PDF HERE & TEXT BELOW: commissioner-delaney-announces-public-comment-period-for-managed-care-qualification-document
Dear Friends and Colleagues:
Over the past several years, we have received overwhelming feedback from the people we support, their family members, providers and others about the need for more flexibility, innovation and customization in the planning of services.
We have heard your concerns about the sustainability of our system, and how we must build upon our 40-year history of developing community-based services to create an improved system for the future. And we have experienced, with you, outcomes that once were thought impossible for many of the people we serve—having a job, self-directing their own services and enjoying meaningful relationships in the community.
Building on the strengths of our system, and in response to feedback we have heard around the State, we have been working hard to shape a more responsive system that better meets people’s needs.
On July 1, the Office for People With Developmental Disabilities (OPWDD) took the first step in this transformation and transitioned to an improved way of coordinating services through the establishment of Health Home Care Management provided by Care Coordination Organizations. Many people have already experienced the benefits of care that is truly coordinated across service systems, guided by a comprehensive Life Plan, and supported by enhanced information technology.
Today, we begin the movement to the second phase of OPWDD’s transformation—the development of specialized Managed Care. OPWDD has posted for public comment a document that contains the requirements for the creation of specialized Managed Care Plans to coordinate and deliver all of an individual’s services, including OPWDD-funded services, healthcare, behavioral health, and medication management which can be found at:
This qualification document includes prerequisites for education and experience for medical and clinical directors, financial reserve requirements and other standards the plan applicants will be required to meet.
OPWDD has built its service system guided by the voices of the people we serve, their families and advocates. Over the coming months, we will be holding public forums to inform, educate and receive feedback from individuals, families and other stakeholders. I encourage you to provide your comments on the document released today topeoplefirstwaiver@opwdd.ny.gov on or before October 3, 2018, and to attend these forums.
The partnership that we have created is now more important than ever. We look forward to working with you to help New Yorkers with developmental disabilities achieve their goals, build upon their strengths, and live richer lives.
Sincerely,
Kerry A. Delaney
Acting Commissioner