Supporting People with Intellectual and Developmental Disabilities (I/DD) to Self-Direct their Services.

Prime Support recognizes the Office for People With Developmental Disabilities (OPWDD) initiatives of transforming its present congregated service system to a service model in which the people it serves with intellectual and developmental disabilities (I/DD) are able to readily gain accesses to Person-Centered and Self-Directed Services and supports that match their goals and needs.

 

Self-directed delivery model is an alternative to the traditional way of serving people with IDD and significantly reduces participants’ unmet personal needs. This model allows the participants a greater authority over both the employer and or the budget elements of their services. The Self-Direction Services Plan/Budget are funded by both Home and Community Based Services (HCBS) Waiver and NYS Funded Items in the Person’s Self-Directed Service Budget.

 

A person who chooses Self-Direction has three options for selecting the staff who will work with him or her:

 

1.      Agency Supported Self-Directed Services

2.      Self-Hired Staffing

3.      Direct Provider Purchased Services

 

OPWDD’s Developmental Disabilities Regional Offices (DDRO) are responsible for reviewing self-directed plans and approving only if the plans and supporting budget are compliant with the defined parameters of the services elements. 

 

Mission

Prime Support consistently supports individuals with intellectual and developmental disabilities and their families to determine their desired lifestyle, by selecting the right combination of services and supports.

 

Vision

Prime Support begins with a belief that individuals with intellectual and developmental disabilities, who are the most vulnerable in the community, have the potential for growth and personal development to maximize their opportunities regardless of disability at any age. With appropriated Support, they can align their preferences with available service opportunities.

Values

Indeed, communication nurtured between Prime Support and persons served and their families.

Competence: Every staff member is inspired to develop critical knowledge and skills needed, to provide high quality services and supports associated with individuals’ specific personal goals.

 

Compassion: Listening attentively to individuals’ ideas and concerns to achieve positive results.

 

Respect: Welcomes diversity; and respond with courtesy, clarity and accuracy to inquiries from individuals, families and other service providers.

 

Dignity: A culture of enhancing empathy and honesty that is embodied in Prime Support’s day-to-day operations.

 

Integrity: Commitment to promote transparence, credibility, accountability and responsibility when supporting individuals seeking personal growth through available individualized opportunities.

 

History

In its effort to further OPWDD’s initiatives, Prime Support submitted its application to OPWDD in the month of August, 2016 with intent of becoming a service provider to people with intellectual and developmental disabilities (I/DD) in the New York State. Prime Support met OPWDD’s criteria after the review of its application and received a passing score, it was approved to become a service provider of Home and Community Based Services (HCBS) Waiver which include FI and Brokerage services and more.

Choose the Fiscal Intermediary (FI) Service Provider of your Choice

The Role of the Fiscal Intermediary

Your case manager or support broker, along with your own network of friends and family, can assist in choosing a Fiscal Intermediary (FI) service provider best for you. An FI is a voluntary provider agency that assists you to implement your Self-Directed Plan/Budget and to manage financial accountability and employer responsibilities (i.e., ensure tax compliance and prepare end-of-year reports). People who are Self-Directing their services have the authority and responsibility of controlling and managing their funds they receive from NYS Office for With Developmental Disabilities (OPWDD).

 

The FI will assist you to complete Self-Hired employment forms, pay your staff.  If you choose a provider agency for your supports, the FI pays the provider on your behalf, according to your approved budget. The FI will also pay other vendors for special services that you have in your budget. The FI will give you monthly financial reports to let you know if you are spending what you have budgeted on the items you planned.

 

Who Pays for The Fiscal Intermediary (FI)?

 

OPWDD will pay the FI provider you choose on your behalf. Payment for the FI is part of the supports package outside of your Self-Directed Budget provides to you. 

 

What If I Want to Change to Another FI?


You can change your FI at any time. Your Support Broker or Case Manager can help you make a change to a new FI of your choice.

