Medicaid Home and Community-Based Services waivers for people with developmental disabilities in New York State

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Medicaid Home and Community-Based Services waivers for people with developmental disabilities in New York State are specialized Medicaid programs that fund supports and services enabling eligible individuals to live in community settings rather than institutional facilities.

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Statements (45)

Predicate Object
instanceOf Medicaid Home and Community-Based Services waiver program
disability services program
administeredBy New York State Office for People With Developmental Disabilities NERFINISHED
authorizedBy Section 1915(c) of the Social Security Act
eligibilityCriterion Medicaid financial eligibility
New York State residency
ability to be safely supported in a community setting with waiver services
diagnosis of developmental disability as defined by New York State
need for an intermediate care facility level of care or similar institutional level of care
excludesServiceSetting institutional facilities funded as intermediate care facilities for individuals with intellectual disabilities
fundedBy Medicaid NERFINISHED
governedBy New York State Medicaid State Plan and waiver agreements NERFINISHED
federal Medicaid HCBS regulations
hasCostControlMechanism federal cost neutrality requirement
service authorization limits
hasPurpose to provide alternatives to institutionalization
to support individuals with developmental disabilities to live in community settings
includesComponent care coordination or service coordination
operatesInJurisdiction New York State NERFINISHED
policyGoal to maintain individuals in the least restrictive environment appropriate to their needs
to promote choice and self-determination for people with developmental disabilities
providesServiceType assistive technology services
community habilitation
day habilitation
environmental modifications
family education and training
intensive behavioral services
plan of care support services
prevocational services
residential habilitation
respite services
supported employment services
regulatedBy Centers for Medicare & Medicaid Services NERFINISHED
requires individualized service planning process
person-centered service plan
provider enrollment as Medicaid HCBS waiver provider
requiresAssessmentBy New York State Office for People With Developmental Disabilities eligibility determination process
serviceSetting community-based settings
home-based settings
supports services delivered by OPWDD-certified providers
supportsOutcome community integration
independent living
reduced reliance on institutional facilities
targetPopulation Medicaid-eligible individuals who meet institutional level-of-care criteria
people with developmental disabilities

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OPWDD implementsProgram Medicaid Home and Community-Based Services waivers for people with developmental disabilities in New York State