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Service Coordination

Looking for a Medicaid Service Coordinator (MSC)? Thinking of transferring from your current MSC provider to another?

The CRVI Service Coordination Department provides case management to people of all ages. A trained Medicaid Service Coordinator (MSC) can help plan and broker services that are often difficult to access due to fragmented service delivery systems.

If you need the advocacy of an MSC, you can learn more about the benefits of the program by calling Michelle Cestaro, MSC Supervisor, at 695-2592.

Service Coordination

The CRVI Service Coordination Department provides services to people living within the agency’s residences, to individuals living at home with their families, in residences operated by the state or by other agencies, or on their own in the community.

People eligible for services must be at least three years old with a developmental disability, and meet stipulated levels of care requirements. The service provides not only a system of supports, but benefits the individuals and their families by providing them with the opportunity to make informed choices, resulting in a flexible, personalized plan of care that adjusts with an individual’s age and life changes.

The program’s goals emphasize, self-determination and choice, empowerment and freedom, integration and productivity through community inclusion.

Medicaid Service Coordination

MSC is a Medicaid State Plan service administered by the NYS Office for People With Developmental Disabilities (OPWDD) and is available to people of all ages.  Families can get the guidance and services they need through Medicaid Service Coordination (MSC).

MSC offers case management services to coordinate, plan and facilitate services that are often difficult to access due to fragmented service delivery systems. MSC activities are carried out by an identified and trained service coordinator to assist an individual in gaining access to desired services and needed supports.

CRVI has come to understand that it is often the relationship that a person and their family develop with a service coordinator that influences the quality of the resources a family receives and the usefulness of the supports they are provided with. CRVI provides the opportunity to develop the service coordinator partnership, essential for creating and maintaining a personalized plan designed specifically to the individual.

Service Coordinators work to:

  • Access community services
  • Make current services stronger
  • Avoid duplication of services
  • Develop resources when needed
  • Coordinate multiple providers ensuing services are provided as needed
  • Educate families on what they can expect from state and community agencies

MSC is a flexible system designed to grow and develop with the individual. People receiving MSC have the right to elect the MSC provider of their choice, change their MSC service provider or service coordinator at anytime, and direct changes to individualized service plans.

Medicaid Service Coordination Eligibility

In order to receive MSC, a person must meet all of the criteria listed below. A person cannot be enrolled in any other form of comprehensive Medicaid long-term care service coordination program.

  • A person must have a documented diagnosis of a developmental disability
  • Be at least three years of age
  • Be enrolled in Medicaid
  • A person must demonstrate a need for ongoing and comprehensive, rather than incidental, service coordination
  • A person, or an individual authorized to give consent on behalf of the person, must choose to receive MSC
  • A person must not permanently live in an Intermediate Care Facility, Developmental Center, Psychiatric Hospital, Small Residential Unit, Hospital or Nursing Home, or any other Medicaid funded setting that provides service coordination.

The Medicaid Service Coordination Department at CRVI can help you determine a family member’s eligibility.

Please call (845) 692-4444 or click here to contact The Medicaid Service Coordination Group. Medicaid Service Coordination is available in Rockland, Sullivan and Orange Counties for people from age 3.

Home and Community Based Services Waiver (HCBS)

HCBS provides a flexible funding system through the use of Medicaid dollars allowing an individual with a disability to receive services through an individualized services approach. The waiver eliminates consideration of parental income for Medicaid eligibility for persons under the age of 18 who live with their parents. Children must meet eligibility according to the current NYS Office for People With Disabilities (OPWDD) definition of developmental disability. It provides funding for services which in the absence of the waiver would only be available in an Intermediate Care Facility.

Services and Supports Funded by the Medicaid Waiver Include:

  • Residential Habilitation
  • Day Habilitation
  • Prevocational services
  • Supported employment
  • Community Habilitation
  • Respite services
  • Environmental modifications
  • Adaptive equipment
  • Plan of Care support services
  • Family education and training
  • Consolidated support and services

Community Habilitation

Community Habilitation provides individualized services for a person in any non-certified location, including a person’s home – meaning habilitation opportunities within the community at large. Community Habilitation facilitates self-care, community access, relationship building and the development of other adaptive skills for a more self-directed life with greater independence.

Previously known as In-Home Residential Habilitation, and restricted to start and end in the home, community habilitation can now begin and end in the community to maximize independence for the participating individuals. Eligibility through the New York State Office for People with Developmental Disabilities is required. Community Habilitation is a Home and Community Based Waiver Service (HCBS).  To participate the individual must be registered to receive Medicaid.

Community Habilitation is a functional approach to the delivery of services. A trained staff person works one-on-one to assist the individual in learning, maintaining or improving the skills necessary for participating in everyday life activities. The services are responsive to the person’s interest.  Service plan goals evolve with the individual’s changing needs. For more information about Community Habilitation please call (845) 692-4444 or click here to contact to contact us.

In-Home Respite Service

In-Home Respite Service is a Medicaid waiver program offering parents and care-givers short-term relief from their responsibilities. A qualified and trained staff person spends time with an individual in their home engaged in a variety of activities meaningful to the individual.

For more information about In-Home Respite Services please call (845) 692-4444 or click here to contact us.