www.waiverprovider.com
Our friend Aaron Nangle of waiverprovider.com has provided information on the Draft Plan for APD’s HCBS Waiver – Home and Community Based Services Waiver Expenditure Reductions.
These will impact all persons with disabilities in Florida.
Consideration to Move Specialized Mental Health Therapy to Medicaid State Plan (adults) Detail: remove expenditure from waiver through
amendment for the long term because service is provided by DCF/AHCA Savings Expected would be about $1,395,703 This would need Handbook change, Rate Rule change, Waiver Amendment. While waiting for waiver amendment, case by case transition of services to Medicaid State Plan. Waiver would be amended this Fiscal Year
• Moving Skilled nursing to Medicaid State Plan(adults) Savings expected would be $1,615,650Remove expenditure from waiver and do waiver amendment for the long term because skilled nursing is provided by MSP Would need Handbook change, Rate Rule change, Waiver Amendment. While waiting for waiver amendment, case by case transition of services to MSP. Waiver will be amended this FY.
• Rate adjustment for all ADT recipients and reduce burdensome regulations. Savings TBD Would need Handbook change, Rate Rule change with reduced paperwork and regulation, looking for alternative savings in this category.
• Eliminate Behavior Assistant services with ResHab and ADT ? $5,000,000. savings, Would need Handbook change for clarifying policy, Rationale: Behavior Assistance services are duplicative of the services and training provided in Res Hab and ADT.
• Agency Rate premium set to a maximum of 20% above solo rates for all services with agency rates, Savings expected $3,712,169 Currently there is a range of 5% to 45% over solo rates as agency premium. This would need a Rate rule change. currently rate premiums vary fro 5% to 42% depending on the service category.
More proposed reductions in our next blog. Remember the squeaky wheelchair gets noticed.
Leave a Reply