Links to Administrative Memoranda and accompanying documents are below. To view the grey scaled payment standards contained in these and other documents, click Links to OPWDD Guidance Documents with Payment Standards.

• Policy and Medicaid Billing Guidance for Ambulatory Patient Groups (APGs) and Standards for Article 16 Clinics – Revision 1, July 2011 (supersedes OMRDD ADM #2005-01 below)
• Information on Ambulatory Patient Groups (APG) Implementation in Article 16 Clinics
• Revision 1 July 2011 APG Manual
• OMRDD ADM #2005-01 (superseded by “Policy and Medicaid Billing Guidance for Ambulatory Patient Groups (APGs) and Standards for Article 16 Clinics – Revision 1, July 2011” above)
• Standards for Article 16 Clinic
• OPWDD ADM #2013-02 (supersedes OPWDD ADM#2009-02 below)
  • Consolidated Supports And Services Service Documentation Requirements
    
    • Clarifying Memorandum
    • CSS Monthly Summary Note (CSS-01)
    • CSS Monthly Summary Note (CSS-01) - (Word Doc)
    • Instructions for Using the CSS Monthly Summary Note (CSS-01)
    • CSS Employee Bi-Weekly Time Sheet/Daily Service Record (CSS-02a)
    • CSS Employee Bi-Weekly Time Sheet/Daily Service Record (CSS-02a) - (Word Doc)
    • CSS Employee Weekly Time Sheet/Daily Service Record (CSS-02b)
    • CSS Employee Weekly Time Sheet/Daily Service Record (CSS-02b) - (Word Doc)
    • Instructions for Using CSS Employee Time Sheet/CSS Daily Service Record (CSS-02a, CSS-02b)
    • CSS Invoice/Service Record for Contracted/Vendor Services (CSS-03)
    • CSS Invoice/Service Record for Contracted/Vendor Services (CSS-03) - (Word Doc)
    • Annual and Semi-Annual Review Record (CSS-10)
    • Annual and Semi-Annual Review Record (CSS-10) - (Word Doc)
  • OMRDD ADM #2009-02 (superseded by OPWDD ADM #2013-02 above)
  • Consolidated Supports And Services Service Documentation Requirements
  • Please note: The agencies providing financial and co-employer services to CSS participants are now called Financial Management Services (FMS) agencies; this term replaces the term Fiscal Employer Agency (FEA).
  • CSS Monthly Summary Note (CSS-01)
  • CSS Monthly Summary Note (CSS-01) - (Word Doc)
  • Instructions for Using the CSS Monthly Summary Note (CSS-01)
  • CSS Employee Bi-Weekly Time Sheet/Daily Service Record (CSS-02a)
  • CSS Employee Bi-Weekly Time Sheet/Daily Service Record (CSS-02a) - (Word Doc)
  • CSS Employee Weekly Time Sheet/Daily Service Record (CSS-02b)
  • CSS Employee Weekly Time Sheet/Daily Service Record (CSS-02b) - (Word Doc)
  • Instructions for Using CSS Employee Time Sheet/CSS Daily Service Record (CSS-02a, CSS-02b)
  • CSS Invoice/Service Record for Contracted/Vendor Services (CSS-03)
  • CSS Invoice/Service Record for Contracted/Vendor Services (CSS-03) - (Word Doc)
• OPWDD ADM #2013-01
  • Elder Justice Act- Reporting Reasonable Suspicion of a Crime in an Intermediate Care Facility (ICF)/ Long-Term Care Facility (LTC)
  • Elder Justice Act Under 6703 (B)(3) Of The Patient Protection And Affordable Care Act Of 2010
  • CMS Memo  -  Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility (LTC): Section 1150B of the Social Security Act
• OPWDD ADM #2012-06

• Plan of Care Support Services (PCSS) Program Standards and Documentation Requirements for Billing. This ADM (supersedes ADM # 2003-02 below)
• OPWDD ADM #2012-05

• Community Habilitation Phase II (CH II) Service and Payment Standards
• Community Habilitation Phase II Monthly Summary Note
• Community Habilitation Phase II Daily Checklist

