Help for Disabled of South Carolina Unclear

9:30 AM, Aug 23, 2010   |    comments
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Columbia, SC (The Greenville News) -- There were also 903 peo­ple with mental retardation or a related disability living with a caregiver who was 72 or older, Mole said, add­ing their care could be jeop­ardized at any time if the caregiver's health deterio­rates.

New structure

McPherson said a con­sultant's report recently distributed to commission­ers recommends a differ­ent structure to Medicaid waiver programs. She said she would be concerned about any move in which the agency reduces care to some people who need it in order to address the wait­ing lists.

Greenville commission­er Rick Huntress said he's not making any snap judg­ments about whether cuts will be necessary, saying it's public knowledge that the $40 million was one­time funding.

Reductions in care would only come as a last-ditch move, he said.

Faced with crowds of dis­ability advocates in the Sta­te House lobby earlier this year, some Upstate law­makers said they are con­vinced the agency's fund­ing for the most vulnerable citizens needs to be main­tained even in tough budg­et times.

McPherson said the ear­lier the public is involved, the less likely it is that resi­dents will be opposed to changes and the better the ultimate service will be.

Waiver programs - those in which Medicaid funds pay for care outside of an institution - require a lengthy run-up with the state Department of Health and Human Services in the driver's seat, Mole said.

Any changes that would take effect next July 1 would have to go to federal authorities no later than 90 days before. That means an agency advisory commit­tee and the commission would both have to vote on the issue before that, push­ing public hearings into previous weeks and the ini­tial public release of pro­posed changes to January or February, Mole said.

Unlike the changes that covered in-home care last year, Mole said the new process would provide more concrete information in writing earlier in the process and those families who would be affected would be consulted earlier. Hopkins said she is cau­tiously optimistic about the new process but that fami­lies are intent on being heard as early as possible - before state authorities have made decisions.

"It's something that we'll just have to see," she said.

At issue is the long proc­ess required to make any changes in Medicaid pro­grams such as the one that covers in-home respite care and previous argu­ments from consumers that they weren't given ade­quate input until it was too late.

New process

Mole said there will be a new process for any changes to Medicaid waiv­ers aimed at getting the maximum input from peo­ple who have to carry the consequences.

She said the public no­tice of any changes could begin in January, while McPherson said the proc­ess could need to start this fall.

The agency's new direc­tor, Beverly Buscemi, al­ready has begun talking to consumers and providers about the temporary na­ture of $40 million in state funding and asking them to address an uncertain fu­ture that could include a mid-year budget cut or flat funding in the face of rising needs, Mole said.

"We haven't had this kind of a problem before," Mole said, referring to the one-time funding. She add­ed that the agency is grate­ful for all the funding it re­ceived this year, temporary or not.

Everything, she said, is on the table.

Even if the agency doesn't have to make fur­ther cuts, Mole said there is the issue of waiting lists that keep getting longer and how the agency will maintain the quality of care.

She said 1,992 individu­als were waiting for com­munity residential services as of June 30, while 1,278 were waiting for day serv­ices, 1,870 for the Medicaid waiver that covers in-home care and 372 for the waiver for head and spinal cord in­juries.

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