MSC Eligibility Requirements

• The person must be enrolled in Medicaid.
• The person must have a documented  diagnosis of a developmental disability as defined in Section 1.03(21) and (22) of the New York State Mental Hygiene Law.
• The person must demonstrate a need for ongoing and comprehensive rather than incidental service coordination.
• The person or individual authorized to give consent on behalf of the person, must choose to receive MSC.
• The person must not live in an Intermediate Care Facility (ICF), Developmental Center (DC), Small Residential Unit (SRU), Nursing Facility, Hospital or any other Medicaid funded institutional setting that provides service coordination.
• The person cannot be enrolled in any other comprehensive Medicaid long-term care service coordination.
• A child cannot be in the Care At Home Waiver.