Navigating the Disability Service System for People with Autism

Caroline Dunn LMSW Coordinator YAI LINKEmily Gerner LMSW Supervisor YAI LINK

Presented ByEmily Gerner LMSW YAI LINKCaroline Dunn LMSW YAI LINK

Navigating the System for People with Autism Spectrum Disorder

What is OPWDDOPWDD stands for the Office for People with Developmental DisabilitiesIt is the New York State office that provides oversight and funding for services for people with developmental disabilitiesbull Each county has a DDRObull Each DDRO has Front Door Staff

bull The Front Door is a person centered process for establishing access to services for people who are new or those seeking to modify existing services

2

wwwopwddnygov

Presented ByEmily Gerner LMSW YAI LINKCaroline Dunn LMSW YAI LINK

Navigating the System for People with Autism Spectrum Disorder

What is OPWDDOPWDD stands for the Office for People with Developmental DisabilitiesIt is the New York State office that provides oversight and funding for services for people with developmental disabilitiesbull Each county has a DDRObull Each DDRO has Front Door Staff

bull The Front Door is a person centered process for establishing access to services for people who are new or those seeking to modify existing services

2

wwwopwddnygov

What is OPWDDOPWDD stands for the Office for People with Developmental DisabilitiesIt is the New York State office that provides oversight and funding for services for people with developmental disabilitiesbull Each county has a DDRObull Each DDRO has Front Door Staff

bull The Front Door is a person centered process for establishing access to services for people who are new or those seeking to modify existing services

2

wwwopwddnygov

Who is eligible

bull Diagnosis of a developmental disability

bull DD diagnosis manifests itself prior to the age of 22

bull Long-term

bull Substantial functional deficits

3

OPWDD Application RequiredDocumentsbull General medical assessment

bull Psychosocial evaluationbull A comprehensive assessment of a persons history

from birth until the present time The goal of the evaluation is to provide the familyguardian with supportive resources that could aid in the persons growth and achievement of goals

4

OPWDD Application Required DocumentsPsychological evaluationbull IQ testing

ndash Common Measures Stanford-Binet Intelligence Scales Weschler Scalesndash IQ of 69 or below considered intellectual disabilityndash IQ of 70 or higher requires diagnosis of another developmental disability like

ASD

bull Adaptive Behavior Testingbull Common Measures Vineland Adaptive Behavior Scales Third Edition Adaptive

Behavior Assessment System ndash Second Edition

ndash ABAS General Adaptive Composite Conceptual (communication and academics) Social and Practical (Independence ADLs)

ndash Vineland Adaptive Behavior Composite Communication Daily Living Socialization Maladaptive Behavior Index if under 7 can also do Motor Domain

bull Adaptive Behavior Composite must be 69 or below regardless of diagnosis

5

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDDAutism Diagnostic Observation Schedule-2nd Edition

(ADOS-2)bull Semi-structured format and standardized

bull ldquoPressrdquo for opportunities to observe symptoms characteristic of autism

bull Main instrument used for establishing diagnosis

bull Assesses communication and social interaction directly note repetitive behaviorsstereotypy

bull 4 modules approximately 30-45 min administration time

ndash Module 1 no phrase speech

ndash Module 2 some phrase speech but not fluent

ndash Module 3 Verbally fluent but still use toys

ndash Module 4 Verbally fluent adolescentsadults

bull OPWDD typically requests to see this measure as it is considered the gold standard in ASD diagnosis

6

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

The Childhood Autism Rating Scale-2nd Edition (CARS-2)bull 15 item rating scale

bull Results indicate diagnosis and severity

bull Standard Version Rating Booklet ndash For use with individuals younger than age 6 and those with communication difficulties or below average estimated IQ

bull High Functioning Individuals Rating Booklet ndash Use to assess verbally fluent individuals ages 6 and older with IQ scores above 80

bull Questionnaire for Parents or Caregivers ndash An unscored scale that gathers information for use in making Standard and High Functioning ratings

bull While OPWDD typically requests an ADOS having a CARS is beneficial as well

7

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

OPWDD Application RequiredDocumentsbull General medical assessment

bull Psychosocial evaluationbull A comprehensive assessment of a persons history

from birth until the present time The goal of the evaluation is to provide the familyguardian with supportive resources that could aid in the persons growth and achievement of goals