 

Self-Directed (SD) Services

The Self-Directed services are Home and Community Based Services (HCBS) are Waiver-funded services. Self-directed delivery model is an alternative to traditionally delivered and managed services in congregated facilities. This model allows the participants a greater authority over both the employer and or the budget elements of their services. This level of authority supports the practice of person-centered planning. Self-Directed services and supports are guided by several key guidance documents and the funding for the elements that make up a person’s Self-Directed Plan/Budget have specific defined parameters that must be implemented when the plan is developed and reviewed for the compliance.  Prior to billing for any of the services in the plan/budget, the participant must choose a Fiscal Intermediary (FI) service when his or her Self-Directed Plan/Budget include the followings:

 

·         Fiscal Intermediary (FI),

·         Any Self-Hired Staff to assist with Habilitation Services and Respite,

·         Supported Employment (SEMP),

·         Support Brokerage,

·         Individual Directed Goods and Services (IDGS),

·         Live-in Caregiver (LIC),

·         Community Transition Services (CTS),

·         Any type of 100% NYS funded services that is listed in participant’s Personal Resource Account (PRA) or individualized Budget

 

Services Delivered by Other Agencies

When participants with Budget Authority receive Agency Supported or Direct Provider Purchased services delivered by agencies other than the FI, these services must be included in the Self-Direction Budgets, where applicable. The FI will require utilization information for services delivered by other agencies to be reflected in the person’s monthly expenditure reports.

 

Self-Directed Plan Review and Approval

New York State OPWDD’s Developmental Disabilities Regional Offices (DDRO) are responsible for reviewing Self-Directed Plans and approving them with supporting Budget and all required documents. 

 

Fiscal Intermediary (FI) Services

FI is an HCBS waiver service that funds tasks that support the participants with billing and payment of approved goods and services, fiscal accounting and reporting, Medicaid and corporate compliance, and general administrative supports. The FI performs the initial review of the budgets/budget amendments, is the employer of record for staff hired by the participant and is responsible for ensuring that applicable labor laws. The FI is the employer of record for all self-hired staff by the individual self-directing his or her services; and must retain all the service documents for at least six years.

 

Reimbursement for Prepaid Goods and Services by FI

FI will not pay for the cost of pre-paid goods and services, directly such as participant’s annual memberships and camp deposits or payments. FI is required to wait until the service is “complete” before claiming reimbursement to Medicaid. FI will not accept full financial risk regarding IDGS purchases especially if the camper does not actually attend camp.

 

If a participant were to enroll at three months camp (i.e., June, July, and August), camp that demanded pre-payment in units no greater than a month, FI will agree to those term and pay for a comp on a monthly basis. Therefore, if a camper were to leave in the second week of June and not return, the FI could be left with an unreimbursed liability for two thirds of the total cost of the camp.

 

Staff Action Plan for Habilitation Services

Habilitation services can be delivered at any non-certified location, including the individuals’ home. The goal for habilitation services is to support and assist the participants and their families to develop the services that most appropriately meet the person’s needs by using person-centered planning principles. Supports include adaptive skill development, assistance with activities of daily living (hands-on), community inclusion and relationship building, training and support for independence in travel, transportation, adult educational supports, development of social skills, leisure skills, self-advocacy and informed choice skills, and appropriate behavior development to help the individuals access their community.

 

Direct Provider Purchased and Agency Supported

If a person has a Self-Direction Budget and chooses to receive Direct Provider Purchased or Agency Supported habilitation services, the cost of that service is included in the Self-Direction Budget and deducted from the person’s PRA.

 

Self-hired Staff

A person can use self-hired staff to provide habilitation services with a Self-Directed Budget, but the payment cannot exceed the rate a provider would be paid for the service.

 

Respite Services

Respite is a Care at Home (CAH) service that is provided on a shortterm basis to provide relief for the child’s primary caregivers. This often enables families to better meet the needs of their loved one with a developmental disability. Respite can be provided in the home or out of the home, during the day, evenings or overnight. However, does not take place in certified settings.