• OPWDD ADM #2012-04
• Choking Prevention Initiative
• Choking Prevention Initiative liaisons - DDROs
• Choking Prevention Initiative liaisons - DDSOOs
• OPWDD ADM #2012-03
• Review & Reporting Requirements for the use of Strategies for Crisis Intervention & Prevention-Revised SCIP-R Restrictive Personal/Physical Intervention Techniques.
• Restrictive Intervention Application (RIA)
• OPWDD ADM #2012-02 (supersedes OPWDD ADM#2011-02 below)
• Fire Safety
• Fire Safety Attachments
• OPWDD ADM #2011-02 (superseded by OPWDD ADM #2012-02 above)
• Standardization of fire safety practices
• Format And Content Of Architectural Report For Pre-Openings
• Fire Alarm System Service Contract
• Sprinkler System Service Contract
• OPWDD ADM #2012-01
• Habilitation Plan Requirements
• Habilitation Plan Format
• Clarifying Memo
• OPWDD ADM #2011-03
• Required Format for Reporting Incidents and Allegations of Abuse
• OPWDD ADM #2011-01 (supersedes OPWDD ADM #2009-05 below)
• Revised ICF/MR Level of Care Eligibility Determination Form (LCED)
• ICF/MR Level of Care Eligibility Determination (LCED) Form (4/2011)
• Instructions for the Completion of the ICF/MR Level of Care Eligibility Determination (LCED) Form for HCBS Waiver Participants
• LCED Questions and Answers
• Qualified Intellectual Disabilities Professional (QIDP) Memo (4/16/2013)
• OPWDD ADM #2009-05 (superseded by OPWDD ADM #2011-01 above)
• ICF/MR Level of Care Eligibility Determination Form (LCED) Qualified Mental Retardation Professional (QMRP) authorized to sign annual LCED forms
• Level of Care Eligibility Determination Form
• Clarifying Memo
• OPWDD ADM #2010-05 (supersedes OMRDD ADM #2009-01, OMRDD ADM #2004-02 and OMRDD ADM #2004-01 below)
• Community Habilitation (CH) Service Documentation Requirements
• Community Habilitation Documentation Record - Individual Summary
• Instructions For Completing Community Habilitation Documentation Record - Individual Summary
• Community Habilitation Documentation Record - Monthly Summary Note
• CH Daily Service Documentation Note
• Memorandum of Understanding for the Administration and Co-Management of Community Habilitation Self/Family-Directed Option
• OMRDD ADM #2009-01 (supersedesOMRDD ADM #2004-02 and OMRDD ADM #2004-01 below, and superseded by OPWDD ADM #2010-05 above)
• At Home Residential Habilitation (AHRH) Service Documentation Requirements
• At Home Residential Habilitation Documentation Record - Individual Summary
• At Home Residential Habilitation Documentation Record - Monthly Summary Note
• AHRH Daily Service Documentation Note - Microsoft Word Fillable
• Memorandum of Understanding for the Administration and Co-Management of At Home Residential Habilitation Self/Family-Directed Option -  Microsoft Word Fillable
• OMRDD ADM #2004-02 (superseded by OMRDD ADM #2009-01 above)
• At-Home Residential Habilitation: Billing, Annual Service Requirements and Audits of Prices for Services Delivered On and After January 1, 2002
• OMRDD ADM #2004-01 (superseded by OMRDD ADM #2009-01 above)
• At-Home Residential Habilitation Service Documentation Requirements
• OPWDD ADM #2010-04
• Program Standards: Individualized Service Plan (ISP) Format and Timeframes for Review and Distribution
• Cover memo from Suzanne Sennett
• ISP Format
• ISP Instructions
• Medicaid Service Coordination Agreement: MSC5-MSCA
• OPWDD ADM #2010-03
• Medicaid Service Coordination (MSC) Documentation Requirements for Billing
• MSC Service Notes Format
• MSC Service Notes Instructions
• OPWDD ADM #2010-02
• Medical Immobilization/Protective Stabilization (MIPS) and Sedation for Medical/Dental Appointments
• Order/Plan for Medical Immobilization/Protective Stabilization (MIPS)/ Sedation
