Standard therapies are not included for school-aged children, but specialized therapies like Hippo Therapy, Aquatic Therapy, and Art Therapy can be included with a prescription and necessary paperwork.

No, Self-Direction funds do not cover activity fees, expenses, or meals incurred by the child. Staff activity fees are reimbursed only for staff’s admissions and related costs.

Yes, with prior approval from the Fiscal Intermediary. Budget-authorized services can be used within the US, Canada, Puerto Rico, the US Virgin Islands, and Guam. Plane tickets are no longer reimbursable except for medical appointments.

Full Amendments are usually approved from the 1st of the month the budget is approved by OPWDD. Cost Neutral Budget Amendments (CNBAs) can sometimes be retroactively approved to the preceding month or further back.