Care Coordination

As of July 1, 2018, Medicaid Service Coordination has transitioned to Health Home Care Management. This new model is designed to be conflict-free, and to provide supports that plan for all of an individual’s needs.

Under the new Health Home Care Management model, MSCs will become Care Managers.

A Care Coordination Organization (CCO) is a specialized Health Home for individuals with Intellectual and developmental disabilities. This new, comprehensive service takes a person-centered approach to determining the services that best fit an individual’s needs. The Health Home model combines developmental disability services and supports with health and wellness services, delivering a greater focus on outcomes and the positive impact they have on individuals.

Until recently, Medicaid Service Coordinators (MSC) have assisted individuals with developmental disabilities and their families in gaining access to services. Under the new Health Home Care model, MSCs have become Care Managers. They will continue to provide the same services as before in addition to expanded services such as health care planning, referrals for wellness activities, and enhanced person and family support.

The diverse needs of individuals with developmental disabilities are best met in collaboration. Accessing the most appropriate support and services requires an understanding of how to make use of the natural support available in someone‘s life and information about provider programs and community resources. Care Coordination promotes the concepts of informed choice, individualized services and support, and satisfaction with the help of a Care Manager.

The focus of Care Coordination is to assist each individual to achieve his or her unique goals and desires such as choice of home; meaningful work and/or community activities; social and leisure activities; meaningful relationships; and access to services/supports that promote optimal health. With the help of family, friends, and the Care Manager, the individual’s interests, talents, preferences, and needs to create a plan for pursuing a fulfilling life are identified.

The focus of Care Coordination is to assist each individual to achieve his or her unique goals and desires.

Here at Ulster Cerebral Palsy, we will continue to provide you the same quality services we have for over 65 years. In an effort to ensure a smooth transition of care, Cerebral Palsy of Ulster County has joined Hudson Valley Services Providers (HVSP), a group of 22 Hudson Valley agencies who provide services to people with developmental disabilities. HVSP was formed out of the need for collaboration and a unified voice during the transition to Care Coordination and has resulted in HVSP partnering with the LIFEPlan Care Coordination Organization, which includes a network of 65 regional agencies and serves over 17,000 individuals in NY State. LIFEPlan is committed to partnering with providers to ensure choice, stability and continuity of care for individuals and their families.

For more information on the services Care Managers provide, please visit the OPWDD website and the LIFEPlan CCO NY website.

For answers to many questions you may have about this transition, please view the People First Care Coordination brochure created by the OPWDD.

Childrens Residential Program (CRP)

The Oberkirch Children’s Residence for school-age children was opened in May 1989, providing the opportunity for 12 children with disabilities to live in a home-like environment and attend a nearby special education program and receive rehabilitative services necessary to meet each child’s needs. The program is licensed by both the Office of Persons with Developmental Disabilities (OPWDD) and the State Education Department (SED). The residence is a co-ed facility that is staffed 24 hours a day. The program provides medication administration, coordination of medical services daily living skills assistance, recreation, education, occupational, speech, and physical therapy.

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Youths residing in the Oberkirch program participate in educational services at the Cerebral Palsy of Ulster County Community Rehabilitation Center (CRC). Our special education school is approved by the NYS Department of Education and provides services to students ages five to twenty-one, who have multiple disabilities. Our goal is to enhance the lives of our students by promoting independence through the development of functional goals. The program offers a wealth of resources for each student’s individual needs while emphasizing communication, socialization, and self-help skills. Resources include:

  • iPads
  • Smartboard technology
  • Adapted classroom computer work stations
  • Augmentative communication devices (Dynavox, Cheaptalk, Big Mack switches, etc.)
  • Assistive technology
  • Adaptive positioning devices
  • Therapeutic playground
  • Wheelchair accessible garden

Our interdisciplinary team approach creates a classroom environment in which students are encouraged to reach their maximum potential through collaborative planning and the implementation of individualized goals. Classroom sizes are a 6:1:3 model and 12 month programming is available as determined by CSE. The school age education program provides the following services:

  • Adaptive Physical Education
  • Physical Therapy
  • Occupational Therapy
  • Speech / Language Therapy
  • Teacher of the Visually Impaired
  • Social Work
  • Assistive Technology / Augmentative Communication Evaluations

Day Habilitation Services

Cerebral Palsy of Ulster County Day Habilitation Program is an adult program that provides persons with developmental disabilities education and support to explore opportunities in the surrounding community. Our goal is to provide interactions that are consistent with the person’s interests and capabilities.

122_3460Day Habilitation services are provided at our Community Rehabilitation Center for adults aged 21 and over who have been diagnosed with a developmental disability. We strive to provide a program that supports each individual in pursuing their personal valued outcomes through training, support, assistance and relationship building.

We believe all persons can learn and grow. We provide an accessible environment, competent and trained personnel and the opportunity to tailor a program according to each person’s individual strengths and needs. Families and other significant people in the person’s life are encouraged to participate in the team approach.

In our Day Habilitation Program every individual has the opportunity to choose their activities on site and in the community.  All activities are developed and implemented with qualified staff who have been trained in van safety, medication administration, personal care, behavioral strategies, person centered planning, first aid, safe transfers, and adaptive equipment. Our staff strive provide meaningful and productive activities that emphasize personal choice.

Some examples of our current community opportunities are bowling, religious services, local library, sunshine club, meal delivery to the chronically ill, recycling, purchasing pet food, grocery shopping, delivering donations to Goodwill, and feeding animals at a local zoo. In house we provide opportunities in gardening, pet care, artistic expression, spa, movies, bi monthly visits with a therapy dog, team sports, cooking, and reading groups featuring popular novels. We also host a number of special events such as an annual carnival, Thanksgiving luncheon, summer picnic and many holiday celebrations.

Family Support Services (FSS)

As part of our outreach service Family Support Services (FSS) is a short-term reimbursement program that assists families with the care of their child with developmental disabilities who is living at home.

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The extraordinary care needs of a child with developmental disabilities can stretch families’ financial resources. FSS assists families in purchasing services and goods which are not funded through Medicaid. Purchases may include but are not limited to; respite, therapeutic services, recreational services, medical supplies and adaptive equipment, adaptive toys, or any other service or goods necessary to assist their child with a developmental disability.

With assistance and support, families can often work these situations out and stay together. Support for Independent and Family Living include a wide array of services that allow an individual to remain in his or her own home, apartment, or family care home. Respite services and assistive technology services are provided. The goal is to help people with developmental disabilities lead richer lives that include meaningful relationships, good health and personal growth.

Cerebral Palsy of Ulster County will work with families to access family needs and determine which goods or services and support are most appropriate for the family. Individuals served through this program do not need to be enrolled in OPWDD, but do need to have a diagnosis that would be considered to meet OPWDD’s eligibility criteria.

Families can apply for funding on an annual basis. Applicants who are 18 years of age and older and live at home with family may be eligible to receive benefits for camp, vacation and recreation reimbursements. Family Support Services can also help in times of crisis when a family member or loved one becomes ill, or when things get difficult at home for other reasons.

HUD Housing

Ulster Accessible Apartments

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In 1993 Cerebral Palsy of Ulster County once again expanded our residential programs to serve disabled persons who have a high level of independence.  The Ulster Accessible Apartments, which are located in Port Ewen offer 13 architecturally barrier-free apartments.  These apartments were funded through a federal Housing and Urban Development (HUD) grant.

Individual Support Services (ISS)

Individual Supports and Services (ISS) is a housing subsidy program that assists individuals with developmental disabilities that are looking for alternatives to the traditional group home setting.

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This program serves individuals with developmental disabilities that are ready to leave certified community or institutional facilities, living at home with parents or who are homeless. A priority of United Cerebral Palsy of Ulster County, Inc. is to provide support to individuals with developmental disabilities who are interested in planning and managing their own support.  Individuals in this program do not require intensive supervision and typically live alone or with friends or family in apartments in the community. The ISS program provides funds to pay for housing costs, and on a limited basis, for such things as food, transportation, and clothing.

This program focuses on providing support to individuals in housing they control. Programs like ISS assist individuals in choosing independent living options through rent subsidies for homes outside of the certified group setting. Housing stipends are based on the individual’s income. Eligible individuals are expected to contribute only 30% of their countable income toward housing expenses. The housing stipend may be applied towards an individual’s mortgage, Condo/Co-op fees, and other direct housing cost as well as for rent and utilities.

As an ISS provider agency, Cerebral Palsy of Ulster County, Inc. facilitates, to the extent agreed upon by the participant, the following services: Community outreach, assistance in housing negotiation, eligibility determinations, and implementation of the individual’s support plan.

Individualized Residential Alternatives (IRA)

In March 1994, Cerebral Palsy of Ulster County opened its first Individual Residential Alternative (IRA). Our IRA’s were developed to ensure that the consumers who reside in them have the individualized support that they need to live as full a life as possible. The programs range from IRA’s that provide 24 hour “total’ care to an innovative supportive apartment complex for consumers who have the capacity to care for themselves with reduced staff supports. Our IRAs include:

  • Kirschner Residence – In May 2009, a residential program was opened by Cerebral Palsy of Ulster County to serve young adults with multiple disabilities. The Lewis C. Kirschner Residence is located in Kerhonkson and is home to eight individuals with a wide variety of disabilities. Consumers who reside in the Kirschner participate in community events and day training and day rehabilitation services. Some Kirschner consumer residents also participate in supportive employment services.
  • Koenig Residence – The Koenig Residence serves individuals with developmental disabilities who need supervision and training primarily in the area of independent living skills. These individuals may also, due to their level of physical disabilities, require physical assistance from staff in some of their personal care or in activities of daily living. Located in Kingston, Koenig residents have easy access to the community events throughout the city.

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  • Keresman Apartments – The Keresman Apartment serves adults living in individual apartment units who have achieved a significant level of independence. There are eight apartments located in Lake Katrine, just north of Kingston. Shopping malls, movie theaters, restaurants, and community activities are all located less than a half mile from the residence. Staff provide these individuals with the level of assistance, oversight and guidance they require based on their independent living skill needs. Twenty-four hour supervision is not provided in the Keresman Apartments. Individuals receive individual service plans provided by Cerebral Palsy staff or by other service providers and include occupational therapy, physical therapy, speech therapy or individual counseling.

 

Intermediate Care Facility (ICF)

Cerebral Palsy operates four Intermediate Care Facilities (ICFs,) located throughout Ulster County. Three of these ICFs provide care for adults and one serves children. Facilities include:

  • Hillcrest Residence Ellenville – Opened in 1982 our Hillcrest residence is home to fourteen medically fragile men and woman. This spacious facility provides consumers ample space for recreation and relaxation including a fully furnished lower level that is accessible via an elevator. Consumers are offered views of mountains and beautifully landscaped grounds.hillcrest

 

 

  • Lasher Residence, Saugerties – Opened in 1981 our Lasher Residence is an eight person co-ed facility located on a quiet street just outside of the village of Saugerties. Lasher consumers and staff are well known for their high level of community involvement and support.

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  • Carroad Residence, New Paltz – In June of 1992 the Carroad residence was opened in New Paltz to address the growing need to provide a home for young adults who had “aged-out” of programs suitable for children.  Initially named “Yankee Folly” the residence name was changed in 2012 to honor Pam Carroad who served as a staff member and executive director for 34 years.
  • Oberkirch Children’s ICF Lake Katrine, New York  – The Helen Oberkirch Children’s Residence for school-age children was opened in May 1989, providing the opportunity for 12 children with disabilities to live in a home-like environment and attend a nearby special education program and receive rehabilitative services necessary to meet each child’s needs. The residence is named in memory of Helen Oberkirch in recognition of her many years of dedicated services as a volunteer and Board member.

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Each of these programs provides 24 hour quality care to persons who have severe physical, medical and cognitive disabilities. With a highly trained workforce that provides an intensive level of supervision, a home environment, physical assistance and training, residents feel warm and comfortable in their living spaces. Residents also have access to community based therapeutic recreation, medication administration and monitoring, as well as special preparation of meals and transportation to all medical and community appointments.

Preschool Educational Services

Cerebral Palsy of Ulster County Preschool Program is center-based, offering an integrated setting for students ages three to five at two locations in the Kingston areas (Webster Street and Tuytenbridge Road). The curriculum is aligned with the New York State learning standards and addresses the social-emotional, early academic, play, self-help, communication, gross, fine, and visual-motor skills necessary for a successful transition to a Kindergarten setting. Our educators are NY State certified in early childhood education and special education.

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Student eligibility is determined by the home school district supporting the child and their Committee on Preschool Special Education (CPSE). This program has an affiliation with the Kingston City School District’s Universal Pre-Kindergarten program and these students serve as peer models to demonstrate age appropriate skills.  Classroom sizes are 12:1:2, 1:1 support and 12 month programming are available as required.  All eligible students have access to on-site related service providers.

Resources available include:
  • IPADs
  • Smartboard technology
  • Adapted classroom computer work stations
  • Augmentative communication devices (Dynavox, Cheaptalk, Big Mack switches, etc.)
  • Assistive technology
  • Adaptive positioning devices
  • Therapeutic playground
  • Wheelchair accessible garden

Related services that are provided on-site include physical therapy, occupational therapy, speech/language therapy, vision services, social work services such as psychological counseling for the child and parent training/parent groups for caregivers.

Qualified Intellectual Disabilities Professional (QIDP)

QIDPs ensure that adequate environmental supports, service design and delivery promote independence and health and safety. QIDPs coordinate programmatic, medical, dietary and the vocational aspects of an individual’s program.

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The QMRP’s role is pivotal to the agency’s residential program, because they ensure that staff provides needed services and interventions. QMRPs coordinate, integrate, and monitor each individual’s active treatment program. QMRPs are responsible for ensuring the training of Direct Support Professionals. QMRPs observe staff working, evaluate effectiveness of programs, and work with the individual and team members when changes are required.

QMRPs ensure that adequate environmental support, service design, and delivery promote independence, health, and safety. These professionals coordinate programmatic, medical, dietary and the vocational aspects of an individuals program. Active treatment is intended to be consistently implemented in all settings of the individual’s life.

QMRPs accomplish this by speaking to the individual and others across various environments such as day program staff, residential staff, clinicians, parents, and advocates. QMRPs ensure that relevant team members, including the consumer, have provided input into the plan of services. Individuals’ routines and environments are organized to facilitate skill acquisition, appropriate behavior, choice, and greater independence.