Office for People With Developmental Disabilities

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Care at Home (CAH) Waiver


care at home - happy childOPWDD’s 1915c Home and Community-Based Services (HCBS) CAH Waiver provides services to children with developmental disabilities and complex medical conditions, living at home with their families.

Who is eligible for OPWDD’s CAH waiver?  

To be eligible, a child must meet all of the following requirements:

  • Be under 18 years of age
  • Have a developmental disability as defined by New York State’s Mental Hygiene Law
  • Demonstrate complex health care needs that are expected to continue for at least 12 months
  • Be eligible for the level of care provided by an intermediate care facility (ICF) for persons with developmental disabilities
  • Must live at home (not be in a hospital, skilled nursing facility, ICF/DD facility or other institution)
  • Have a Nursing assessment indicating that the child is able to be cared for at home if the proper services are provided
  • Be ineligible for Medicaid because of parental income and resources
  • Be able to be cared for at less cost in the family home than in an ICF/IID facility

What Services are available to a CAH child?

  • Case Management Services are provided to assist and enable the child and family to access the full range of available services and resources
  • Respite Services are available to provide the family time to meet its other obligations as well as attend to the needs of other children living in the family
  • Assistive Technologies (adaptive aids and devices, vehicle modifications) are available to increase, maintain, or improve the child’s functional capabilities
  • Environmental Modifications (Home Accessibility) are available to help a child live safely at home with independence and dignity

By enrollment in the CAH waiver program, the child will be eligible for Medicaid, and may qualify for certain State-plan non-waiver Medicaid funded services (i.e., State Plan nursing).   These services can make home care an option for children and their families. Although this Medicaid funding applies only to the child, it can be used to help cover the costs of caring for the child at home. 

For more information on the OPWDD CAH Waiver, contact the Local Developmental Disabilities Regional Office (DDRO) CAH Coordinator

Local Regional Office CAH Coordinator


Lynda Baum-Jakubiak, Statewide CAH Coordinator
(518) 474-6471
email: [email protected]  

General Questions can be directed to: 

[email protected] 

CAH Waiver Agreement Amendment 02 (effective 12/13/17) 

Approved by the Centers for Medicare and Medicaid Services (CMS) – 12/13/17

CAH Waiver Amendment 02

CAH Waiver Amendment 01  (superseded by Amendment 02)

Previous Waiver Agreement (superseded by Amendment 01) 

Approved by the Centers for Medicare and Medicaid Services (CMS) - 1/20/17

CAH Waiver Final 1-20-17

February 3, 2017: CAH Provider WebEx 


Questions and Answers   

February 16, 2017: CAH Families Session 


Questions and Answers

CAH Provider Guidance 

Billing Guidance for Case Management Services Beginning April 1, 2017

CAH Manual 



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