Contact your local Front Door Regional Office by calling 631-434-6000

or by emailing (preferred contact method)

 

Michelle Reichert:

Michelle.x.reichert@opwdd.ny.gov

 

Sandra Lorraine Green:

Sandra.lorraine.green@opwdd.ny.gov

 

Watch the OPWDD Front Door Videos! You can watch the videos at any time during the Front Door process but it is best to watch them early on to have a better understanding of the eligibility process and the available service options. 

OPWDD Front Door Videos

OPWDD Front Door Videos-Spanish

Start the process by selecting a Care Coordination Organization (CCO). They will guide you through the eligibility process as recommended by OPWDD. Below are the three agencies for Long Island:

 

Advanced Care Alliance (ACA)

833-MYCANY (833-692-2269)

Press option #1 for the Intake Department

https://acany.org/

PO Box 1977

New York, NY 10113

Intake and Benefits Access Team - Long Island

longisland.intake@myacany.org

For General Intake Inquiries

aca.intake@myacany.org

 

Bettina Pennon

Outreach Coordinator

646-225-8124

Bettina.pennon@myacany.org

 

Care Design

518-235-1888

https://caredesignny.org/

8 Southwood's Boulevard

Suite 110

Albany, NY 12211

 

Jocelyn Zeller

Long Island Regional Director CM

516-531-7579 ext. 301040

JZeller@caredesignny.org

OR

Simone Chung

Long Island Intake

518-903-9402

intakedownstate@caredesignny.org

 

Tri County

www.tricountycare.org

Nechama Nissenbaum, RN

VP of Operations

844-504-8400 ext. 9508

n.nissenbaum@tricountycare.org

OR

Jason Mazzuca

VP of Care Management 

844-504-8400 ext. 9214

j.mazzuca@tricountycare.org

OR

Gamal Byfield

Long Island Regional Director

844-504-8400 ext. 9575

g.byfield@tricountycare.org

OR

Mimi Singer

Intake

844-504-8400 ext. 9250

m.singer@tricountycare.org

 

Once you retain an agency, please fill out the Consent to Exchange Information Form so we can communicate with the Care Coordination Organization on your behalf.

Scan and email this form to:

 

Consent to Exchange Information Form

 

Nancy Massey at nmassey@hhh.k12.ny.us

 

Work with your Care Coordination Agency to apply for Medicaid. It is required for waiver services that the individual has Medicaid eligibility. Please discuss SSI options with your Care Manager.

In the meantime, please complete the following forms located below:

 

• OPWDD Transmittal Form

• OPWDD Release Form

• Social Developmental History Form 
  • Psycho-social and/or social history report, dated within last 365 days.
• Updated physical within 1 year of application (with the original medical diagnosis on letterhead, signed and dated)
• Medical documentation stating Developmental or Intellectual Disability (Specialty Reports may be required depending on the disability)
  • Medical physical (the same type of physical you would send to a school) dated within last 365 days.
• A social evaluation (within the past 365 days) prepared by a Care Manager/supervisor, or by a Qualified Intellectual Disability Professional (QIDP), social worker (LMSW or LCSW), psychologist or a person with a Master’s Degree in psychology, and who is familiar with the individual.
• Autism: If this person is diagnosed with autism, you must provide a report from a comprehensive differential diagnostic assessment. This assessment must use structured autism spectrum disorder - specific measures which are based on licensed clinician observation of the person to be reliable and valid. The report must include a comprehensive developmental history. This includes information about the person's developmental milestones, repetitive behaviors, preoccupations, social interactions, friendships, and other relevant information. The report must also include an observations section that describes the person's behavior during the evaluation in detail. In addition, the diagnosis must include which specific symptoms of autism this person has and behavioral descriptions of how the symptoms present in this person. 

 

The district will provide the following information for you to include in your application to OPWDD:

• IEP
• A psychological evaluation, within three years, that includes IQ testing and
  Vineland Adaptive. Behavior Scales (69 or below; however for individuals with
  autism, this number can vary)

 

Scan and email a copy of all the documents from Step 4 and Step 5 to the Care Coordinator Agency you selected.

When you are contacted regarding eligibility by OPWDD please inform Nancy Massey via email at nmassey@hhh.k12.ny.us of your eligibility outcome or with any questions during the process.