For Self-Direction Teams · Port Jefferson Station, NY
Information for Support Brokers & Fiscal Intermediaries
Clear Program Information for Self-Direction Teams
Fusion Adaptive Fitness provides adaptive fitness services for children, teens and adults in Port Jefferson Station, NY.
We offer:
- Adaptive Personal Training
- Adaptive Group Fitness
- Adaptive Boxing & Kickboxing
For participants using OPWDD Self-Direction, Fusion can provide program descriptions, pricing, business information and other reasonable vendor documentation for the participant's Support Broker and Fiscal Intermediary to review.
Fusion does not determine whether an expense is approved within a participant's budget.
What Is Fusion Adaptive Fitness?
Fusion Adaptive Fitness is a fitness program based in Port Jefferson Station, NY.
We provide individualized and small-group exercise options for children, teens and adults who may benefit from a more flexible coaching approach.
Training may be adapted around:
- current fitness level
- mobility
- coordination
- communication style
- pacing
- exercise experience
- confidence
- support needs
- individual goals
Fusion focuses on fitness, coaching, exercise, strength, conditioning and movement.
We do not provide medical treatment, physical therapy, occupational therapy, ABA, Day Habilitation or Community Habilitation.
A fitness business — not a habilitation or medical provider.
Fusion provides exercise and coaching. We can supply the vendor documentation your Self-Direction team needs to evaluate the service.
Fusion Program Options
Adaptive Personal Training
One-on-one fitness coaching built around the individual athlete. Training may include strength, conditioning, balance, coordination, movement skills and exercise confidence.
View Personal TrainingAdaptive Group Fitness
Small-group fitness where exercises, pacing and coaching may be modified around individual athletes.
View Group FitnessAdaptive Boxing & Kickboxing
Striking-based fitness that may include bag work, basic combinations, footwork, coordination and conditioning.
View Boxing & KickboxingWho May Use Fusion Adaptive Fitness?
Fusion works with children, teens and adults who may benefit from individualized fitness coaching or exercise modifications.
This may include some athletes with:
- autism
- intellectual disabilities
- developmental disabilities
- mobility differences
- coordination challenges
- other support needs
We do not assume every person with a particular diagnosis is automatically an appropriate fit for every Fusion program.
Each athlete should be considered individually.
Considered Individually
No diagnosis automatically qualifies or disqualifies an athlete. We evaluate fit based on the person, the program and our current facility.
What Information Can Fusion Provide?
If a participant's Self-Direction team is evaluating Fusion, we can provide reasonable documentation needed to understand the service.
If your Fiscal Intermediary uses a specific vendor form or onboarding process, send it to us and we can review what is required.
- Legal business information
- Business contact information
- W-9
- Program descriptions
- Service descriptions
- Pricing
- Membership information
- Class information
- Schedule information
- Invoices
- Attendance or service documentation where appropriate
- Additional reasonable vendor forms required by an FI
For Support Brokers
Support Brokers help participants with Budget Authority develop and manage Self-Direction budgets.
If a participant is interested in Fusion Adaptive Fitness, we can help by providing clear service information so the broker can evaluate how the expense may relate to the participant's goals and approved budget.
Information we can provide may include:
- exact program type
- service description
- pricing structure
- schedule
- whether the service is one-on-one or group-based
- whether a class is available to the general public
- business documentation
- invoices
Fusion does not determine which Self-Direction funding category should be used. That decision remains with the participant and their Self-Direction team.
We describe the service. The broker decides the category.
Our role is to make the fitness program easy to evaluate against the participant's approved plan.
For Fiscal Intermediaries
Fiscal Intermediaries may have different procedures for:
- vendor onboarding
- direct vendor payment
- participant reimbursement
- invoices
- attendance records
- membership expenses
- class expenses
- documentation
Fusion can work with the participant and FI to provide reasonable business and service information.
If your organization has a standard vendor packet or required forms, please send them to us.
We want the service and payment process to be clear before training begins.
Potential Fitness-Related Self-Direction Categories
Depending on the participant's approved Self-Direction plan, certain fitness expenses may be considered through categories such as:
Health Club / Membership
A qualifying fitness or health-club membership may be relevant when tied to approved health, fitness or community-integration goals.
Community Classes
Exercise classes may be relevant through the Community Class category when current OPWDD requirements are met, including public availability and an integrated community setting.
