Q: What is the difference between Community Habilitation /Home attendants/ Personal Care Assistant, and how can you get these types of services?A:
The best way to obtain these services for Community Habilitation is through the Waiver process, starting with the Front Door if you do not already have these services. If you are already Waiver enrolled, then speaking to your Care Manager about Community Habilitation services with ADAPT is the way to start the process. The Community Habilitation program will then send the Care Manager an application. Once the application is completed and sent back to us, we review it and meet with the person’s support team and family to assess and see what goal areas the person wants to work on.
To obtain a Personal Care Aide/Home Health Attendant, you would need a letter from your doctor stating the need for a Home Health Aide or Personal Care Aide. They would then complete an M11Q form, which states what areas of assistance you need in your home. Once that form is completed, you would work with your Care Manager or reach out directly to a different agency that offers these services.
The difference between the two services is that a Home Health Aide (HHA) or Personal Care Aide (PCA) will complete a task for you, i.e., bathing, grocery shopping, etc., because you or your loved one is unable to. A Community Habilitation Staff will help teach you to do a task with the goal that one day you can complete this task independently. They will also work off a plan that changes with the person’s development, i.e., travel training, learning how to use the library, social skills. An HHA/PCA will not work on teaching a person something. They are there to assist the person entirely.
Q: Can you provide more information about vehicle modifications? Is this still a funding option for OPWDD? How do you go about applying?
A: Vehicle modifications (V–Mods) are adaptations made to a vehicle that is intended to enhance the individual’s independence and inclusion in the community and substitute for human assistance, to the extent that expenditures would otherwise be made for human assistance. V–Mod expenditures must be related to an assessed Activity of Daily Living (ADL), Instrumental Activity of Daily Living (IADL), or health-related need. They must be tied to a goal reflected in an individual’s person-centered Plan of Care (POC). The scope of vehicle modifications may include the performance of necessary assessments to determine the type(s) of necessary modifications. V–Mods may only be made to one vehicle that is the primary means of transportation for the individual. This primary means of transportation may be owned by the individual or a family member or non–relative who provides primary, long– term support and/or transportation for the individual. Routine maintenance and repairs related to the vehicle itself are not covered. Your Care Manager can inquire about OPWDD V-Mod programs through OPWDD.
Q: Can you please provide more information on the proposed changes to Community Habilitation eligibility and CDPAP processes for people with developmental disabilities?
A: This is from the Response to Public Comments Received June 1, 2020 – July 1, 2020, on the OPWDD 1915(c) Comprehensive Home and Community-Based Services (HCBS) Waiver Draft October 1, 2020, Amendment Response: The Draft October 1, 2020 Amendment does not include the implementation of service limits or any changes to the service definition or funding (fee schedule) for Community Habilitation services. For more information, please click here.
Consumer Directed Personal Assistance Program (CDPAP)
This Medicaid program provides services to chronically ill or physically disabled individuals who have a medical need for support with activities of daily living (ADLs) or skilled nursing services. Services can include any of the services provided by a Personal Care Aide (home attendant), Home Health Aide, or nurse.
Recipients have flexibility and freedom in choosing their caregivers. The consumer or the person acting on the consumer’s behalf (such as the parent of a disabled or chronically ill child) assumes full responsibility for hiring, training, supervising, and – if need be – terminating the employment of persons providing the services.
How do I find the Consumer Directed Personal Assistance Program (CDPAP)?
Before a person can receive services, their doctor must send a completed Physician’s Order for Services to the local social services district, which then completes a social and nursing assessment. A nurse assessor then determines whether the recipient can appropriately participate in CDPAP and recommends the amount, frequency, and duration of services.
Requirements of CDPAP
Recipients must be able and willing to make informed choices regarding the management of the services they receive or have a legal guardian or designated relative or other adult able and willing to help make informed choices.
The consumer or designee must also be responsible for recruiting, hiring, training, supervising, and terminating caregivers. They must arrange for back-up coverage when necessary, arrange and coordinate other services, and keep payroll records.
Click here if you think you have an immediate need for Consumer Directed Personal Assistance Services and would like more information on how to get your eligibility processed more quickly for these services.
Q: How do we access more direct contact information for families so they can reach people in the agency?
A: You can reach any of our staff or departments by calling ADAPT Community Network at 212-683-6700 and following our prompts. For more information about services and supports, please call our information and referral service, Project Connect, at 877-827-2666.