 

Direct Provider Purchased and Agency Supported

If a person has a Self-Direction Budget and chooses to receive Direct Provider Purchased or Agency Supported Respite services, the cost of that service is included in the Self-Direction Budget and deducted from the person’s PRA.

 

Self-hired Staff

A person can use self-hired staff to provide Respite with a Self-Directed Budget, but the payment cannot exceed the rate a provider would be paid for the service

 

Supported Employment (SEMP) Services

A service that includes direct and indirect activities associated with helping a person get a job and gain skills necessary to retain the job. Individuals receiving SEMP services must have an expressed interest in competitive employment or self-employment included in their Life Plan.

 

Direct Provider Purchased and Agency Supported

If a person has a Self-Direction Budget and chooses to receive Direct Provider Purchased or Agency Supported Employment (SEMP) services, the cost of that service is included in the Self-Direction Budget and deducted from the person’s PRA.

 

Self-hired Staff

A person can use self-hired staff to provide SEMP with a Self-Directed Budget, but the payment cannot exceed the rate a provider would be paid for the service.

 

Hiring Family Members

There are specific restrictions regarding self-hired staff who are related to a Self-Direction participant. Except where specifically prohibited (e.g., relatives cannot be hired to deliver Live-In Caregiver or Paid Neighbor services), relatives may be paid as service providers as long as all of the five following criteria are met:

 

1.      They are at least 18 years of age.

2.      They are not the parents, legal guardians, spouses, or adult children (including sons and daughters-in-law) of the participant.

3.      The service is a function not ordinarily performed by a family member.

4.      The service is necessary and authorized and would otherwise be provided by another qualified provider of waiver services.

5.      The relative does not reside in the same residence as the participant.

 

Start-Up Brokerage Services

Start-up Brokerage services are provided to assist a Self-Direction participant in developing his/her initial Self-Direction Budget. The person must be enrolled into the HCBS Waiver Brokerage service in order to receive ongoing Brokerage services after completion of the Self-Direction Budget.

Support Brokerage Services

A Support Brokerage provides support to a person who chooses to self-direct his/her services. A broker helps a person/family with development and maintenance of a Self-Direction Budget. Facilitate Circle of Support (COS) meetings, completing and updating Habilitation Plans for self-hired staff. The broker must assist the person to hire and retain appropriate support staff and document of his/her services.

Work with the individual and planning team to ensure that all necessary safeguards are included and addressed in the Life Plan and monitoring self-direction expenditures.

The Agreement between the person self-directing and his or her Broker must be signed and need to be provided to the FI and the DDRO.

Parents and Other Unpaid Support Brokers

Participants can choose to have their parent fill the role of the Support Broker, but a parent cannot be paid for Support Broker services delivered to their own child.

 

Support Broker Required Training

Prior to delivering brokerage services, broker training must be completed by approved trainers using an approved curriculum. Training includes:

·         Broker Training Institute

·         Person Centered Planning

·         Developing a Self-Directed Budget

·         Self-Advocacy/Self-Determination

·         Attend 12 hours of professional development training annually following the month the broker first began providing brokerage services.

·         Get involved in any local learning network. 

Individual Directed Goods and Services (IDGS)

IDGS are the services, equipment or supplies not otherwise provided through OPWDD’s HCBS waiver or through the Medicaid State Plan that address and identified need in a participant’s self-directed service plan. To purchase items or services through IDGS, the following criteria must be met:

·         Are related to a need or goal identified in the Life Plan (LP);

·         Are for the purpose of increasing independence or substituting for human assistance.

·         Promote opportunities for community living and inclusion.

·         Are able to be accommodated without compromising the participant’s health or safety; •

·         Are provided to or directed toward the participant

Community Classes Through IDGS

Self-directed supports through IDGS offer great opportunities for people with developmental disabilities to purchase community-based classes that teach a subject, are open to the public, and result in active engagement and participation in integrated community settings.

