1. Program Definition and Services
Residential Habilitation Services in New York provide short-term support to children and adults with intellectual/developmental disabilities. The program aims to help maintain individuals with disabilities in the community, averting the need for long-term services and supports. Services include:
- In-Home Habilitation: Individual support in the individual/family home or community
- Residential Habilitation: Supervision and care in a licensed residential, community-based setting
2. Regulations
The program is governed by the following regulations:
- New York Codes, Rules and Regulations, Title 14, Part 635 (Rule 635)
- New York Codes, Rules and Regulations, Title 14, Part 686 (Rule 686)
- Mental Hygiene Law (MHL Articles 16 & 33)
- Social Services Law (Protection of People with Special Needs)
- Child Protective Services Act (State Central Register Reporting)
3. Licensing or Certification
Providers must be certified by the New York State Department of Health and follow all Home and Community-Based Services (HCBS) requirements
4. Responsible State Agency
The Office for People With Developmental Disabilities (OPWDD) is responsible for reviewing applications and certifying residential habilitation providers
5. Application Process
The application process is conducted through the electronic New York Medicaid Portal. Providers must submit forms online to initiate the application process
6. Required Documentation
While specific documentation requirements vary based on the target waiver, providers typically need to submit :
- Proof of compliance with state safety and operational rules Agency policies and procedures
- Staff qualifications and training records
- Proof of general and professional liability insurance
7.Timeline for Approval
The exact timeline for approval fluctuates based on agency capacity. Providers should contact their regional office for detailed information on current processing timeframes.
8. Pre-Application Process
Prospective providers must complete specific foundation tasks before applying. They must establish their business entity and secure necessary federal identification numbers.
9. Pre-Application Training
The state hosts mandatory administrative and compliance training sessions online. Access details are sent to qualified applicants once preliminary paperwork is reviewed
10. Additional Notes
- Providers must ensure that intensive residential settings meet all state accessibility and environmental safety guidelines
- In-Home Habilitation must be provided directly by the certified agency's employed personnel
- All direct care staff must conduct mandatory background clearances and fingerprinting screenings
- Providers must maintain detailed records of face-to-face services for Medicaid documentation and billing
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