Care at Home Medicaid Waiver for Developmentally Disabled Children (Office for People with Developmental Disabilities [OPWDD])

Program Goal

To provide medical assistance to families with children living at home who have severe disabilities or medical conditions.


  • Must be under 18 years of age.
  • Have a developmental disability.
  • Demonstrate complex health care needs.
  • Be eligible for the level of care provided by an intermediate care facility (ICF/DD, i.e. a certified nursing home).
  • Does not require a hospital inpatient stay.
  • Must not be eligible for Medicaid when parents' income/resources are counted; and
  • Must be eligible for Medicaid when parents' income and resources are not counted.


The Care at Home Waiver program allows Medicaid to pay for some services not provided through "regular" Medicaid, such as case management, respite, home adaptations and vehicle modification. These services can make home care an option for children and their families. Although this Medicaid funding applies only to the child, it can be used to help cover the costs of caring for the child at home.

For More Information

Contact the Care At Home Coordinator at the nearest Developmental Disabilities Services Office (DDSO). The number can be found in the blue pages in the phone book under: New York State Government, Mental Retardation and Developmental Disabilities.

You can also go to the OPWDD website at to find your local DDSO. Click on "Services." Then click on "Map and Resource Directory" at the bottom of the page. Then click on the link, "Developmental Disabilities Services Offices (DDSO)."

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Publication 0548
Revised 10/2013