 

The following are excluded from being funded with the IDGS as a Community Class

·         Classes that duplicate any Medicaid State Plan or HCBS Waiver service or are conducted by an entity that delivers such services;

·         Classes where participation is restricted solely to people with Intellectual and Developmental Disabilities (I/DD);

·         Classes where there are not established published fees;

·         Classes that are credit bearing for matriculating students;

·         Classes in a setting accessed only by people with I/DD (not including paid staff support), including all certified settings; and

·         Classes that do not adhere to the standards identified in the broader IDGS rules and standards (e.g. experimental therapies).

 

Transportation Through IDGS

When a person needs transportation to/from a service-related activity, IDGS can be used to reimburse service-related mileage or pay for public transportation. In order to be reimbursable under IDGS, however, transportation costs and mileage must be related to a Medicaid reimbursable service within the Self-Direction Budget. Additionally, Transportation in IDGS is only available for those services that do not have transportation built into the fee and/or are not covered by the State Plan. Transportation related to IDGS services or those delivered by Self-Hired staff would be considered allowable reimbursable costs.

 

Camp Through IDGS

For a person who has Budget Authority, Camp programs may be funded using IDGS. Reimbursement from Medicaid is not available until after a person has attended the camp. When a camp deposit or prepayment is made, but the person never attends camp, no service has been rendered to the person and, therefore, no reimbursement may be claimed from Medicaid. Medicaid does not reimburse services that are not rendered. If the FI or the family made a non-refundable deposit or prepayment, whoever made the payment to the camp accepted the financial risk.

 

However, if a participant were to enroll in three months (i.e., June, July, and August) camp that demanded pre-payment into units no greater than a month, FI will agree to those term and pay for a comp on a monthly basis. Therefore, if a camper were to leave in the second week of June and not return, the FI (or family) could be left with an unreimbursed liability for two thirds of the total cost of the camp.

 

IDGS Camp Reimbursement is available for Camps that are not funded as Medicaid Waiver Respite Camps. Self-Direction participants can choose to attend Waiver Respite funded Camps. However, those camps must be included in their Self-Direction Budget as Direct Provider Purchased Respite.   IDGS funds may not be used for camps that are outside New York State, as these camps are not issued a permit by New York State.

For allowable and not allowable IDGS expenses, refer to IDGS Chart.

 

Individual Directed Goods and Services (IDGS) Definitions Chart

 

Paid Neighbor Through IDGS

The Paid Neighbor stipend is paid to a neighbor to serve as an “on-call” support. A Paid Neighbor is someone who should be available to respond when needed. Proximity in relation to the needs of the participant should be considered when hiring a Paid Neighbor and be based upon the participant’s likely need for a particular response time. In no case should a Paid Neighbor live with the participant nor should a Paid Neighbor be more than 30 minutes from the participant. The Paid Neighbor cannot be a “family member” of the Self-Direction participant.

 

Staffing Support Through IDGS

Staffing Support cannot deliver services that would duplicate FI services or Broker responsibilities as related to development of the Self-Direction Plan. The staffing support role can only include tasks in the spectrum of, “Assistance with scheduling self-hired staff and with assisting the person to complete staffing related paperwork.” 

 

The person who provides Self-Directed Staffing Support through IDGS may be someone who provides self-hired CH, Respite or SEMP services to that participant or other participants, however, they cannot be otherwise employed by a not for profit agency. The billing must reflect what service is being provided.  The documentation and time tracked should reflect what service the staff is providing at the time, either Habilitation Services/Respite/SEMP or Staffing Support.

 

Health Club/Organizational Memberships Through IDGS

Funding for a gym or health club may be reimbursed through IDGS in the self-directed plan for reasons of health and fitness or community integration. A person may have multiple memberships to health clubs. Memberships are for the individual only. Family or staff memberships cannot be reimbursed with IDGS funding. The club/organization must offer open enrollment to the public and the reimbursed fee must be the same as the published membership duties/fees. 

