The purpose of this Administrative Memorandum is to update and revise the parameters, previously described in ADM #2019-02, under which the Office for People With Developmental Disabilities (OPWDD) permits Section 1915(c) Home and CommunityBased Services (HCBS) Waiver services to be delivered outside of New York State (NYS) or the United States. These revisions are retroactively applied to the date of the original ADM #2019-02, April 10, 2019.