New York Respite Care Agency Policy Manual

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The New York Respite Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering respite care services to individuals with intellectual and developmental disabilities (I/DD), chronic health conditions, or age-related needs—and their caregivers—across the State of New York. This manual aligns with regulations established by the New York State Office for People With Developmental Disabilities (OPWDD), the New York State Department of Health (NYSDOH), and complies with Medicaid Home and Community-Based Services (HCBS) Waiver programs including the OPWDD Comprehensive Waiver and the Children’s Waiver. The manual includes policies and procedures governing agency certification and enrollment, participant and caregiver eligibility, service authorization, delivery of in-home and out-of-home respite care, planned and emergency respite options, staff qualifications and training, participant rights and protections, health and safety standards, emergency preparedness, documentation and billing practices, incident reporting, and ongoing quality assurance. It emphasizes short-term, flexible, and person-centered services that provide relief to unpaid caregivers while ensuring continuity of care, safety, and dignity for individuals receiving support. This manual serves as a foundational resource for respite care providers in New York, ensuring the delivery of high-quality, compliant, and compassionate services that sustain caregiving relationships, prevent burnout, and support long-term community living.