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Fiscal Intermediary


Mountain Lake Services supports individuals who are eligible for HCBS Medicaid Waiver Services; and, who have chosen Self-Direction as a means of securing unique combinations of supports and services that help them live the life they want. Our Fiscal Intermediary Services support those who self-direct their individualized budgets by completing tasks such as billing and payment of approved goods and services, fiscal accounting and reporting, Medicaid compliance and general administrative supports.

For further information about OPWDD eligibility or receiving services from Mountain Lake Services, please contact our Clinical Services office at 518-546-3386.

Programs & Services

Service Eligibility

To receive services from Mountain Lake Services, one must be deemed eligible for services provided by OPWDD. This is determined by a regional eligibility committee.

To qualify for OPWDD services, one must have a qualifying diagnosis, an IQ that falls in the disabled range, significant adaptive deficits, and an onset of a disability prior to the age of 22.

Qualifying diagnoses are:
  • Cerebral Palsy
  • Epilepsy
  • Neurological Impairment
  • Traumatic Brain Injury
  • Autism Spectrum Disorders

A person must score 70 or below to have an IQ in the disabled range.