Legislative Plan for Special Session
Legislative Plan Special Session
Updated July 18, 2020
Re-allot the funds to support the rate “refresh” for the DD Waivers
The funding which was approved in the biennial budget and “unalloted” in anticipation of the significant revenue shortfall due to the effects of the pandemic on the economy, is needed in both the short term and the long term to protect the services provided in the community to more than 15,000 individuals
- In the short term – funding to continue to support day services forced to close and will remain closed far longer than anticipated is ending 31 July; absent ongoing support those providers will be forced into permanent closure.
- Also in the short term – while residential providers have been the key to the care and support provided during the pandemic, they have experienced additional staffing and material costs which have not been reimbursed.
- In the long term – the entire service system is fragile and failing, short term funding will not provide the stability and support needed to meet the ever increasing expectations DOJ Settlement.
Support the proposed increase of the rates for Behavioral Health providers to the equivalent of 110% of 2019 Medicare rate
- The funding which was approved in the biennial budget and “unalloted” in anticipation of the significant revenue shortfall due to the effects of the pandemic on the economy, is needed in both the short term and the long term to protect the services provided in the community.
- The challenges faced in standing up an entire system of community care to be provided “remotely” in a very short period of time took their toll on the provider community
- While “telehealth” has been considered reasonably successful, it is only so because a number of the restrictions on the provision of services have been relaxed. As we move beyond the State of Emergency, there will be severe stress on the system and we are anticipating a significant demand for services caused by the stressors of the pandemic and economic downturn.
As we have learned in the past four months – federal assistance and authority is both arbitrary and capricious. In order to ensure that there is a system of care in the community for the next 12 to 24 months pending the economic recovery, state GF dollars will need to be allocated from the unspent balances in Medicaid to:
- Support retention and recovery for providers of DD Waiver Group Day, Community Engagement, Community Coaching, and Supported Employment.
- Support providers of BH services by maintaining telehealth rates at the same level as face-to-face.