Wellbound Knowledge Base
Medicaid and OPWDD Services and Facts Explained
Most OPWDD services are provided through New York State’s Medicaid program, jointly funded by the federal and state government. OPWDD also offers limited services with state funding.
OPWDD’s largest Medicaid program is the Home and Community Based Services (HCBS) waiver, discussed on the next page.
OPWDD expects each person asking for services to apply for available benefit programs (like Medicaid) that help pay for the services they want. For example, if a person is asking for OPWDD’s HCBS waiver services, the individual will need to apply for those services. If they are deemed eligible they need to enroll in Medicaid and in the OPWDD HCBS waiver so that the government will pay for these services. Individuals may also pay for the cost of services with their own funds instead of enrolling in a benefit program.
Medicaid pays for the following OPWDD supports and services:
• The OPWDD Home and Community-Based Services (HCBS) waiver (includes most OPWDD services, such as respite, supported employment, community habilitation, day habilitation and residential services)
• Care coordination
• Residential care
• Additional health-related items and services
Most OPWDD services are funded through Medicaid. Therefore, in most cases, it is necessary that individuals seeking services from OPWDD enroll in Medicaid. You must be eligible for and enrolled in Medicaid to enroll in the OPWDD HCBS waiver, or Care Coordination programs.
The Medicaid Program has special provisions for people with developmental disabilities:
Individuals can work and still qualify for Medicaid (although depending upon their income, a person may need to contribute to service costs)
Parental income and resources may be waived (not be considered) for children living at home and seeking enrollment in the OPWDD HCBS waiver program, and
Financial resources can be put into a Medicaid qualifying supplemental needs trust and be exempt for Medicaid purposes
Source: CDC.GOV
Wellbound Knowledge Base
The Assessment Process to Receive OPWDD
How is OPWDD eligibility determined for children?
The OPWDD Eligibility Review – How it works?
Wellbound Blog
Speak to a Patient Advocate
Wellbound is a person and family-centered agency dedicated to providing a stronger standard of care for children and adults in the special needs community. We offer a vast array of integrative, multidisciplinary therapies to ensure maximum growth for individuals with special needs.
When your submission is received today during the business hours, a patient advocate at Wellbound gets back to you in an average of 30 min.
Call Us Now!
Please feel free to contact our friendly staff with any special needs inquiries you have. We will get back to you as soon as we can.
Reaching Goals for Life-Long Success
At Wellbound, our therapists practice and encourage cognitive, interpersonal, mobility, self-care, and communication skills in the comfort of familiar surroundings.
With compassionate therapeutic approaches and a focus on dignified support, we encourage every individual with special needs to feel safe, secure, and happy in their home environment.
- Comprehensive Care Management
- Individual & Family Support
- Licensed Therapists (OT, PT, ST)
- Dedicated Patient Advocates