MSC will be transitioning to

Care Coordination on July 1, 2018.

A Message from AHRC New York City’s Chief Executive Officer, Marco Damiani

Changes to New York State’s Medicaid Service Coordination

AHRC New York City would like to tell you about changes to New York State’s Medicaid Service Coordination program that will take place beginning on July 1, 2018, and how these changes will affect you and your family member with an intellectual and developmental disability (I/DD). These changes are required by both federal and state government agencies. OPWDD providers like AHRC New York City are all obligated to enact these changes.

The MSC program will transition to a new model called a Care Coordination Organization/Health Home (CCO/HH). One of the largest of these new CCO’s, Care Design New York (CDNY) was created by AHRC New York City and other New York City and State I/DD providers to replace MSC services. Marco Damiani, AHRC New York City’s Chief Executive Officer is a member of the Board of Managers of CDNY, enabling AHRC New York City to have an important voice at the table regarding the transition to care coordination, as well as other transitions in the I/DD service delivery system planned for the future. We know that changes such as these can be confusing. We will work hard to help you understand these changes and help you navigate the new system to ensure that vital services to you or your family member are not interrupted.

Let’s Summarize:

  1. Medicaid Service Coordination will be called Care Coordination and your MSC will be called a Care Manager.
  2. Is there any difference between an MSC and Care Manager? Yes, the Care Manager will work on a care management team that is responsible for coordinating both the healthcare and long-term support service needs of individuals.
  3. In April, you will be asked by your MSC to sign consent documents that will enable the transition of your current MSC services to care coordination provided by CDNY. This enrollment is voluntary. If you choose not to enroll, on July 1st your care coordination services will transition to a much lower level of care coordination support.
  4. July 1st, AHRC New York City will be transitioning our MSC program over to CDNY. This means that all MSC’s and MSC supervisors currently employed by AHRC New York City and other providers will become employees of CDNY.

You may have additional questions. We recommend you watch a video of a recent informational meeting led by the leadership of CDNY.

View informational videos about Care Coordination, including videos with Spanish and Mandarin captions.

View this video with Spanish closed captioning.
View this video with Mandarin closed captioning.

AHRC New York City will be communicating with you on a regular basis to ensure that there is a smooth transition to Care Coordination. If you have additional questions, please email us at

Rest assured that we are working diligently to maintain the high quality of services that you have come to expect from AHRC New York City.


Marco Damiani, Chief Executive Officer

For more information on CDNY, please visit their website.

Additional Care Coordination Resources


Infographic – Changes to Medicaid Service Coordination (MSC) for NYS Residents with I/DD