, SupportsPP):
 
     def __init__(self, *, vllm_config: VllmConfig, prefix: str = ""):
         super().__init__()
-        config = vllm_config.model_config.hf_config
+        config = vllm_config.model_config.hf_config.get_text_config()
         self.vllm_config = vllm_config
         self.config = config
         self.quant_config = vllm_config.quant_config
@@ -414,6 +414,10 @@ class NemotronHMTP(nn.Module, SupportsPP):
         loaded_params: set[str] = set()
 
         for name, loaded_weight in weights:
+            # MTP weights are nested in "language_model."
+            # in Multimodal Nemotron-H checkpoints.
+            name = name.removeprefix("language_model.")
+
             # Only process MTP weights - skip all non-MTP weights
             if not name.startswith("mtp.") and "embeddings" not in name:
                 continue
diff --git a/vllm/v1/spec_decode/llm_base_proposer.py b/vllm/v1/spec_decode/llm_base_proposer.py
index 7a67a00084..0eaba01294 100644
--- a/vllm/v1/spec_decode/llm_base_proposer.py
+++ b/vllm/v1/spec_decode/llm_base_proposer.py
@@ -1403,6 +1403,10 @@ class SpecDecodeBaseProposer:
                 self.model.config.image_token_index = (
                     target_model.config.media_placeholder_token_id
                 )
+            elif self.get_model_name(target_model) == "NemotronH_Nano_VL_V2":
+                self.model.config.image_token_index = (
+                    target_model.config.img_context_token_id
+                )
             else:
                 self.model.config.image_token_index = (
                     target_model.config.image_token_index