|
Medicaid Service Coordination is available to people who live independently, with their family, or in a residential setting. A Service Coordinator work side-by-side with individuals and families to help them learn about the wide variety of services and supports available. A Service Coordinator helps people access, maximize and manage financial and medical benefits. By providing ongoing information on education, housing, employment, social and recreational opportunities, Service Coordinators help people make the best choices.
To be eligible for MSC Services through Options the following criteria must be met per the Office of People with Developmental Disability (OPWDD). This service is a benefit entitlement and is no cost to the family or individual.
- The individual must be enrolled in Medicaid or be Medicaid eligible (we are able to assist in the application process).
- The person must have a documented diagnosis of a developmental disability as defined in Section 1.03 (21) and (22) of the New York State Mental Hygiene Law and evaluated in accordance with the August 10,2001 OPWDD Advisory guidelines on determining eligibility for services.
- The person must demonstrate the need for ongoing and comprehensive rather than incidental service coordination.
- The person, or individual authorized to give consent on behalf of the person, must choose to receive an MSC.\The person must not permanently live in an Intermediate Care Facility (ICF), Developmental Center (DC), Psychiatric Hospital, Small Residential Unit (SRU), Nursing Facility or Hospital or any other Medicaid funded institutional setting that provides service coordination.
- The person cannot be enrolled in any other comprehensive Medicaid Long Term care service which includes service coordination. (e.g. individuals in a Long Term Home Health Care program or receiving Early Intervention service coordination are not eligible to participate in MSC).
“Medicaid Service Coordination (MSC) is a Medicaid State Plan service provided by OPWDD which assists persons with developmental disabilities and mental retardation in gaining access to necessary services and supports appropriate to the needs of the individual. MSC is provided by qualified service coordinators and uses a person centered planning process in developing, implementing, and maintaining an Individualized Service Plan (ISP) with and for a person with developmental disabilities or mental retardation. MSC promotes the concepts of choice, individualized services and supports, and consumer satisfaction. The focus of MSC is on assisting each person to achieve his or her unique goals and desires in terms of having a home, a job, a circle of friends, and enjoyable leisure activities and access to medical and clinical services.” ~ Medicaid service coordination vendor manual. (2006). Albany, NY. If you have any questions regarding the MSC program at Options, please do not hesitate to contact Ali Wade at 315-255-3447 ext. 311 or email her at:
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
|
