Office for People With Developmental Disabilities

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ICF Transitions


OPWDD is committed to ensuring that each individual is supported to achieve his or her personal goals in the most integrated and person-centered manner as possible. The 1999 U.S. Supreme Court’s Olmstead decision supports this commitment by requiring that states support people with disabilities in the most integrated settings possible. For these reasons, OPWDD is transforming its service system, developing new ways to support individuals to experience greater independence and autonomy in how they live, work and enjoy their communities.  

OPWDD developed a plan for system transformation in partnership with the federal Centers for Medicare and Medicaid Services (CMS) and the NYS Department of Health. This Transformation Agreement is based on furthering OPWDD’s mission and vision for individuals with developmental disabilities through a service system that is more need-driven and person-centered, and which reduces OPWDD’s reliance on institutional models of care.  Within the Transformation Agreement is an ICF Transition Plan which would, over time, shift OPWDD’s reliance on the ICF institutional model of care to more integrated, community-based supports. Through the ICF Transition Plan, OPWDD will offer person centered, community based supports to individuals living in ICFs over the next several years through October 1, 2018.

OPWDD and provider agencies are now offering people with developmental disabilities who currently live in Intermediate Care Facilities (ICFs) the opportunity to be supported in more person-centered, integrated ways in community settings and to lead the planning that will determine the supports and services they receive. 

General Resources

Resources for Providers

ICF Transitions Updates