October 1, 2020 Waiver Amendment Approved by CMS

The 1915(c) Comprehensive Home and Community-Based Services (HCBS) October 1, 2020 Waiver Amendment has been approved by the federal Centers for Medicare and Medicaid Services (CMS). 

This Amendment is effective October 1, 2020 and will fund Home and Community-Based Services for over 88,000 people with intellectual and developmental disabilities.

The October 1, 2020 Waiver Amendment includes changes to effectuate rate setting provisions in the approved 2020-2021 New York State Budget and to make other operational changes and streamlining changes. These changes include revisions to the rate setting methodology for calculating the occupancy adjustment, Vacancy Days, Therapy Days, and Retainer Days for Supervised Residential Habilitation services; alignment of Community Prevocational Services rate setting regions with the regions already in use for Community Habilitation; update to Community Habilitation description to implement clinical review tools for consistent and efficient decision-making and fairness and equity of service authorizations for Community Habilitation; and technical changes to streamline the completion of the Documentation of Choices form by eliminating the need for Care Managers and Regional Office staff to sign the form.

A copy of the approved October 1, 2020 Waiver Amendment and the response to public comment is available on the OPWDD website at: https://opwdd.ny.gov/providers/home-and-community-based-services-waiver.