Unfortunately, without effective case management and help finding alternative services, the system will just try to drug problems away.
"Medicaid Case Management Rules Could Stifle Service Delivery
December 20, 2007 —The Centers for Medicare and Medicaid Services (CMS) has published interim final regulations to govern case management services under Medicaid (Federal Register, December 4, 2007, Vol. 72, No. 232, 68077-68093; 42 CFR Parts 431, 440 and 441). Under Medicaid, case management services are services that will assist individuals in gaining access to needed medical, social, educational or other services.
New Rules Implement Deficit Reduction Act
These regulations were promulgated to implement part of the Deficit Reduction Act of 2005 (DRA, Public Law, 109-171—see the Bazelon Center’s March 2006 Mental Health Policy Reporter) and are CMS’ final interpretation of Section 6052, Reforms of Case Management and Targeted Case Management. The DRA made substantial changes to many vital federal programs, including Medicaid, Medicare and TANF; with an overall focus on saving the federal government money.
Section 6052 of the DRA outlined specific provisions on what may be included in case management. It also clarified that Medicaid will not pay for certain services that have traditionally been furnished by child welfare system case managers. Additionally, it appeared to restate Medicaid"
This will affect our family drastically, and it might yours as well. The good news is that:
More information is available at the link above.
Public Comments Encouraged
The rules allow for a 60-day public comment period (ending at 5 p.m. on February 4, 2008). They become effective on March 3, 2008—90 days after their publication in the Federal Register. Although final on an interim basis, the rules can be modified prior to the effective date. Accordingly, advocates should submit comments to increase the likelihood of modifications (click here for how to submit comments).