 

A Self-Direction Participant’s activity fees, expenses (such as related supplies) and meals are explicitly prohibited from IDGS funding. The following chart is provided to assist with establishing the difference between reimbursable memberships and non-reimbursable activity fees/expenses:

 

Organizational Memberships (Reimbursable as Memberships)

·         Ski club membership dues

·         Museum or zoo membership

·         Softball league fees

·         Pony Club membership

·         Girl Scout/Boy Scout dues

·         Membership dues for a Bowling League

·         Community group membership fees

Activity Fees/Expenses (Not Reimbursable as Memberships)

·         Ski resort lift tickets and equipment rental Tickets, or season passes to a water park

·         Tickets to a baseball game

·         Horseback riding helmet

·         Scout uniform and trip expenses

·         Bowling shoe rental fee

·         Group shopping discounts (Wholesale “club” memberships, farm shares)

·         Online dating websites

 

IDGS Billing Through IDGS

For Medicaid billing purposes, the reported date of service for IDGS should be the date that funds are paid out by the Fiscal Intermediary, or the date that the good or service is actually received by the participant, whichever is later. 

IDGS is a Medicaid program that reimburses costs already incurred for goods and services. For some IDGS categories (e.g., mileage reimbursement under “Transportation”), the payment is made by the FI after the service is delivered. In this scenario, the date of service would be the date that the FI issued the reimbursement. However, sometimes an FI will choose to reimburse an item or service that has not yet been delivered (for example, deposits or payments made in advance for camp). Generally, Medicaid does not, reimburse services or items before they are delivered and, in terms of services, before the service is “complete.” In this scenario, the date of service would be the date of the last day that the participant attended the camp.

In scenarios where a person is participating in a service funded by IDGS that spans more than one month, the FI may bill for an appropriate prorated portion of the cost, using the last day of the service month as the billing date of service. For example, a person is attending camp that runs from July 1 through August 31 and the cost of the camp is $1,000.  The FI may submit a claim for half the reimbursement on July 31 in the amount of $500 and the remaining $500 balance would be submitted with an August 31 date of service.

When a Self-Direction participant’s IDGS service provider demands substantial “deposits” or “pre-payment” in units no greater than a month in advance of actual service delivery, FI (Prime Support) will pay for a comp on a monthly basis. Therefore, if a camper were to leave in the second week of June and not return, the FI (or family) could be left with an unreimbursed liability for two thirds of the total cost of the camp.

IDGS is billed to Medicaid in $10 increments. Each unit must be for $10 and there will be no rounding up. A maximum of 99 units may be billed to Medicaid on a given date of service. This limits billing to $990 per date of service for IDGS. In instances where the FI has receipts and documentation substantiating allowable expenditures beyond the daily billing limit of $990, eMedNY can be billed using consecutive dates of service. For example, if receipts and documentation substantiate $1,500 in qualified IDGS reimbursement, an FI may submit one claim for 99 units totaling $990 on a given date of service and submit an additional claim for the remaining balance of 51 units totaling $510 on the next date of service

 

Live-In Caregiver (LIC) Services

 

An HCBS Waiver service that uses an unrelated care provider who resides in the same household as the person and provides as-needed supports to address the participant’s physical, social or emotional needs so that he/she can live safely and successfully in his or her own home. LIC cannot be related to that person by blood or marriage to any degree and service covers LIC’s room & board (rent, food, utilities).

The LIC must not be related to the participant by blood or marriage to any degree. The LIC Caregiver must go through any required background check(s) performed by the FI before they can begin services.

Payment for this service will cover the additional costs of room and board incurred by the waiver participant and reasonably attributed to the Live-in Caregiver. Room and board include rent, utilities, and food. Payment may not be made directly to the LIC. The FI will transfer the amount of reimbursement to the individual or the property owner and utility companies, as specified in the agreement between the individual and the FI.

