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Position Papers(s) – Managed Care

MANAGED CARE:

Thoughts on the transition from various IDD stakeholder groups

There is a link below to the paper that SWAN, Statewide Advocacy Network of NY State, submitted to OPWDD about our concerns with the state’s plan to transition services to a Managed Care system instead of fee-for-service. We are urging OPWDD, the Dept of Health, and our representatives in State Government to reconsider the timeline and scope of this transition for the reasons within.

For those who are interested, we are also attaching several other position papers on this topic that various agencies and associations have also submitted to decision makers.  These are posted simply to keep you informed about what others in the field think.

 

WE ARE NOT ENDORSING ANY OF THESE OTHER DOCUMENTS

WE ARE NOT ENDORSING ANY OF THESE DOCUMENTS.   

SWAN will be doing a detailed analysis of the various elements and positions

SWAN position paper on MC dated 082819final.docx (1)

DDAWNY-Letter-to-Commissioner-Kastner July 23 2019 (1)
Kastner Letter - Final (2)
Letter to Commissioner on PLMC 8.22.2019
NY Alliance Letter on Managed Care to OPWDD - 9-9-19

From OPWDD: Public Comment Period for the Draft 1915(c) HCBS 2019 Waiver Renewal Announced

Dear Friends and Colleagues,

The Office for People With Developmental Disabilities (OPWDD) is pleased to announce the opportunity for public comment on the draft 1915(c) Comprehensive Home and Community-Based Services (HCBS) 2019 Waiver Renewal.

The HCBS Waiver is the Medicaid program that provides opportunities for adults and children with intellectual and developmental disabilities to receive services in their own home or community. The draft 2019 Waiver Renewal includes updates to the OPWDD quality improvement strategy to reflect current workgroups and committees, allows Nurse Practitioners to complete initial Level of Care (LOC) reviews and annual LOC redeterminations as well as other initiatives derived from the approved 2019-2020 New York State Budget.

The Waiver Renewal will be retroactive to October 1, 2019 and will span the course of a five-year period through September 30, 2024.  This five-year agreement will fund Home and Community-Based Services for over 84,000 people with intellectual and developmental disabilities.

The public comment period will be open from September 16, 2019 through October 18, 2019.  A copy of the draft 2019 Waiver Renewal is available on the OPWDD website at: https://opwdd.ny.gov/opwdd_services_supports/people_first_waiver/HCBS_waiver_services. Hard copies of the draft 2019 Waiver Renewal will also be available at the OPWDD Developmental Disabilities Regional Offices (DDROs) at the addresses identified below this message.  Comments may be submitted in writing via email to: peoplefirstwaiver@opwdd.ny.gov or by mail to: OPWDD,

Attention: Division of Policy and Program Development, 44 Holland Avenue, Albany, NY 12229.  Please specify 1915(c) Waiver Renewal Comments in the subject line.

Following the review of public comment, New York State will submit the draft 2019 Waiver Renewal application to the Federal Centers for Medicare and Medicaid Services (CMS) for approval.

In addition, OPWDD will be conducting two webinars on Thursday, September 19, 2019 to provide an overview of the proposed changes included in the draft 2019 Waiver Renewal.  To register for one of the two webinars, visit the OPWDD website at: https://opwdd.ny.gov/opwdd_services_supports/people_first_waiver/HCBS_waiver_services.

We welcome your comments and thank you for your continued advocacy for New Yorkers with intellectual and developmental disabilities.

 

Sincerely,

Theodore Kastner, MD, MS

Commissioner

Hard copies of the Waiver Renewal will be available at the following locations:

  • Finger Lakes DDRO, 620 Westfall Road, Suite 108, Rochester, NY 14620
  • Western NY DDRO, 1200 East and West Road, West Seneca, NY 14224
  • Broome DDRO, 229-231 State Street, 2nd Floor, Binghamton, NY 13901
  • Central NY DDRO, 187 Northern Concourse, North Syracuse, NY 13212
  • Sunmount DDRO, 2445 State Route 30, Tupper Lake, NY 12986
  • Capital District DDRO, 500 Balltown Road, Schenectady, NY 12304
  • Hudson Valley DDRO, 9 Wilbur Road, Thiells, NY 10984
  • Taconic DDRO, 38 Firemens Way, Poughkeepsie, NY 12603
  • Bernard Fineson DDRO, 80-45 Winchester Boulevard, Building 80, 2nd Floor Administrative Suite, Queens Village, NY 11428
  • Metro Bronx DDRO, 2400 Halsey St., Bronx, NY 10461
  • Brooklyn DDRO, 888 Fountain Avenue, Building 1, 2nd Floor, Brooklyn, NY 11239
  • Metro Manhattan DDRO, 25 Beaver Street, 4th Floor, New York, NY 10004

 

AUTISM FRIENDLY PERFORMANCES

The City Parks Foundation presents:

“Puss in Boots”

Swedish Cottage Marionette Theatre
79th Street and West Drive Central Park 

Wednesday, August 14, 2019
10:30 am – 11:15 am (Doors open 10:00 am)
11:30 am – 12:15 pm (Doors open 11:15 am)

A classic story with a twist, Puss in Boots is the tale of two friends – Fergus Mundingle and his sly cat Puss – who are tired of their dull and penniless lifestyle. Looking for a change, Puss dons a snazzy pair of boots and sets off on a magical journey, proving himself a caring friend willing to help at any cost.

For more information, please contact swedishcottage@cityparksfoundation.org or 212-639-1697

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TDF Autism Friendly Performances

Audience-thrilling. Autism-friendly.

TDF Autism Friendly Performances present Broadway musicals and plays in a friendly, supportive environment for children and adults who are diagnosed with an autism spectrum disorder or other sensitivity issues and their families and friends. Since 2011, TDF has presented more than 15 autism-friendly shows on Broadway, starting with Disney’s landmark musical The Lion King.

Some of the many autism-friendly performances on Broadway since then include Mary Poppins, Spider-Man, Wicked, Matilda, Phantom of the Opera, Aladdin and more. TDF’s autism-friendly performance of The Curious Incident of the Dog in the Night-Time was the first autism-friendly performance of a non-musical in Broadway history.

Beyond Broadway, TDF’ works with theatres across the country as part of its National Autism Friendly Performances to help create environments that are accessible to all.

https://tdf.org/nyc/40/TDF-Autism-Friendly-Performances

CCO (Care Coordination Organization): UPDATE

NYC FAIR  is making the case to OPWDD that there must be an Ombudsman to appeal to if people are having trouble with their Care Manager or Care Coordination Organization.

Each DDRO (Developmental Disability Regional Office) has

Care Coordination Support Liaisons –  https://opwdd.ny.gov/opwdd_services_supports/service_coordination/medicaid_service_coordination/ddso_msc_contacts

This is a listing of the regional Care Coordinator Support Liaisons that can assist if you are having trouble with your Care Manager and are not getting any satisfaction with the CCO. Please contact the Support Liaison for your region.

PLEASE TELL US ABOUT YOUR EXPERIENCE WITH YOUR CCO: mailto:info@nycfair.org