Independence care system: a disability care coordination organization in New York City.

Adults with physical disabilities living in the community generally live within severe constraints in terms of available health and social services. Independence Care System (ICS) is a Medicaid-based disability care coordination organization in New York City that allows many New Yorkers with physical disabilities to live independently. This article summarizes our program, our experience, our impact, and our plans for further development. We are becoming a disability-competent, integrated system of care that will create unique value for our members. In the process, we will also contain costs and provide greater accountability for the State Medicaid program.