100% State Funded Self-Directed Service

Family Reimbursed Respite (FRR)

FRR is designed to be used as needed by a family/caregiver of someone with intellectual and developmental disability. The service provided in addition to, or in lieu of, Respite that is Direct Provider Purchased, Agency Supported, and Self-Hired and paid for with 100% State funds Reimbursement service

 

The Fiscal Intermediary may not pay the FRR provider directly. To receive reimbursement, the Self-Direction participant sends the FI an invoice or statement specifying the date, times, hours and cost for the FRR utilization.

 

A person who self-directs and receives a Housing Subsidy cannot receive Family Reimbursed Respite.

 

Housing Subsidy

Housing Subsidy is provided to people (over 18 years) who choose to live independently. The calculation is based on a person’s income and current Division of Housing and Community Renewal payment standards. It is funded with 100% State funds; and rental lease or mortgage must be in the name of the person who is self-directing. Note, same rules and regulations apply to Individual Support Services (ISS) housing.

 

Housing Restrictions

The rental lease or mortgage must be in the name of the person who is self-directing, or the person who is self-directing must have clear tenancy rights in a shared living environment.

A person who self-directs and receives a Housing Subsidy cannot receive Family Supports and Services (FSS) nor Family Reimbursed Respite (FRR).

 

 

Community Transition Services (CTS)

Self-Direction participants who choose to live independently, or who share a living environment and have tenancy rights, may be able to include a Housing Subsidy in their budgets, funded with 100% State funds. The amount of available Housing Subsidy is calculated based on a participant’s income and Housing and Community Renewal (HCR) payment standards. Housing Subsidy follows the same rules as Individual Supports and Services (ISS).

 

If an individual qualifies for both Community Transition Services (CTS), and an ISS Transition Stipend, it is the expectation that the CTS funding be maximized before requesting funding through an ISS transition stipend. If an individual receives the maximum payment through CTS, they can only request the difference between the maximum ISS transition stipend and the amount reimbursed through CTS.

Other Than Personal Service Items (OTPS)

For any item or service to be approved for OTPS funding it must be related to a valued outcome in the person’s plan and must increase the person’s independence and/or health and safety.

 

OTPS Categories

The OTPS section of the budget is limited to the following categories of supports:

·         Phone service – cell and/or land line

·         Internet (in instances where a participant has a cable package, OTPS can be used for phone and internet only, but not the cable portion)

·         Software related to the person’s disability

·         Staff activity fees (self-hired staff only) to cover meals, admissions, fees, transportation, or other costs incurred by staff when providing support to the self-directing person in activities that support a valued outcome

·         Staff advertising/recruitment costs

·         Cost associated with staff time for planning or training meetings where such costs exceed the hourly limits of the service

·         Personal Use Transportation

·         Clothing (capped at $250)

·         Board Stipend (must first request and be denied for food stamps, or approved, but not sufficient to cover needs)

·         Utilities

·         Other goods and services that increase independence

·         Other goods and services related to health and safety

 

Items Excluded From OTPS

OTPS cannot be used to pay for certain excluded items. Excluded items include, but are not limited to:

·         Medical visit co-pays 

·         Any expenses related to hospitalization or nursing home stays (including staff or respite supports or family expenses)

·         Any illegal item or activity

·         Cable television

·         Common household supplies (e.g., paper towels, wipes, soap)

·         Treatments that are experimental in nature 

·         Repairs, like a broken step or railing, as they should be covered under the lease or are the responsibility of the homeowner

·         A self-directing person’s activity fees or related supplies for an activity or community class, even if funded through Individual Directed Goods and Services

·         Rental cars (this OTPS exclusion does not apply to vehicles leased in the participant’s name)

·         Vehicle purchases, payments towards a purchased vehicle

·         Legal fees 

·         OTPS cannot be used to apply against housing costs in excess of housing subsidies. If a person’s rent is in excess of allowable housing subsidies, this will have to be reimbursed with the person’s or the family’s own resources.

Contracted Services

Family Support Services (FSS)

For people who Self-Direct with Budget Authority, FSS is a service that must be included in Self Direction Budgets under Contracted Services. FSS requires prior authorization from the DDRO and/or FSS Provider, as applicable. These services are paid for with State funds.

