Care Management
OPWDD offers two care management options provided by Care Coordination Organizations, Health Home Care Management and Basic Home and Community Based Services Plan Support.
People who live in the downstate region of New York State can also enroll in the FIDA-IDD program.
Survey for People with Developmental Disabilities and Family
OPWDD used a portion of the enhanced FMAP funding to evaluate New York State’s Care Coordination Organization (CCO) program for people with developmental disabilities. The evaluation will build on the results of OPWDD’s quality survey information, data sources and other qualitative and quantitative program information that the State already has available. The goal of the evaluation is to learn what parts of the program are working well and what areas could be improved.
If you are a person with lived disability experience (a person with a disability or the family member of a person with a disability) that interacts regularly with Care Coordination Organizations (CCOs) and care managers, we want your input. Please complete the online survey below before August 26, 2024.
To view the survey in a language other than English, go to the upper righthand corner of the survey and select the globe icon to view the available languages.
Health Home Care Management
Health Home Care Management services are provided by Care Coordination Organizations (CCOs) to assist people with developmental disabilities and their families in gaining access to services and supports appropriate to their needs. Health Home Care Management services are designed to:
- Provide comprehensive, person-centered care planning using a network of care managers and providers (team approach)
- Provide enhanced coordination and integration of primary and behavioral health services as well as access to medical and dental services
- Identify community based resources and make connections to community services and supports, housing, social services, and family services
- Use technology to link all services.
Care Management services are provided by qualified Care Managers who use a person-centered planning process in developing, implementing and maintaining a person’s Life Plan.
Basic Home and Community Based Services Plan Support
An alternative form of care management, which is also provided by Care Managers through the Care Coordination Organization is Basic Home and Community Based Services (HCBS) Plan Support. Basic HCBS Plan Support services is a very minimal coordination option and does not include coordination of health care or mental health services. It is important to note, with Basic HCBS Plan Support, your contact with the person coordinating your services will be limited.
FIDA-IDD
Another option for care management services is the Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities (FIDA-IDD).
The FIDA-IDD is a plan for adults with long-term care needs where you can receive both your Medicare and Medicaid benefits from one managed care plan.
To join the FIDA-IDD you must be:
- At least 21 years old
- A US Citizen or lawfully admitted to the United States
- Entitled to benefits under Medicare Part A and enrolled in Part B, eligible to enroll in Part D and eligible for full Medicaid benefits
- Eligible for OPWDD services
- Eligible for ICF level of care
- Live in New York City, Long Island, Rockland or Westchester County
The FIDA-IDD offers:
- Care management
- Primary care, specialist and hospital care
- Long-term supports and services
- Behavioral health
- Prescription and non-prescription drugs
- OPWDD services