4

OPWDD Application Required DocumentsPsychological evaluationbull IQ testing

ndash Common Measures Stanford-Binet Intelligence Scales Weschler Scalesndash IQ of 69 or below considered intellectual disabilityndash IQ of 70 or higher requires diagnosis of another developmental disability like

ASD

bull Adaptive Behavior Testingbull Common Measures Vineland Adaptive Behavior Scales Third Edition Adaptive

Behavior Assessment System ndash Second Edition

ndash ABAS General Adaptive Composite Conceptual (communication and academics) Social and Practical (Independence ADLs)

ndash Vineland Adaptive Behavior Composite Communication Daily Living Socialization Maladaptive Behavior Index if under 7 can also do Motor Domain

bull Adaptive Behavior Composite must be 69 or below regardless of diagnosis

5

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDDAutism Diagnostic Observation Schedule-2nd Edition

(ADOS-2)bull Semi-structured format and standardized

bull ldquoPressrdquo for opportunities to observe symptoms characteristic of autism

bull Main instrument used for establishing diagnosis

bull Assesses communication and social interaction directly note repetitive behaviorsstereotypy

bull 4 modules approximately 30-45 min administration time

ndash Module 1 no phrase speech

ndash Module 2 some phrase speech but not fluent

ndash Module 3 Verbally fluent but still use toys

ndash Module 4 Verbally fluent adolescentsadults

bull OPWDD typically requests to see this measure as it is considered the gold standard in ASD diagnosis

6

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

The Childhood Autism Rating Scale-2nd Edition (CARS-2)bull 15 item rating scale

bull Results indicate diagnosis and severity

bull Standard Version Rating Booklet ndash For use with individuals younger than age 6 and those with communication difficulties or below average estimated IQ

bull High Functioning Individuals Rating Booklet ndash Use to assess verbally fluent individuals ages 6 and older with IQ scores above 80

bull Questionnaire for Parents or Caregivers ndash An unscored scale that gathers information for use in making Standard and High Functioning ratings

bull While OPWDD typically requests an ADOS having a CARS is beneficial as well

7

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

OPWDD Application Required DocumentsPsychological evaluationbull IQ testing

ndash Common Measures Stanford-Binet Intelligence Scales Weschler Scalesndash IQ of 69 or below considered intellectual disabilityndash IQ of 70 or higher requires diagnosis of another developmental disability like

ASD

bull Adaptive Behavior Testingbull Common Measures Vineland Adaptive Behavior Scales Third Edition Adaptive

Behavior Assessment System ndash Second Edition

ndash ABAS General Adaptive Composite Conceptual (communication and academics) Social and Practical (Independence ADLs)

ndash Vineland Adaptive Behavior Composite Communication Daily Living Socialization Maladaptive Behavior Index if under 7 can also do Motor Domain

bull Adaptive Behavior Composite must be 69 or below regardless of diagnosis

5

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDDAutism Diagnostic Observation Schedule-2nd Edition

(ADOS-2)bull Semi-structured format and standardized

bull ldquoPressrdquo for opportunities to observe symptoms characteristic of autism

bull Main instrument used for establishing diagnosis

bull Assesses communication and social interaction directly note repetitive behaviorsstereotypy

bull 4 modules approximately 30-45 min administration time

ndash Module 1 no phrase speech

ndash Module 2 some phrase speech but not fluent

ndash Module 3 Verbally fluent but still use toys

ndash Module 4 Verbally fluent adolescentsadults

bull OPWDD typically requests to see this measure as it is considered the gold standard in ASD diagnosis

6

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

The Childhood Autism Rating Scale-2nd Edition (CARS-2)bull 15 item rating scale

bull Results indicate diagnosis and severity

bull Standard Version Rating Booklet ndash For use with individuals younger than age 6 and those with communication difficulties or below average estimated IQ

bull High Functioning Individuals Rating Booklet ndash Use to assess verbally fluent individuals ages 6 and older with IQ scores above 80

bull Questionnaire for Parents or Caregivers ndash An unscored scale that gathers information for use in making Standard and High Functioning ratings

bull While OPWDD typically requests an ADOS having a CARS is beneficial as well

7

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

Proof of ASD for OPWDDAutism Diagnostic Observation Schedule-2nd Edition

(ADOS-2)bull Semi-structured format and standardized

bull ldquoPressrdquo for opportunities to observe symptoms characteristic of autism

bull Main instrument used for establishing diagnosis

bull Assesses communication and social interaction directly note repetitive behaviorsstereotypy

bull 4 modules approximately 30-45 min administration time

ndash Module 1 no phrase speech

ndash Module 2 some phrase speech but not fluent

ndash Module 3 Verbally fluent but still use toys

ndash Module 4 Verbally fluent adolescentsadults

bull OPWDD typically requests to see this measure as it is considered the gold standard in ASD diagnosis