Traditional Habilitative Services

 

Staff Action Plan for Habilitation Services

Habilitation services can be delivered at any non-certified location, including the individuals’ home. The goal for habilitation services is to support and assist the participants and their families to develop the services that most appropriately meet the person’s needs by using person-centered planning principles. Supports include adaptive skill development, assistance with activities of daily living (hands-on), community inclusion and relationship building, training and support for independence in travel, transportation, adult educational supports, development of social skills, leisure skills, self-advocacy and informed choice skills, and appropriate behavior development to help the individuals access their community.

 

Respite Services

Respite is a Care at Home (CAH) service that is provided on a shortterm basis to provide relief for the child’s primary caregivers. This often enables families to better meet the needs of their loved one with a developmental disability. Respite can be provided in the home or out of the home, during the day, evenings or overnight. However, does not take place in certified settings.

 

Our Main Office

 

2071 Clove Road Suite-M

Staten Island, NY 10304

Phone: 718-447-1900   718-667-8700

Fax: 718-667-8708

Mon - Fri 9:00am - 5:00pm

Primesupport@primesupports.org

Acronyms List

ADM- Administrative Memorandum

Access-VR- Adult Career and Continuing Education Services- Vocational Rehabilitation

ADL- Activities of Daily Living

ADHD- Attention-Deficit Hyperactivity Disorder

AMAP- Approved Medication Administration Personnel

AO- Aging Out

AT - Assistive Technology

APS- Adult Protective Services

ASD- Autism Spectrum Disorder

ASSD- Agency Supported Self Direction

BIS- Behavior Intervention Specialist

BLS- Bureau of Labor Statistics

BSP- Behavior Support Plan

BOCES- Board of Cooperative Educational Services

BPC- Bureau of Program Certification

BTI- Broker Training Institute

 

CAB- Consumer Advisory Board

CAH- Care At Home

CC- Care Coordinator

CON- Certificate of Need

CDPAP- Consumer Directed Personal Assistance

CAP- Corrective Action Plan

CBC- Criminal Background Check

CAS- Coordinated Assessment System

CDPAS- Consumer Directed Personal Assistance Service

CFCM- Conflict Free Case Management

CFR- Certified Financial Report

CM- Case Manager

CIS- Community Integration Specialist

COS- Circle of Support

CQC- Commission on Quality of Care

CP- Cerebral Palsy

CPS- Child Protective Services

CR- Community Residence

CMS- Center for Medicare and Medicaid Services

CPR- Cardiopulmonary Resuscitation

CRO- Customized Residential Option

CSE- Committee on Special Education

CSS- Consolidated Support Services

CTS- Community Transition Services

 

DC- Developmental Center

DCJS- Division of Criminal Justice Services

DD- Developmental Disability

DDP- Developmental Disabilities Profile

DDRO- Developmental Disabilities Regional Office

DISCO- Developmental Disabilities Individual Support and Care Coordination Organization

DHCR- NYS Division of Housing & Community Renewal

DME- Durable Medical Equipment

DNR- Do Not Attempt Resuscitation

DOH- Department of Health

DOL- Department of Labor

OT- Over Time

DDPC- Disability Planning Council

DSP- Direct Support Professionals

DSRIP- Delivery System Reform Incentive Payment Program

DQI- Division of Quality Improvement

 

EAA- Eligibility Assessment Authorization

EA- Employment Alliance

EA- Enrichment Advisor

EI- Early Intervention

eMedNY- Federal regulations that define Medicaid rules and regulations

EMOD- Environmental Modification

EMS- Emergency Medical Services

EMRs- ELECTRONIC Medical Records

 

FBA- Functional Behavioral Assessment

FC- Family Care

FCH- Family Care Home

FFS- Fee for Services

FD- Front Door

FET- Family Education and Training

FI- Fiscal Intermediary

FIDA- IDD Fully Intergraded Dual Advantage for individuals with Intellectual and Developmental Disabilities

