The Most Integrated Setting Coordinating Council (MISCC)

TOP The Most Integrated Setting Coordinating Council (MISCC)

In its 1999 Olmstead v. L.C. decision, the U.S. Supreme Court ruled that States, in accordance with the Americans with Disabilities Act (ADA), have an obligation to provide services to individuals with disabilities in the most integrated setting appropriate to their needs.

Governor Andrew M. Cuomo has made serving individuals with disabilities in the most integrated setting a top priority.  New York State has developed a comprehensive Olmstead Implementation Plan that addresses four (4) primary domains: housing, employment, transportation, and community engagement.  New York's Olmstead Implementation Plan affirms the State’s position as a national leader related to the rights of individuals with disabilities.  The oversight body for New York’s work in this arena is the Most Integrated Setting Coordinating Council. 

Most Integrated Setting Coordinating Council

The Most Integrated Setting Coordinating Council (MISCC) was established by Chapter 551 of the Laws of 2002.  The MISCC is responsible for ensuring that New Yorkers of all ages with physical, intellectual, developmental, and mental disabilities receive care and services in the most integrated settings appropriate to their individual needs.

The leadership of the MISCC transitioned from the Office of People with Developmental Disabilities (OPWDD) in 2017 to the New York State Office of Mental Health (OMH).  The Council is a cross-systems partnership consisting of representatives from multiple state agencies and nine appointed public representatives.  In addition to OMH and OPWDD, the other NYS Agency Council Members include the Department of Health, the Office for the Aging, the Education Department inclusive of the Adult Continuing Education Services – Vocational Rehabilitation, the Office of Alcohol and Substance Abuse Services, the Division of Housing and Community Renewal, the Department of Transportation, the Office of Children and Family Services inclusive of the Commission for the Blind, the Office of Temporary and Disability Assistance, and the Justice Center for the Protection of People with Special Needs.

Together, these agencies, in partnership and collaboration with public advocates and community based partners, are working hard to ensure that all New Yorkers with disabilities are afforded the opportunity to live lives of inclusion where people live, work, travel, and engage in their community.

Contact MISCC [email protected] with feedback, questions or concerns

Meetings & Events
Meetings & Events

Upcoming MISCC Meetings:

March 24th, 2021  1:00-3:00pm
Meeting Adenga


Past MISCC Meetings:

December 9, 2020 from 1:00pm - 3:00pm
Meeting Agenda

September 23, 2020 from 1:00pm - 3:00pm
Meeting Agenda

June 29, 2020 10:00am - 12:00pm
Meeting Agenda

September 5, 2018 1 p.m. - 3 p.m. - CANCELED
Empire State Plaza, Meeting Room 6

December 6, 2018 1 p.m. - 3 p.m.
Empire State Plaza, Meeting Room 6

June 13, 2018 1 p.m.-3 p.m.
Empire State Plaza, Meeting Room 6
LIVE WEBCAST: A live webcast of the meeting will be available at the above link beginning at 1 p.m. ET on June 13, 2018.
Meeting Agenda

April 16, 2018 1 p.m.-3 p.m.
Empire State Plaza, Meeting Room 6
Meeting Agenda

November 15, 2017 1 p.m.-3 p.m.
Empire State Plaza, Meeting Room 6
Meeting Agenda
Video of meeting

September 7, 2017 - *CANCELED*
1 PM - 3 PM
Empire State Plaza, Meeting Room 6

May 11, 2017, 1 PM - 3 PM 
Empire State Plaza, Meeting Rooms 2-4

February 9, 2017 - *CANCELED DUE TO WEATHER*
Empire State Plaza

Study to Design a Mobility Management Program - Best Practices Research

November 2, 2016 Empire State Plaza

May 13, 2016 - Empire State Plaza, Albany NY

March 16, 2016 - Empire State Plaza, Albany NY

October 14, 2015 - Empire State Plaza, Albany NY


Resources & Important Documents
Resources & Important Documents

The 2010-12 MISCC Plan identifies baseline data and creates measureable agency specific housing, employment, transportation and long term care goals that will assist New Yorkers with disabilities to avoid institutionalization and live in the most integrated settings.

The MISCC Plan


Additional Documents

The Olmstead v. L.C. Decision

Executive Order 84: Establishing the Olmstead Plan Development and Implementation Cabinent

Past Meetings and Reports

October 2013

April 2013

December 2012

April 2012

March 2012

August 2011

 April 2011

January 2011

November 2010

April 2010

February 2010

January 2010

November 2009

October 2009

July 2009

April 2009

January 2009

December 2008

October 2008

July 2008

April 2008

January 2008

October 2007

July 2007

November 2006

Success Stories
Success Stories

With the implementation of the Olmstead plan, New York has become a leader in transitioning people out of institutional settings. Their individual stories provide insight into how the Olmstead decision and New York’s Olmstead plan implementation have positively affected their lives:

Kevin R. moved from a developmental center to a community residence in August of 2013. Kevin now works as a custodian while he learns to effectively manage his money. While living in a home, he has the responsibilities that accompany it: keeping the house clean, doing laundry, learning to cook; all being mastered with an eye towards further independence. His mother, who he contacts once a week, says she has also noticed a change with his openness during conversations. Kevin has always been a quiet person who used to spend most of his time in his room. Today, he is more confident, outgoing, and self-directed.

Mark T. resided in Monroe Developmental Center for many years. While there, he had a difficult time staying healthy; he was not motivated to exercise or eat right despite several attempts to address his health and weight issues. After making progress at the center, he moved to a community residence where a new Mark emerged. Today, he prepares a salad every day to for lunch. He follows his own diet, walks, and maintains great health. Mark says living in the community "makes me feel really good, really happy. There is no fence and I'm not closed in. It is wide open and just trees. The people in my group home are like my family and I do things with them like a family, like go shopping, go for walks, and go to movies." 

Jeremy D. has made a strong transition from institutional to community living. He budgets his own money, is eager to further his vocational experience, and someday would like a job in the community where he can apply his yard work skills. Jeremy has also been able to pursue his passion for auto mechanics since his community transition and has strengthened his relationship with his father who introduced him to the world of engine-building.