Office for People With Developmental Disabilities

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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:

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:   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