FMS- Financial Management Service

FTE- Full Time Equivalent

FSR- Free- Standing Respite

FSS- Family Support Services

 

GHS- Globally Harmonized System for Hazard Communication-OSHA

 

HAA- Home Assessment Abstract

HCBS- Waiver- Home and Community Based Services Waiver

HIPAA- Health Insurance Portability and Accountability Act  

HRC- Human Right Committee

 

IBS- Intensive Behavioral Services

IBR- Institute for Basic Research in Developmental Disabilities

IC- Informed Choice

ICF- Intermediate Care Facility

ICS- Individual Community Supports

IDD- Individual with Intellectual Developmental Disabilities

IDEA- Individuals with Disabilities Education Act

IDGS- Individual Directed Goods and Services

IDT- Interdisciplinary Team

IEP- Individualized Education Program

IMU- Incident Management Unit

IPOP- Individual Plan of Protective Oversight

IRA- Individualized Residential Alternative

ISP- Individualized Service Plan

ISS- Individual Support Services

IRC- Incident Review Committee

IRMA- Incident Report and Management Application

 

JC- Justice Center

 

LC- Life Coach

LCSW- Licensed Clinical Social Worker

LCED- Level of Care Eligibility Determination

LIC- Live-In Caregiver

LP- Life Plan

 

MA- Medicaid Assistance

MOLST- Medical Order for Life Sustaining Treatment

MDU- Multiple Disabled Unit

MHLS- Mental Hygiene Legal Service

MIPS- Medical Immobilization, Protective Stabilization

MOU- Memorandum of Understanding

MSC- Medicaid Service Coordinator

 

NADSP- National Alliance for Direct Support Professionals

NCI- National Core Indicators

NDEAM- National Disability Employment Awareness Month (held in October)

NOD- Notice of Decision

NYSED- New York State Education Department

 

OASAS- NYS Office of Alcohol and Substance Abuse Services

OCFS- Office of Children and Family Services

OMIG- Office of the Medicaid Inspector General

OPWDD- Office for People with Developmental Disabilities

OIIA- Office of Internal Investigatory Affairs

OSHA- Occupational Safety & Health Administration

OTA- Occupational Therapy Assistant

OTPS- Other Than Personal Services

OT- Occupational Therapy

 

PATH- Professional Association of Therapeutic Horsemanship

PHP- Partners Health Plan

PCP- Person-Centered Planning

PCSS- Plan of Care Support Services

PHI- Protected health information

POCA- Plan of Corrective Action

POM- Personal Outcome Measure

PONS- Plan of Nursing Services

PPS- Performing Provider System

PRA- Personal Resource Allocation

PPSNA- Protection of People with Special Needs Act

PTA- Physical Therapy Assistant

PT- Physical Therapy

 

QIDP- Qualified Intellectual Disabilities Professional

Q&A- Questions & Answers

 

RIA- Restrictive Intervention Application

RFP- Request for Proposal

RN- Registered Nurse

 

SCOR- Service Coordination Observation Report

SCIP-R- Strategies for Crisis Intervention and Prevention Revised

SD- Self Determination

SD- Self Direction

SEL- Staff Exclusion List

SEMP- Supported Employment Medicaid Program

SRD- State Education Department

SH- Self Hire

SB- Support Broker

SFR- State Financial System

SLMS- Statewide Learning Management System

SLP- Speech-Language Pathology

SOA- State Oversight Agencies

SOC- Standard Occupational Classification

SSI- Supplemental Security Income

SSD- Social Security Disability

SSN- Social Security Number

SUB- Start up Broker

SCR- Statewide Central Register of Child Abuse and Maltreatment

 

TABS- Tracking and Billing System

TBI- Traumatic Brain Injury

TCM- Federal Targeted Case Management

 

VESID- Vocational Educational Services for Individuals with Disabilities

VPCR- Vulnerable Persons’ Central Register

 

WCSC- Willowbrook Case Services Coordinator    

WSIR- Web Submission of Investigative Records