Medicaid Service Coordination

Medicaid Service Coordination is designed to help people with intellectual and developmental disabilities and their families navigate the service system. Medicaid Service Coordinators act as liaisons and advocates as they help obtain services including medical and dental, day and residential programs, respite, social services entitlements, food stamps, and recreational opportunities.

Benefit Management – Linkage & Referral - Advocacy

Using a person-centered approach, Medicaid Service Coordinators or MSCs work with the person, his or her family, and others involved in the person’s care to create an Individualized Service Plan (ISP), unique to the individual and based on his or her own abilities, needs, goals, and interests. The plan is reviewed at least twice a year and revised as needed.

Medicaid Service Coordinators also:

  • Link individuals and families to resources within the community
  • Come up with solutions to problems (for example, transportation, nutrition and emergency assistance)
  • Help individuals learn ways to solve problems on their own
  • Offer individual support services such as rental assistance
  • Monitor satisfaction with services and make changes as needed
  • Play a key role in self-directed services
  • Identify and address health and safety issues
  • Ensure continuation of current benefits and apply for additional eligible benefits
  • For school age individuals, the MSC acts as a liaison between home and school, attending Committee on Special Education or Individual Education Plan meetings
  • For adults, the MSC acts as a liaison between the individuals, his/her family and programs and services received
  • Assist with determining environmental modifications necessary in the home, for example, ramps, lifts and handrails to ensure safety and allow greater independence
  • Connect individuals with supports and services to meet Individualized Service Plan goals
  • Listen to the individual, promote informed choices, honor preferences and are part of an individual’s circle of support.

Guardianship

Medicaid Service Coordinators at the Arc of Genesee Orleans can also help families through the guardianship process. Many parents of children with disabilities are faced with the question of whether or not to seek legal guardianship. In New York State, everyone who turns 18 is automatically assumed to be legally competent to make decisions. Guardianship is a process by which someone is appointed by a court to make decisions for a person who is unable to make decisions. In simpler terms, guardianship allows a parent to continue making decisions that they made prior to their child turning 18.

Medicaid Service Coordination is available to people of all ages who have a diagnosis of intellectual or developmental disability which was documented before the age of 22 and have, or are eligible for, Medicaid. There is no charge to the individual or family for Medicaid service coordination, only that the individual meet the OPWDD eligibility standards and maintains Medicaid. Our agency provides Medicaid Service Coordination to nearly 500 people with intellectual and developmental disabilities and their families each year in Genesee and Orleans Counties.

For more information on Medicaid Service Coordination, please contact arigerman@geneseearc.org.