Individual Exercise Training
Certain individual exercise or physical-education training may be considered when it is tied to the participant's valued outcomes and meets applicable Self-Direction requirements.
Important: Fusion does not decide which category applies. The participant's Support Broker, FI and Self-Direction team should make that determination.
Adaptive Group Fitness Is Not Automatically an OPWDD Community Class
A Fusion group fitness class and an IDGS Community Class are not automatically the same thing.
For a class to fit the OPWDD Community Class category, current OPWDD guidance generally requires that the class:
- be available to people with and without developmental disabilities
- take place in an integrated community setting
- teach a specific subject related to the participant's goals
- not duplicate another Medicaid State Plan or Waiver service
If a specific Fusion class is being considered for that funding pathway, we can provide information about:
- how enrollment works
- who the class is available to
- class description
- schedule
- pricing
The Self-Direction team can then evaluate the class against current requirements.
Not automatically a Community Class.
We provide the class details. Your team determines whether it meets the IDGS Community Class requirements.
How Does Payment Work?
Payment procedures vary by Fiscal Intermediary.
Depending on the participant's approved budget and FI process, payment may involve:
- direct payment from the FI to Fusion
- participant or family reimbursement
- another approved process established by the FI
Fusion does not require families to assume that reimbursement is the only option.
Before paying out of pocket, participants should ask their FI how it wants the expense handled.
If direct vendor payment is preferred, the FI can tell us what onboarding or invoice information it requires.
Check with the FI before paying out of pocket.
Direct vendor payment may be an option depending on the FI's procedures.
Can Fusion Provide Attendance Documentation?
Where appropriate, Fusion may be able to provide reasonable documentation showing participation or services provided.
The exact documentation depends on:
- service type
- membership structure
- class format
- FI requirements
If a specific format is required, please let us know before services begin whenever possible.
Fusion provides fitness-service documentation, not clinical records.
Fitness-service documentation, not clinical records.
We do not provide clinical progress notes or habilitation documentation.
Can Participants Attend With Support Staff?
Some athletes train independently.
Others may attend with:
- a family member
- caregiver
- Community Habilitation worker
- direct support professional
- other support person
Whether support staff can remain involved depends on the athlete, program and gym environment.
Fusion does not provide Community Habilitation. The outside support person remains responsible for the support services they provide.
Outside support is welcome where appropriate.
Fusion provides the fitness service; the support person provides their own support service.
Scope of Service
Fusion Provides
- fitness coaching
- exercise instruction
- strength training
- conditioning
- adaptive personal training
- adaptive group fitness
- adaptive boxing and kickboxing
- fitness program documentation
Fusion Does Not Provide
- Community Habilitation
- Day Habilitation
- ABA
- physical therapy
- occupational therapy
- medical rehabilitation
- OPWDD eligibility determination
- Self-Direction budget approval
Keeping these roles clear helps families and Self-Direction teams understand exactly what they are purchasing.
Need Information for a Participant's Budget?
Send us:
- participant age
- Fusion program being considered
- whether the participant uses Self-Direction
- FI name if known
- Support Broker name if applicable
- documentation your team needs
We can then provide the relevant Fusion program information.
Tell us what your team needs.
We'll respond with the program and business information that fits your evaluation process.
Serving Self-Direction Participants Across Suffolk County
Fusion Adaptive Fitness is located in Port Jefferson Station, NY and serves athletes from communities throughout the Town of Brookhaven and surrounding Suffolk County.
Participants may travel from Port Jefferson, Mount Sinai, Miller Place, Stony Brook, East Setauket, Centereach, Selden, Coram, Sound Beach, Rocky Point, Middle Island and nearby communities.
Because adaptive fitness can be a specialized service, some participants may travel beyond their immediate town to find the right program.
Communities We Serve
- Port Jefferson
- Mount Sinai
- Miller Place
- Stony Brook
- East Setauket
- Centereach
- Selden
- Coram
- Sound Beach
- Rocky Point
- Middle Island
- Nearby communities
Broker & Fiscal Intermediary FAQs
Let's Make the Fitness Information Easy to Review
If you're helping a participant evaluate Fusion Adaptive Fitness, send us the program being considered and the information your organization needs.
We'll provide the appropriate fitness-program and business information so the participant's Self-Direction team can determine the next step.