Office for People With Developmental Disabilities

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Care Management Program Development

11/03/15

Over the past several years, OPWDD has received feedback from the people we support, their family members, providers and others about the need for more flexibility, innovation and customization in the planning of their services.  Building on the strengths of our system, and in response to this feedback, we have been working hard to build a more responsive and sustainable system that better meets people’s needs.

We are beginning the process of establishing the Specialized IDD Plans-Provider Led (SIPs-PL) which will provide comprehensive and coordinated care. Organizations that are interested in operating as a SIP-PL will be required to complete an application.  At this time, we are posting a draft requirements and standards document for stakeholder review and comment.  The draft document lays out the qualifications and requirements that SIPs-PL applicants must meet, while also defining the expectations of New York State regarding the operation of the SIP-PL.

We look forward to our continued collaboration with you, and view this process as the first step in establishing a person-centered, specialized managed care plan system designed for people with intellectual and developmental disabilities. With your support and insight, we can move into the future under a framework that offers more flexibility and choice and preserves the great gains made for New Yorkers with developmental disabilities over the past forty years. 

Comments on the draft requirements and standards document are due on or before October 3, 2018.  Please submit electronically to [email protected].

The draft Specialized IDD Plan-Provider Led (SIP-PL) draft requirements and standards document can be found at https://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/idd/draft_idd_1115_waiver.htm

Following recommendations from the Transformation Panel, OPWDD has already begun exploring managed care options that provide care coordination and service options for people with intellectual or developmental disabilities (I/DD) through two existing managed care model demonstrations that are available in parts of New York for people with I/DD: FIDA-IDD and PACE.

Fully Integrated Duals Advantage (FIDA-IDD)

FIDA-IDD, offered through Partner’s Health Plans, offers more coordinated care opportunities for people to direct their own services, be involved in care planning, and live independently in the community. FIDA-IDD is currently available in New York City, Long Island, Rockland and Westchester Counties.  

For more information on FIDA-IDD:
Download our brochure: 
Visit our FIDA-IDD webpage

Read about the successful experiences of people who are taking part in FIDA-IDD through Partner's Health Plans. http://phpcares.org/success-stories

Program of All-inclusive Care for the Elderly (PACE)

PACE is a managed long-term care health plan that provides all healthcare and other services needed for seniors to stay healthy and live in their community. This program for people who are 55 or older is now being piloted to include people with I/DD through ArchCare’s Senior Life Program.  ArchCare offers this PACE program in New York, Bronx and Staten Island boroughs.   For more information on PACE, download our brochure Managed Care-Understanding PACE

For more information on ArchCare’s Senior Life program, visit the ArchCare website. https://www.archcare.org/health-plans/senior-life