If accepted by the legislature, the new definition reads as follows: Medically necessary services for eligible Medicaid participants under the age of twenty-one (21) are ...continue reading "On October 3, 2012, Idaho Department of Health and Welfare (IDHW) gave notice that it had proposed a new medical necessity definition for use in children’s cases."
There is a trend in some states, including Idaho, to use some combination of assessment tools to arrive at a number (usually a dollar amount) ...continue reading "Measuring a Person’s “Need” for Developmental Disability Services"
DisAbility Rights Idaho’s Comments on Idaho Proposal to Contract with a Managed Care Organization (MCO) for Medicaid Services for People Who are Eligible for Both ...continue reading "Idaho Medicaid Managed Care Proposal"
One of the misguided changes made to Idaho Medicaid benefits in order to cut the budget, is the refusal to allow a person who has ...continue reading "Psychosocial Rehabilitation (PSR) is NOT the same as Developmental Therapy."
The Idaho Department of Health and Welfare (IDHW) has implemented the new “blended” reimbursement rates for adult developmental programs. “Blended” rates were suggested by DD ...continue reading "“Blended Rates” for Medicaid Developmental Therapy is Very Bad News for People with Disabilities in Idaho."
My last blog was posted in the middle of the Idaho legislative session and chronicled the terrible effects H221 would have on Medicaid services for ...continue reading "Community Based Disability Services Will Be Seriously Hurt by H 260."
The most egregious problems with H221 are the elimination of developmental services for people who are not eligible for waiver services and for all people ...continue reading "H221 violates federal law and deprives vulnerable adults of essential safety net services."
Liberty and Disability The preamble to the Constitution of the United States says “We the People of the United States, in Order to form a ...continue reading "Liberty and Disability"
Of course the Idaho Legislature faces some tough decisions. The projected revenue (whether accurate or not) is far short of the cost of running the ...continue reading "Medicaid- When Are Cuts NOT Savings?"
Few, if any, volunteers have the training or skills to provide Developmental Therapy. According to the Idaho Administrative Rules (IDAPA 16.04.11.10.14) “Developmental therapy is the ...continue reading "Families and Volunteers Cannot Replace Developmental Disability Agency Services or Psycho-social Rehabilitation"