Page 270

UPDATED: JANUARY 2011

696

OTHER ELIGIBILITY REQUIREMENTS STATE AND FEDERAL CHARGES

OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

administered cases and 621 eligible local district cases, Medicaid funding is shared jointly (50/50) by the federal government and New York State. For all categories except S/CC, non-621 eligible A/R’s Medicaid funding is shared (50/25/25) with the local share reimbursable through overburden funding. (See OTHER ELIGIBILITY REQUIREMENTS STATE AND FEDERAL CHARGES HUMAN SERVICES OVERBURDEN)

NOTE: New York State is currently providing Medicaid with federal participation to most recipients, regardless of category. This time-limited waiver was granted pursuant to Section 1115 of the Social Security Act.

(5) Intermediate Care Facilities for the Developmentally Disabled (ICF/DD) - The SDOH in conjunction with OPWDD is responsible for determining Medicaid eligibility for 621 eligible A/Rs in State or Voluntary Operated ICF/DDs. Local districts are responsible for determining Medicaid eligibility for non-621 eligible A/Rs in State or Voluntary Operated ICF/DDs. For 621 individuals, Medicaid funding is shared jointly (50/50) by the Federal government and New York State.

For non-621 individuals, Medicaid funding is shared 50/25/25 with the local share being reimbursed through Overburden funding for all categories, except S/CC.

MRG