New York Residential Agency Policy Manual

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The New York Residential Agency Policy Manual provides a comprehensive operational framework for agencies delivering residential services to individuals with intellectual and developmental disabilities (I/DD) across the State of New York. This manual aligns with the regulations established by the New York State Office for People With Developmental Disabilities (OPWDD) and complies with Medicaid Home and Community-Based Services (HCBS) Waiver requirements, including the OPWDD Comprehensive Waiver and applicable state and federal guidelines under the Home and Community-Based Settings Final Rule. The manual includes policies and procedures governing agency licensure and certification, participant eligibility and intake, person-centered planning, 24/7 residential supports, assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), skill-building in areas such as communication, socialization, and independent living, medication administration, staff qualifications and training, participant rights and protections, emergency preparedness, incident reporting, documentation and billing practices, and quality assurance. It emphasizes safe, inclusive, and individualized community-based living arrangements that promote autonomy, dignity, and meaningful participation in everyday life. This manual serves as a foundational resource for residential habilitation providers in New York, ensuring the delivery of high-quality, compliant, and person-centered services that support individuals in leading fulfilling lives in their homes and communities.