Relates to oversight of developmental disability care organizations and coordinate services

2 Co-sponsors

• Mark Grisanti
• Gustavo Rivera

BILL NUMBER:S7400B

Title of bill

An act to amend the public health law, in relation to services for individuals with developmental disabilities

Purpose

To ensure that New York State's public policy of providing supports and services for individuals with developmental disabilities, such as residential, day and employment services, will continue to be by either public or nonprofit entities with experience providing those services under the Office for People With Developmental Disabilities (OPWDD)

Justification

New York State has a long history of providing supports and services (such as residential, day and employment services) to individuals with developmental disabilities through partnerships between state and voluntary providers of service. With the transition to managed care, it is important that New York State continues to ensure that the State's public policy of providing residential, day, employment and other supports and services for individuals with developmental disabilities continue to be by either public or nonprofit entities with experience providing those services under OPWDD. This proposal will ensure "state-wideness" as required by CMS and will ensure that no matter what type of managed care entity an individual with developmental disabilities is enrolled in, the provider of their OPWDD services will continue to be either public or nonprofit.

As originally envisioned, individuals with developmental disabilities would only transition into managed care and be served by a managed care entity called a DISCO (Developmental Disability Individual Support and Care Coordination organization) which requires that providers of long term care supports and services for individuals with developmental disabilities continue to be nonprofit. However, the original construct has since changed. As currently envisioned, individuals with developmental disabilities will receive services through a mainstream Managed Care Organizations (MCO), a Managed Long Term Care plan (MLTC) or a DISCO, with no requirement that the provider of the OPWDD services (residential, day, employment etc.) be provided by a nonprofit entity with experience, regardless of the type of managed care entity.

Legislative history

New Bill.

Fiscal implications

None

Effective date

The act shall take effect immediately