OPWDD Eligibility + Medicaid Enrollment = Care Management
Enrolling for Care Coordination services is an important but sometimes lengthy process. Especially for parents and family members who are juggling many roles and priorities related to caring for their loved one with developmental disabilities.
LIFEPlan CCO provides a unique enrollment service staffed by Care Connection Specialists who guide families through the enrollment process to get disability services. Those services might be community habilitation, respite, employment, housing accommodations, healthcare, and others to give the person with a disability the best life possible.
The Care Connection Enrollment Specialist assists families in applying for Office of People with Developmental Disabilities (OPWDD) eligibility and Medicaid, sharing information about required documents, procedures and guiding them through the steps they need to take as requirements of the state and federal service system.
Qualifying Diagnosis Requirements
- Onset of the condition is present before age 22
- Condition is expected to be permanent.
- Diagnosis affects every day, independent life
- Conditions include intellectual disability, autism, cerebral palsy, epilepsy, neurological impairments, familial dsyautonomia, prader willi syndrome, or other
Length of Eligibility Process
Once the person gets in touch with LIFEPlan CCO, we will walk you through the eligibility and enrollment process as needed. Timing is based on the county you live in and your personal circumstances. Generally, you should plan on several months from start to finish. Once approved for disability services, the person will officially enroll with LIFEPlan CCO to bring together all the services that support a full and healthy life.
What to Expect from your Care Manager
The Care Manager assists people with intellectual and developmental disabilities and their families as they navigate OPWDD and other service systems, guiding them to create a Life Plan. The Care Manager is assigned to each person, helping them to establish and maintain the appropriate services that will support them in leading a healthy, full life.
Why Choose LIFEPlan?
LIFEPlan is a parent led CCO. Nick Cappoletti, LIFEPlan CEO, knows what parents and families experience in caring for a child with special needs. For more than 30 years, Nick has been his son Mark’s chief advocate and caregiver, helping him navigate many obstacles due to developmental disabilities. Nick’s vision for LIFEPlan is guided by his firsthand knowledge of raising Mark.
LIFEPlan Care Managers are supported by an extensive, personal, year round training program that includes weekly OPWDD guidance, seminars on physical, mental and behavioral health, a personalized online learning portal that includes dozens of modules on Care Management, OPWDD regulations, disabilities, health and wellness support and more. LIFEPlan Care Managers are trained on average 75 – 100 hours each year.
LIFEPlan members are represented by a large, active Member and Family Advisory Council representing all six regions. 60 self advocates, parents, siblings and other caregivers make up the MFA Councils, who meet 4-6 times per year to discuss and plan for advocacy related to Care Management and needs in the broader I/DD sphere. Each region is also staffed by a parent liaison , who interacts with members and families with a focus on advocacy, leadership and member education.