6

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

The Childhood Autism Rating Scale-2nd Edition (CARS-2)bull 15 item rating scale

bull Results indicate diagnosis and severity

bull Standard Version Rating Booklet ndash For use with individuals younger than age 6 and those with communication difficulties or below average estimated IQ

bull High Functioning Individuals Rating Booklet ndash Use to assess verbally fluent individuals ages 6 and older with IQ scores above 80

bull Questionnaire for Parents or Caregivers ndash An unscored scale that gathers information for use in making Standard and High Functioning ratings

bull While OPWDD typically requests an ADOS having a CARS is beneficial as well

7

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

Proof of ASD for OPWDD

The Childhood Autism Rating Scale-2nd Edition (CARS-2)bull 15 item rating scale

bull Results indicate diagnosis and severity

bull Standard Version Rating Booklet ndash For use with individuals younger than age 6 and those with communication difficulties or below average estimated IQ

bull High Functioning Individuals Rating Booklet ndash Use to assess verbally fluent individuals ages 6 and older with IQ scores above 80

bull Questionnaire for Parents or Caregivers ndash An unscored scale that gathers information for use in making Standard and High Functioning ratings

bull While OPWDD typically requests an ADOS having a CARS is beneficial as well

7

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

Proof of ASD for OPWDD

Autism Diagnostic Interview ndash Revised (ADI-R)bull Interview with parentcaregiver 93 items 2 hr administration timebull Age mental age ndash 2 and upbull Considers three domains as well as developmental history

ndash Qualities of reciprocal social interactionndash Communication and languagendash Restricted and repetitive stereotyped interests and behaviors

bull Can be used for treatment planning purposesbull While OPWDD typically requests an ADOS having an ADI-R is beneficial as well

8

Adapted from Assessment of Individuals with Autism across the Lifespan by Charles Yurkewicz Psy D Supervisor of Psychological Assessment YAI

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

Accessing evaluationsbull Medicaid will typically cover the cost of evaluations at

an Article 16 clinicndash To make an appointment at YAI call 2122736272 (Medicaid Insurance Only)

ndash Other clinics can be found using the Clinic Guide yaiorgdirectory-idd-specialized-clinics

bull Free evaluation grants are available for people who are not Medicaid eligible and want to access OPWDD servicesndash Bronx - AHRC (2127804493) NYS Institute on Disability (9175244856)ndash Brooklyn - YAI (2122736182)ndash Manhattan - YAI (2122736182)ndash Queens - YAI (2122736182)ndash Staten Island - NYS Institute on Disability (9175244856)

bull Private Pay through YAIs Autism Center

9

Ask what Autism Diagnostic Measures the clinic uses when making an appointment to be sure they can

perform an ADOS

bull Mail Application Packet to OPWDDrsquos Eligibility Unitndash General medical assessmentndash Psychosocial evaluationndash Psychological evaluationndash Proof of ASD diagnosisndash Other documents as neededndash OPWDD Transmittal Formhttpsopwddnygovopwdd_services_supportseligibilitydocumentseligibility_transmittal_form

bull Get letter saying deemed eligible or provisionally eligible

bull If no letter for over a month contact your local Front Door officeopwddnygovwelcome-front-doorFront_Door_Contact_Number

bull EAA Tool and DDP-2opwddnygovsitesdefaultfilesdocumentsddp_2pdf (DDP-2)

10

Finding out if someone is eligible

Attend a Front Door Information Session

opwddnygovwelcome-front-doorinformation_sessions

Case ManagementPeople First Care CoordinationCare Managers coordinate all the IDD services a person receives along with a personrsquos health wellness and mental health services

There are 3 CCOs Providing Care Management in NYCbull Care Design NY (CDNY)

bull Brooklyn amp Bi-lingual Spanish 3472270817 x401039bull Queens amp SI 6464916497 ext 200013bull Manhattan amp SI 6464916497 ext 202018bull Bronx amp Bi-lingual Spanish 6464916497 x200029

bull Tri-County Care 8445048400 x9213

bull Advance Care Alliance (ACA) 8336922269

Non-Medicaid Service CoordinationFamily Support Coordination

These coordinators can help families without Medicaid to get Family Support services and apply for the Medicaid Waiver Once they are eligible for the Medicaid Waiver they with be transferred to a Care Manager

