People First Care Coordination

New York

~~“Effective July 1, 2018, New York State will initiate the transition of the State’s system of services for individuals with intellectual and/or developmental disabilities (“I/DD” or “individual(s)”) from Plan of Care Support Services (PCSS) and State Plan Medicaid Service Coordination (MSC) to Health Home Care Management and Basic Home and Community-Based Services (HCBS) Plan Support services.

There will be a one-year transition period from July 1, 2018 through June 30, 2019 (“transition period”). During this transition period, both Individualized Service Plans (ISPs) and/or Life Plans may be in effect throughout the OPWDD service system. 
 
An individual’s ISP, created prior to July 1, 2018, will remain in effect until that individual’s Life Plan is developed and implemented. An individual’s ISP must be converted into a Life Plan pursuant to the requirements in the Care Coordination Organization/Health Home (CCO/HH) Provider Policy Guidance and Manual. While the annual plan review date will typically correspond to the date of transition to the Life Plan, there may be instances where the dates do not correspond.  However, all ISPs must be transitioned to Life Plans on or before June 30, 2019, as outlined in the Care Coordination Organization/Health Home (CCO/HH) Provider Policy Guidance and Manual."
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State Policies & Initiatives: 
Medicaid & Employment
Systems: 
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics: 
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships
Date Enacted: 
07/01/2018
CITATIONS: