New York Home and Community Agency Policy Manual
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The New York Home and Community Agency Policy Manual provides a comprehensive operational framework for agencies delivering home and community-based services (HCBS) to individuals with disabilities, chronic illnesses, behavioral health conditions, and aging-related needs across the State of New York. This manual aligns with the regulations established by the New York State Department of Health (NYSDOH), the Office for People With Developmental Disabilities (OPWDD), the Office of Mental Health (OMH), and other related state agencies. It also complies with federal Centers for Medicare & Medicaid Services (CMS) guidelines and Medicaid HCBS Waiver programs, including the Community Habilitation and Children’s Waiver programs. The manual includes policies and procedures governing agency enrollment and certification, participant eligibility and intake, person-centered service planning, provision of supports such as community habilitation, independent living skills training, respite, employment readiness, and behavior supports, as well as integration with health, education, and social services. It also outlines staff qualifications and training, participant rights and protections, incident management, emergency preparedness, documentation and billing practices, and quality assurance systems. It emphasizes individualized, community-based service delivery that fosters autonomy, inclusion, and the ability to live and thrive in the most integrated settings possible.
This manual serves as a foundational resource for home and community-based service providers in New York, ensuring the delivery of high-quality, compliant, and person-driven care that supports long-term wellness, independence, and community participation.