At RMI, we are excited that the new Community first choice option should allow for 12,000 persons currently on the HCS and CLASS interest list some support while they continue to wait for more comprehensive services.
As it is currently written, RMI is concerned that the timelines in the bill will not allow for sufficient exploration to determine the actual impact on our clients. We are also concerned that these proposed timelines will not allow enough time to build a network of providers/medical to support the individuals we serve.
Three years ago, RMI moved to using the University Health System Family Medicine residency program due to the difficulty in finding physicians and other medical providers who would accept Medicaid payment. We fear that the Managed Care Option (MCO) will only exacerbate an already challenging situation. This shortage will impact the medical care of our clients.
MCO's are notoriously known for paying late and cutting rates. After the recent cuts on service by the State, it would be difficult to ensure our current standard of quality with uncertain financial reimbursement for services provided. RMI is reaching out to our representatives to ask that a minimum payment for service and expedient payment processing be set within the context of Senate Bill 7 to ensure quality programming can continue.
Individuals in the HCS service are offered the option of remaining in the current program or transitioning into an MCO program, while ICF group home residents are not. Having the option will create a bureaucratic nightmare in processing services and payments for individuals in our homes. Neither the HCS nor ICF group home models lends themselves well to a transition into the Managed Care Option. The MCO system of delivery is significantly incompatible with the models already in place at RMI. (see Sec. 534.202 of the talking points for a more in-depth explanation)