OPWDD Clarification on Services Provided to K-12 Enrolled Individuals

Medicaid and/or NY State Funded services cannot be provided at the same time as academic instruction or other services provided/funded by the NYSED/school district regardless of service delivery location; this includes mentor supports. Mentors cannot be clocked into either direct or indirect time during academic instruction or other services provided/funded by the NYSED/school district.


Medicaid funded services cannot be provided during hours when NYSED/school district services are usually scheduled but unexpectedly cancelled (ex: bad weather, power outage, water main break, computer system shutdown, etc.) or when a student is unable to attend due to illness or other activity (ex: doctor or dental appointment). This includes mentor supports. Mentors cannot be clocked into either direct or indirect time. Note: State Funded Family Reimbursed Respite through FSS or a Self-Direction Budget can be used when school is cancelled, a student is sick or has an appointment.


Please reply to this email if you have any questions.

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