Janine Fitzmaurice

Coordinator of Children with Special Needs Services

Ages birth through 5 years old

(845) 486-3518


Dana Hopkins

Coordinator of Intellectual & Developmental Disabilities Services

Ages 5 years through adulthood

(845) 486-2766


Deborah Disanza

Coordinator of Children’s Services and Children’s POA Coordinator

(845) 486-2768


Toni-Marie Ciarfella. Ph.D.

Deputy Commissioner for Special Needs

(845) 486-3434


If this is an emergency and you need immediate assistance please contact 911

Crisis Counseling, Support, Information & Referrals

Dutchess County HELPLINE 

Toll free: (877) 485-9700

Stabilization Center

(845) 485-9700

NY State Central Register for Child Abuse 


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Health and Recovery Plans (HARPs)

Health and Recovery Plans  (HARPs) is a Medicaid managed care program. A Health Home Care manager will typically conduct an annual HCBS eligibility assessment. When eligibility is confirmed, the care manager will also develop a Person-Centered Plan of Care, and then assist in working with the individual in selecting an HCBS provider.

  • HARPs manage the Medicaid services for people who need them
  • HARPs also manage an enhanced benefit package of Home and Community-Based Services (HCBS).
  • HARPs provide enhanced care management for members to help them coordinate all their physical health, behavioral health and non-Medicaid support needs.