11

Family Support ServicesThese are borough specific services provided to people living at home with their families Medicaid is not required

For examplebull Family reimbursementbull Behavior managementbull Short term skills training

bull Social Skills Groupsbull Parent trainingbull Crisis intervention

bull Manhattan YAI 2122736200bull Queens YAI 7187932182 x 4572bull Brooklyn Lifespire 7184546940 Independence Residences 6465424643bull Bronx AHRC 7183673701 Gateway Counseling Center 9292377209bull Staten Island VOA 7189847900 Eden II 7188161422 x 151

12

Each borough has a Family Support Directory that lists the services available to people with developmental disabilities yaiorgdirectory-family-support-services

Family Support ServicesThese are borough specific services provided to people living at home with their families Medicaid is not required

For examplebull Family reimbursementbull Behavior managementbull Short term skills training

bull Social Skills Groupsbull Parent trainingbull Crisis intervention

bull Manhattan YAI 2122736200bull Queens YAI 7187932182 x 4572bull Brooklyn Lifespire 7184546940 Independence Residences 6465424643bull Bronx AHRC 7183673701 Gateway Counseling Center 9292377209bull Staten Island VOA 7189847900 Eden II 7188161422 x 151

12

Each borough has a Family Support Directory that lists the services available to people with developmental disabilities yaiorgdirectory-family-support-services

NY START

bull Systemic Therapeutic Assessment Resources and Treatmentbull Ages 6+bull Developmental disability and complex behavioral or mental health

needsbull Live in a certified residence or in the communitybull Crisis prevention and intervention

ndash Crisis response clinical consultation training and respitebull Manhattan Queens Bronx

ndash YAI 212-273-6300bull Brooklyn and Staten Island

ndash Services for the Underserved (SUS) 347-835-9808

13

Medicaid WaiverThe Home and Community Based Services (HCBS) Waiver is a

funding stream for many OPWDD services which requires

Medicaid eligibility and enrollment

For example

bull Community Habilitation

bull Respite

bull Day Habilitation

bull Supportive Employment

bull Individualized Residential Alternatives (IRAs)

bull Self-Direction (service modality)

14

Medical Services

15

Medical

bull Primary Care

bull Dental

Mental Health

bull Counseling

bull Psychiatry

Rehabilitation

bull Occupational Therapy (OT)

bull Physical Therapy (PT)

bull Speech Therapy (ST)

bull Augmentative and Alternative Communication

Assessment (AAC)

To make an appointment at YAI

call 2122736272 (Medicaid Insurance Only)

Other clinics can be found using

the Clinic Guide at yaiorgdirectory-idd-

specialized-clinics

Medicaid WaiverThe Home and Community Based Services (HCBS) Waiver is a

funding stream for many OPWDD services which requires

Medicaid eligibility and enrollment

For example

bull Community Habilitation

bull Respite

bull Day Habilitation

bull Supportive Employment

bull Individualized Residential Alternatives (IRAs)

bull Self-Direction (service modality)

14

Medical Services

15

Medical

bull Primary Care

bull Dental

Mental Health

bull Counseling

bull Psychiatry

Rehabilitation

bull Occupational Therapy (OT)

bull Physical Therapy (PT)

bull Speech Therapy (ST)

bull Augmentative and Alternative Communication

Assessment (AAC)

To make an appointment at YAI

call 2122736272 (Medicaid Insurance Only)

Other clinics can be found using

the Clinic Guide at yaiorgdirectory-idd-

specialized-clinics

Medical Services

15

Medical

bull Primary Care

bull Dental

Mental Health

bull Counseling

bull Psychiatry

Rehabilitation

bull Occupational Therapy (OT)

bull Physical Therapy (PT)

bull Speech Therapy (ST)

bull Augmentative and Alternative Communication

Assessment (AAC)

To make an appointment at YAI

call 2122736272 (Medicaid Insurance Only)

Other clinics can be found using

the Clinic Guide at yaiorgdirectory-idd-

specialized-clinics

16

linkyaiorg yaiorglink

Keep in mind this is a changing system