What is Person Centered Services of WNY?

Person Centered Services of Western New York (PCSWNY) is a collaborative organization established by a group of local nonprofit service providers for people with developmental disabilities, in response to New York State’s People First Waiver program. PCSWNY recently received funding from the state Office for People with Developmental Disabilities (OPWDD) through the New York Balancing Incentive Program (BIP) Transformation Fund.

The grant will allow PCSWNY to provide both technical and training assistance activities to agencies to help build the program and human resources capacities necessary to launch a regional care coordination service line in preparation for the transition to managed care. Medicaid Service Coordinators throughout Region 1 will receive POMs training through the Council on Quality and Leadership (CQL), as well as trainings through the Center for Human Services Education. The intent of PCSWNY is that the future DD service system will be driven by mission-based, experienced service providers, using a network of providers that embrace a person-centered philosophy and maximize efficiencies while protecting what is unique and important to serving people with developmental disabilities.

What is the People First Waiver?

The People First Waiver will allow New York State to work closely with individuals, family members, and outside experts in health care and long-term care to create system improvements that expand community-based services, reduce institutional services, and offer New Yorkers with developmental disabilities comprehensive services from multiple service systems in more efficient, person-centered, responsive, and accountable ways. The People First Waiver is an opportunity to learn from those we serve how to make the system better and to design and test the needed improvements.

What is Managed Care?

Managed Care is a general term for organizing providers into groups in order to enhance the quality and cost-effectiveness of health care. Through the formation these groups, managed care will change the way that we organize and fund the services for people with developmental disabilities. Managed care will not change the services that the individual receives, but will better coordinate those services through a comprehensive service system.

What is Care Coordination?

Picture2Care Coordination is a person-centered, comprehensive, multidisciplinary approach to assisting an individual in defining and working toward a desirable future. Encouraging and supporting self-direction to the fullest extent possible, care coordination yields an outcome based, fiscally responsible care plan which strives to promote community integration and wellness while balancing risk. Comprehensive care coordination also assumes an active responsibility for the assessment of an individual’s progress and satisfaction, seeking continuous quality improvement. At PCSWNY, comprehensive care coordination is achieved through the work of an interdisciplinary team, functioning under the direction of a Lead Care Coordinator.

What is a Care Coordinator?

Similar to a Medicaid Service Coordinator (MSC), a Care Coordinator is responsible for the implementation of the care plan by developing services, linkage to providers, and evaluating outcome attainment and overall plan effectiveness. The lead coordinator will also be responsible for the sustained search for effective ways to address difficult barriers and conflicting demands.