Examining Managed Care

OPWDD has invested a portion of its American Rescue Plan Act funding into studying and exploring the potential effectiveness of a Managed Care payment model for developmental disabilities services in New York State.

The assessment will examine whether Managed Care or a different model can help OPWDD achieve its strategic goals of providing equitable access to high quality, person-centered, needs-based services. 

The Office for People With Developmental Disabilities has not made a decision on whether or not to utilize Managed Care to pay for HCBS waiver services outside of the existing demonstration plan (FIDA-IDD), at this time. The evaluation is one step toward helping OPWDD understand if Managed Care or other models would help better meet people’s needs. The results of the assessment will inform next steps which will include further opportunities for dialogue and engagement prior to any decisions being made.

read about the Managed Care Assessment in Plain Language


OPWDD retained Guidehouse, Inc. to conduct the Managed Care evaluation, and in December 2022, Guidehouse issued its initial report.

Guidehouse will continue to research and evaluate the option of  Managed Care and submit a final report to OPWDD in 2024.

Throughout Guidehouse’s assessment of Managed Care, there will be several opportunities for stakeholders to provide feedback, including stakeholder surveys, town hall meetings, and conversations with advisory boards.

Guidehouse Managed Care Assessment Plans

Managed Care Assessment Initial ReportDecember 2022
Examine Service Delivery Models across New York and other statesSpring/Summer 2023
Stakeholder Town Hall-Style Discussions

Service Providers and Care Coordination Organizations:

  • September 26, 2023, 1-2:30pm
  • September 28, 2023, 1-2:30pm

People with Developmental Disabilities and Families: 

  • October 2, 2023, 1-2:30pm
  • October 2, 2023, 6-7:30pm
  • October 6, 2023, 1-2:30pm
  • October 6, 2023, 6-7:30pm
  • October 10, 2023, 1-2:30pm
  • October 10, 2023, 6-7:30pm
Online SurveyDecember 1, 2023 - January 3, 2024
Final ReportSpring 2024


Several Stakeholder Town Hall-Style Discussions for people with developmental disabilities and their families were held in the fall of 2023. Both daytime and evening sessions were held to give ample opportunity for participation. 

October 2, 2023, 1-2:30 PM

October 2, 2023, 6-7:30 PM

October 6, 2023, 1-2:30 PM

October 6, 2023, 6-7:30 PM

October 10, 2023, 1-2:30 PM

October 10, 2023 6-7:30 PM


Presentation & Report

Guidehouse Managed Care Survey

As Guidehouse continues its work, it is offering two online surveys that will provide another opportunity for people with developmental disabilities, family members and service providers to provide input to the Managed Care study. The surveys will be open through January 3, 2024.  To preview the survey questions and take the surveys, visit the links below. 


Guidehouse Managed Care Provider Survey


Guidehouse Managed Care Individuals and Families Survey

Resources Provided to Guidehouse by OPWDD