Medicaid Waiver New York

Understanding New York Medicaid

New York currently has two Medicaid waivers that accept children. Both waivers are HCBS 1915(c) waivers and waive parent income. For general information on children’s waiver programs in New York, see this brochure on Children’s HCBS or access the Front Door, New York’s gateway to services for people with developmental disabilities.

Types of Programs

Children’s Waiver

• Description from medicaid.gov: Provides community habilitation, day habilitation, prevocational services, respite, supported employment, adaptive and assistive technology, caregiver/family advocacy and support services, environmental modifications, non-medical transportation, palliative care – expressive therapy, palliative care – counseling and support service, palliative care – massage therapy, palliative care – pain and symptom management, vehicle modifications for individuals with physical and other disabilities ages 0-20, with brain injury ages 0-20, with HIV/AIDS ages 0-20, who are medically fragile ages 0-20, who are technology dependent ages 0-20, with autism ages 0-20, with developmental disabilities ages 0-20, with intellectual disabilities ages 0-20, with mental illness ages 18-20, and individuals with serious emotional disturbance, ages 0-18 years.
• Online State Information: Children’s Waiver Brochure or Children’s Waiver information
• Official Federal Information: 1915(c)
• How to Apply: Contact Children and Youth Evaluation Service (C-YES) for evaluation or call 1-833-333-2937.

OPWDD Comprehensive Waiver

• Description from medicaid.gov: Provides day habilitation, live-in caregiver (42 CFR §441.303(f)(8)), prevocational services, residential habilitation, respite, supported employment (SEMP), community transition services, fiscal intermediary (FI), individual directed goods and services, support brokerage, assistive technology – adaptive devices, community habilitation, environmental modifications (home accessibility), family education and training, intensive behavioral services, pathway to employment, and vehicle modifications for individuals with autism, intellectual disabilities, and developmental disabilities, ages 0 – no max age.
• Online State Information: Brochure or OPWDD Front Door
• Official Federal Information
• How to Apply: Apply at your local Developmental Disabilities Regional Office.

Additional Online resources

• Disability Rights New York provides free legal and advocacy services for people with disabilities: https://www.drny.org/index.php
• Parent to Parent Group of NY: http://parenttoparentnys.org/
• A brochure explaining New York HCBS services: https://omh.ny.gov/omhweb/bho/docs/h…re_english.pdf
  Telephone Resources
• Every relevant contact number in the OPWDD: https://opwdd.ny.gov/contact-us

Additional Telephone Resources

OPWDD Information Line 1-866-946-9733

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.