Office for People With Developmental Disabilities

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People First Care Coordination

Care coordination
People living their lives the way they want

People First Care Coordination 

"Putting People First" is OPWDD's guiding principle. It represents our ongoing commitment to ensuring that New Yorkers with intellectual and developmental disabilities get the high-quality, person-centered supports and services they want and need for a full and healthy life.

As people’s expectations and needs evolve, so must the coordination and delivery of their services and supports. With this goal in mind we are pleased to introduce a new approach called People First Care Coordination.

People First Care Coordination will combine services for developmental disabilities with health, wellness, or behavioral health services to create a single, integrated and individualized Life Plan.

Care Coordination Organizations – The Heart of People First Care Coordination

Currently, services for people with developmental disabilities are coordinated by Medicaid Service Coordinators (MSC).  The new era of People First Care Coordination will have as its foundation the creation of Care Coordination Organizations (CCOs).  CCOs will provide Health Homes Services.  CCOs coordinate a variety of healthcare, wellness and Developmental Disabilities (DD) services to achieve a holistic and integrated approach to meeting the full range of needs.  A specialized team, comprised of a Health Home Care Manager working together with other professionals will work with the people we serve and their families to plan, execute and monitor individualized Life Plans. 

The first step in the transition to People First Care Coordination is an application process. Read the Message to Providers from Acting Commissioner Delaney announcing People First Care.  

For Frequently Asked Questions on Care Coordination Organizations/Health Homes please visit:

https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/docs/frequently_asked_questions.pdf

To view our Regional Forum on People First Care Coordination please visit:
https://www.youtube.com/watch?v=Souxcs4zY5c&feature=youtu.be

Transition Plan for the 1115 Waiver Amendment for Individuals with Intellectual and/or Developmental Disabilities (I/DD) and Health Home services for individuals with I/DD 

With federal and state approval, beginning July 1, 2018, New York State will initiate the transformation of the State's system of services for people with intellectual and/or developmental disabilities (I/DD) with the transition to the 1115 Waiver and Health Home services for individuals with I/DD. The Final Draft Transition Plan lays out New York State’s path to a more flexible service system that is responsive to the changing needs of people with developmental disabilities and their families. The Transition Plan is required for our move to New York State’s 1115 Waiver, and for the development of Care Coordination Organizations which will provide Health Home Care Management services.

The Final Draft Transition Plan explaining the planned activities associated with this system transformation over a five-year period is now available at: https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_idd_1115_waiver.htm.

The Final Draft Waiver Transition Plan reflects comments received from stakeholders during the December 5, 2017 through January 5, 2018 public comment period.  Many clarifying changes were made to the Final Draft Transition Plan, based on stakeholder input, including:

  • The renaming of the Care Management opt-out option to “Basic HCBS Plan Support”;
  • An extended timeframe for completion of the initial Life Plan to align with each individual’s person centered review schedule; 
  • Modification to the Health Home Checklist to include a signature line for the individual, family member or guardian;
  • Clarification on the impact of children enrolled in OPWDD Care At Home (CAH) Waiver; and 
  • Additional detail surrounding Phase II & III implementation plans. 

A comprehensive summary of the 1115 Transition Plan Response to Public Comment document that includes the State’s response is available at:  https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_idd_1115_waiver.htm   This document will be submitted to the Centers for Medicare and Medicaid Services for review and final approval. 

A copy of the WebEx presentation that provided an overview of the 1115 Waiver Transition Plan can be accessed here.

Listen to the WebEx presentation here.

FAQs from the December Transition Plan Webinars Now Available