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Disability services in Monroe County, New York

1,547 listings serve Monroe County: 77 Confirmed Profiles and 1,470 Registry Listings, plus 175 organizations that serve the whole country.

See them on a map See the full list

Search by area in Monroe County

Listings that serve the county in each area. 327 more serve people with any disability.

Intellectual and Developmental157Mental and Behavioral Health429Physical and Mobility339Sensory62Neurological and Chronic Health281Veterans and Military Families90

How to get services in Monroe County

Most long-term supports are paid for by Medicaid, often through a waiver program. Start with Medicaid, then get on the program that fits. Where a program uses local offices, the office for Monroe County is shown.

Start here New York Medicaid · New York State Department of Health; local Departments of Social Services (HRA in New York City)

Apply online (opens in a new tab) · Call (855) 355-5777 · People 65 and older or with a disability who need non-MAGI Medicaid usually apply at their local Department of Social Services (HRA in New York City).

New York is a 1634 state, so people who get SSI are usually enrolled in Medicaid based on the Social Security decision.

Adults with disabilities who do not get SSI can apply under the aged, blind and disabled rules at the local Department of Social Services, including a spend down option if income is above the limit.

For children: None (no TEFRA option; the Children's Waiver can cover children who need an institutional level of care).

If you work: Medicaid Buy-In for Working People with Disabilities (MBI-WPD): lets working people with disabilities earn more and keep Medicaid (details not re-read this run).

Steps

  1. If you get SSI, watch for your Medicaid card from New York
  2. If you are under 65 and do not need long-term care, apply through NY State of Health
  3. If you are 65 or older, blind, or have a disability, apply at your local Department of Social Services (HRA in New York City)
  4. Send the proof the office asks for
  5. Watch for your decision letter

Have these ready

  • Photo ID or other proof of identity
  • Social Security numbers for everyone applying
  • Proof of income such as pay stubs or benefit letters
  • Bank statements and information about other assets
  • Medical or disability records
  • Health insurance or Medicare cards

Intellectual and developmental disabilities, and autism

Consolidated Children's Waiver Waiting list varies

Children and youth under 21 with serious emotional, medical or developmental needs who meet an institutional level of care; children can move between this waiver and the OPWDD Comprehensive Waiver.

Start with: Health Home care management or C-YES; children with developmental disabilities go through the OPWDD Front Door · (866) 946-9733 · Website (opens in a new tab)

Enrollment depends on available slots and the child's target group.

Steps

  1. For a child with a developmental disability, call OPWDD at 866-946-9733 and ask for your local Front Door
  2. For other children, ask a Health Home serving children or C-YES for a Children's Waiver referral
  3. Complete the eligibility and level of care assessment
  4. Choose a care manager and build the plan of care

About this program (opens in a new tab) · Providers for Monroe County

NYS OPWDD Comprehensive HCBS Waiver Waiting list varies

Children and adults with developmental disabilities that meet New York law and who meet ICF/IID level of care.

Start with: OPWDD Front Door (Developmental Disabilities Regional Offices) · (866) 946-9733 · Website (opens in a new tab)

There is no single statewide waitlist; access to some services, such as housing, depends on need and availability.

Steps

  1. Call OPWDD at 866-946-9733 and ask to be transferred to the Front Door office for your county
  2. Send an eligibility request with a diagnostic evaluation and a general medical report from the past 12 months
  3. Wait for the written notice of decision from the regional office
  4. Once eligible, choose a Care Coordination Organization
  5. Apply for Medicaid if you do not have it, then enroll in the waiver with your care manager

Your local office for Monroe County

Finger Lakes DDRO (Rochester), Region 1
(716) 517-2010 · Website (opens in a new tab)

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers for Monroe County

Brain injury, HIV, and complex medical needs

Traumatic Brain Injury (TBI) Waiver No waiting list

People ages 18 to 64 with a traumatic brain injury who meet nursing facility level of care.

Start with: Regional Resource Development Centers (RRDCs) · Website (opens in a new tab)

New York reported no one waiting for TBI or older adult and physical disability waiver services in KFF 2026 state data.

Steps

  1. Find the RRDC that serves your county
  2. Call the RRDC and ask about the TBI Waiver
  3. Apply for Medicaid if you do not have it
  4. Choose a service coordination agency
  5. Work with your service coordinator on your service plan and application

Your local office for Monroe County

Rochester RRDC: Rochester Regional Health, St. Mary's Campus
(585) 368-3766 · Website (opens in a new tab) · 89 Genesee Street, Rochester, 14611

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers for Monroe County

Other programs

Nursing Home Transition and Diversion Waiver No waiting list

Adults 18 and older with physical disabilities and seniors 65 and older who meet nursing facility level of care and want to live in the community.

Start with: Regional Resource Development Centers (RRDCs) · Website (opens in a new tab)

New York reported no one waiting for TBI or older adult and physical disability waiver services in KFF 2026 state data.

Steps

  1. Find the RRDC that serves your county
  2. Call the RRDC and ask about the NHTD Waiver
  3. Apply for Medicaid if you do not have it
  4. Choose a service coordination agency
  5. Work with your service coordinator on your service plan and application

Your local office for Monroe County

Rochester RRDC: Rochester Regional Health, St. Mary's Campus
(585) 368-3766 · Website (opens in a new tab) · 89 Genesee Street, Rochester, 14611

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers for Monroe County

Rules change. Check with the agency before you rely on this. Checked 2026-10-09.

Confirmed Profiles based in Monroe County

Organizations checked by ConnectIDD with an address in the county, A to Z. Many more serve the county from nearby.

Show all 67

How New York pays for services

See how New York ranks on disability funding, its waiver programs and rates, and its vocational rehabilitation agency in the Funding Atlas for New York.

Other counties in New York

Show all 62 counties