N.Y. Comp. Codes R. & Regs. Tit. 14 §§ 636-3.5

Current through Register Vol. 46, No. 53, December 31, 2024

Section 636-3.5 - Responsibilities of Providers of Care Management Services

(a) Prior to referring an individual for services in a residential facility, Care Managers must:

(1) ensure the individual has established OPWDD eligibility;

(2) ensure the individual has requested services in a residential facility; and

(3) have fully explored with the individual and their guardian, family, or advocate, as applicable, the possibility of remaining in their current residence or other community living arrangement with additional supports and services.

(b) For individuals who have an active referral for services in a residential facility, the Care Manager must ensure that OPWDD receives the individual's current information, including:

(1) their Life Plan;

(2) all updates to clinical and medical documents, including at the time of the annual physical and any relevant clinical event;

(3) changes in the Care Manager and/or the provider of care management services;

(4) any changes in circumstances that might impact an individual's residential support category; and

(5) any other relevant information.

N.Y. Comp. Codes R. & Regs. Tit. 14 §§ 636-3.5

Adopted New York State Register September 14, 2022/Volume XLIV, Issue 37, eff. 3/14/2023

Amended New York State Register March 29, 2023/Volume XLV, Issue 13, eff. 6/14/2023