For decades, New York state has not made adequate investments to sustain the essential programs and services people with intellectual and developmental disabilities (I/DD) rely on. This systemic underfunding has driven us into a critical staffing crisis and eroded the core of New York’s system of supports for its citizens with I/DD.

• We need support for a 7.8% Medicaid rate increase that truly reflects the cost of care. This means that every aspect of care, staff, housing, food, transportation, and more, receives the necessary resources to support the whole person.
• We need to identify the gross disparity in pay between state-operations and non-profit providers.
• We need to be included in and have access to capital funding, which supports the demands of aging facilities and does so in a manner that supports climate goals and lowers costs of operation.

Within the Executive Budget we are calling for:

1. Investment in I/DD services through a 7.8% Medicaid rate increase to stabilize non-profit provider agencies.
2. Creation of a Wage Commission to examine the roles and responsibilities of human service workers and establish fair, sustainable compensation standards commensurate with that work.
3. Enhanced Capital Funding to help agencies modernize their operations, making them more energy-efficient and in alignment with the state’s climate goals.

These are more than just budget requests, they are a commitment to providing the stable care system that people with I/DD deserve.

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The Ask 

Contact your Senators and Representative today and urge them to reject any proposals that reduce federal Medicaid funding. Cuts to Medicaid would threaten critical home and community-based services (HCBS) for individuals with intellectual and developmental disabilities (I/DD).

The Details

Congressional leaders are discussing proposals that could significantly reduce Medicaid funding, including per-capita caps, reducing the federal medical assistance percentage (FMAP) floor, and rescinding enhanced funding from the American Rescue Plan Act (ARPA). While these ideas are still in the early stages and remain undefined, they pose serious risks to services for individuals with I/DD.

Cuts to Medicaid could fundamentally change the program’s structure, shifting costs to states and jeopardizing access to HCBS. This could lead to longer waitlists, fewer available services, and higher rates of institutionalization—placing immense strain on individuals, families, and providers.

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To serve as an active member of the Interdisciplinary Team; To promote and enhance person-centered outcomes; To serve as medical coordinator/advisor/liaison on behalf of consumers medical needs/interests in conjunction with family member wishes and community provider recommendations; To ensure consistent compliance with established treatment plans; To serve as a mentor to LPNs and recent graduates; To promote a life of hope, dignity, and purposeful living for all.

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In collaboration with assigned Assistant Director or Director of Finance, provides leadership and support to ensure assigned areas of responsibility are Mission Focused, maximize operating performance, and adhere to sound business and quality practices. Ensures a healthy work culture and positively represents the organization at all times.

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In close collaboration with the assigned Executive Management Team (EMT) liaison, provides leadership and support to ensure assigned areas of responsibility are Mission Focused, maximize operating performance, adhere to sound business and quality practices, and are in compliance with all applicable regulations. Assists EMT liaison with outcomes planning, supports the development of policies and procedures, ensures a healthy work culture and positively represents the organization at all times.

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To be responsible for patient prescriptions for the pharmacy and/or orthocare, including billing procedures and monetary transactions. To handle patient contact via telephone and in person. To provide general organization of the pharmacy/orthocare department in a professional and confidential manner.

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To provide services, assistance, support, and education to individuals enrolled in the Personalized Recovery Oriented Services (PROS) within the context of how mental health challenges have created barriers to employment. The focus is on discovering the individual’s unique abilities, talents, skills and resources, as well as supporting the participant to consider what they believe would be the best possible employment situation. After the participant identifies a potential job match based on his or her strengths, talents, and interests, there are additional areas to examine such as, steps the person can take to attain employment, mental health barriers, supports that they need, and how to manage challenges they experience, are examples of possible interactions this staff member might encounter. Staff members will complete a range of job tasks including but not limited to supporting individuals in navigating the job application process, interviewing, and hiring process for a new position, completing Vocational or CareerAssessments, Benefits Counseling, Rapid Job Placement, and/or Follow-along support (job retention support).

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To provide direct care and supervision in all activities of daily living, implement individual’s Habilitation Plan, complete required documentation regarding individual milestones and behavior management programs, participate as an active member of a team with other program/department staff to provide the identified supports to participants, and enhance the skills and/or create the opportunity for consumers to achieve maximum independence, inclusion, individualization, and productivity. The Direct Support Professional Aide must demonstrate knowledge and understanding of all SCIP protocols and procedures, utilizing positive behavioral support and lesser restrictive means of addressing maladaptive behavior before advancing to restrictive SCIP maneuvers. The Direct Support Professional Careerist must possess the unrestricted ability to routinely implement and perform all approved SCIP-R techniques, as needed or assigned.

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To serve as an ambassador for The Resource Center (TRC) brand as the supplier of choice in the marketplace. Responsible for satisfactorily maintaining existing business relationships by demonstrating a genuine understanding of the ever-evolving needs and demands of the customer base, as well as serve as a catalyst for new business opportunities. Will actively support and optimize the utilization of the AbilityOne program and workforce.

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Performs venipunctures and fingerstick, process medical laboratory tests and document results for diagnosis, treatment and prevention of disease.  Serves as a back-up for clinical team members as needed.

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