• Intervention Outcome Form - MIPS and/or Sedation
• OPWDD ADM #2010-01
• Clarification of Payment Standards and Program Standards
• Links to OPWDD Guidance Documents with Payment Standards
• OMRDD ADM #2009-04
• Administrative Appeal Process for Denials of Records Requested Pursuant to the 14 NYCRR Part 624 Incident/Abuse Reporting, Notification and Investigation Process
• OMRDD ADM #2009-03
• Gender-specific Staff Assignments
• Checklist And Documentation Of Efforts For Avoidance Of Gender Based Postings
• Duryea Settlement Agreement
• OMRDD ADM #2008-02
• Day Treatment Billing Standards
• OMRDD ADM #2008-01
• Registered Nursing Supervision/Free Standing Respite Centers
• OMRDD ADM #2007-01 (supersedes OMRDD ADM # 2002-02 below)
• Supported Employment Service Delivery And Documentation Requirements
• OMRDD ADM #2002-02 (superseded by OMRDD ADM # 2007-01 above)
• Supported Employment Service Delivery and Documentation Requirements
• OMRDD ADM #2006-04
• Family Care Residential Habilitation Service Documentation Requirements
• HCBS Waiver Service Documentation Record - Family Care Residential Habilitation Daily Checklist (Microsoft Excel Spreadsheet .xls Format)
• Directions for Completing the Agency Sponsored Family Care Residential Habilitation Daily Checklist
• Family Care Residential Habilitation Health & Safety Needs- Microsoft Word Fillable
• Family Care Residential Habilitation Plan - Microsoft Word Fillable
• Family Care Residential Habilitation Monthly Summary Note - Microsoft Word Fillable
• OMRDD ADM #2006-03 (supersedes OMRDD ADM #2003-05 below)
• Service Documentation Requirements for Prevocational Services
• Prevocational Services Documentation Record - Individual Summary Sheet (Microsoft Excel Spreadsheet .xls Format)
• Instructions For Completing Prevocational Services Daily Summary Sheet
• OMRDD ADM #2003-05 (superseded by OMRDD ADM #2006-03 above)
• Prevocational Services Documentation Requirements
• OMRDD ADM #2006-02
• Individual Day Habilitation Service Documentation Requirements
• Individual Day Habilitation Documentation Record - Individual Summary Sheet (Microsoft Excel Spreadsheet .xls Format)
• Instructions For Completing Individual Habilitation Daily Summary Sheet
• OMRDD ADM #2006-01(supersedes OMRDD ADM #2003-04 below)
• Group Day Habilitation Service Documentation Requirements
• Group Day Habilitation Documentation Record - Individual Summary Sheet (Microsoft Excel Spreadsheet.xls Format)
• Instructions For Completing Group Habilitation Daily Summary Sheet
• Supplemental Group Day Habilitation Documentation Record - Individual Summary Sheet (Microsoft Excel Spreadsheet .xls Format)
• Instructions For Completing Supplemental Group Habilitation Daily Summary Sheet
• OMRDD ADM #2003-04 (superseded by OMRDD ADM #2006-01 above)
• Day Habilitation Service Documentation Requirements
• OMRDD ADM #2005-02
• HCBS Respite/Non Waiver Enrolled (NWE) Respite Service Documentation Requirements
• Form - Respite Documentation Record - Individual Summary (Microsoft Excel Spreadsheet .xls Format)
• OMRDD ADM #2003-03
• Habilitation Plan Requirements
• OMRDD ADM #2003-02
• Plan of Care Support Services (superseded by “Plan of Care Support Services (PCSS) Program Standards and Documentation Requirements for Billing.” above)
• OMRDD ADM #2003-01
• Registered Nursing Supervision of Unlicensed Direct Care Staff
• OMRDD ADM #2002-01
• IRA Residential Habilitation Service Documentation Requirements
• Form - Daily Service Documentation Note and Monthly Summary Note for IRAs and CRs
• Instructions for completing IRA and CR Daily Service Documentation
• Instructions for completing IRA and CR Monthly Summary Note