Damari Gonzalez

Assisted Front Door Partner in developing and processing Notices of Decisions for HCBS waiver enrollments, service denials, approvals, and removals.

Finalized Eligibility Assessment Tools by issuing Notices of Decisions.

Maintained an updated Excel tracking grid on SharePoint for monitoring purposes.

Reviewed service authorization requests tool in CHOICES, including self-direction requests and existing budgets.

Ensured communication with CCO to complete SART requests with necessary supporting documents.

Prepared comprehensive SART requests for QR review to facilitate final service determination.

Completed Notice of Decision and Service Authorization while finalizing SART requests in CHOICES.

Maintained extensive knowledge of OPWDD policies and protocols to enhance service delivery.

• Conducted information sessions on Front Door services for individuals and families.
• Facilitated training updates on Front Door processes for local and statewide staff.

Maintained communication with local school transition coordinators to identify projected Board of Education Graduates with special needs.

Ensured OPWDD eligibility for individuals to connect with adult day services and other HCBS waiver services.

Participated in local transition fairs to inform parents about OPWDD services.

Collaborated with local school information services to enhance community outreach.

• Assisted families in connecting with MSC provider agencies for comprehensive support.
• Developed intake forms for new individuals to assess needs through CHOICES and DDP2.
• Tracked school age-out individuals using an EXCEL tracking sheet for efficiency.
• Prepared transition cases for QR review, including Notice of Decisions and service authorizations.

• Tracked Bronx Family support programs approved through OPWDDRO via yearly site visits and quarterly report reviews.
  Managed review of all Family reimbursement contracts to ensure services for OPWDD eligible individuals.
  Assisted in evaluating RFSP (Request for Service Proposals) to enhance program offerings.
  Represented Metro NY DDRO at monthly meetings with parents and provider agencies to address service needs.

• Managed Care at Home case load for medically fragile individuals, ensuring service needs were met.
  Maintained and updated care levels annually to reflect changes in health status.
  Reviewed home abstract reports to ensure compliance with regulatory standards.
  Obtained physician orders promptly to facilitate timely care delivery.
  Coordinated budget approvals efficiently to support service provision.
  Communicated regularly with regional Care at Home Liaison regarding current and new cases.