This report describes New York State’s reform initiative to achieve a system-wide transformation in its treatment of individuals with developmental disabilities. Goals include achieving more person-centered service planning and improving personal and system-wide outcomes, with individuals living in the most integrated settings possible and experiencing and engaging in the community to the fullest extent. Included here is the objective of increasing the number of individuals competitively employed and ending new admissions to sheltered workshops. It incorporates a shift from fee for services to managed care with a new reimbursement rate structure and a new Home and Community-Based Service waiver from CMS. It also describes an intent to develop new systems for measuring quality.
New York State Office for People with Developmental Disabilities (2013). Road to Reform.