Liberty Healthcare is now providing mental health assessments for children and young adults up to the age of 18, as part of the Youth Empowerment Services (YES) program and the settlement agreement for the Jeff D. lawsuit.
The YES program was created and tasked with transforming mental health for children in Idaho as part of the settlement. As part of that transformation, families of children with serious emotional disturbances and functional impairments may now (as of Jan. 1) be eligible for Medicaid coverage if their income is up to 300 percent of the federal poverty limit. Liberty will provide the necessary initial assessments at no cost to the family seeking YES program eligibility.
If you know of a child who needs mental health services, including respite, please contact Liberty Healthcare at 1-877-305-3469. Learn more here and here.
The State of Idaho has chosen a contractor from among four bidders to handle the non-emergency medical transportation needs of Medicaid patients.
Medical Transportation Management, Inc. (MTM) will take over the program March 6, 2018. The existing contractor, Veyo, exercised an early-out provision in its $70 million, three-year contract, citing expensive, unexpected restrictions on its business model that uses independent drivers.
“The Department of Health and Welfare will work with the existing broker, MTM and stakeholders to ensure a smooth transition for our Idaho Medicaid participants and providers,” said Matt Wimmer, administrator of Health and Welfare’s Division of Medicaid. Continue reading
Informational, question-and-answer sessions are planned for Pocatello on Dec. 7 and Coeur d’Alene Dec. 11 to discuss the Idaho Health Care Plan, aimed at delivering better health care for Idahoans. Continue reading
Veyo, LLC has terminated its contract with the Idaho Department of Health and Welfare to provide Non-Emergency Medical Transportation Services (NEMT) for Medicaid beneficiaries in Idaho, effective March 5, 2018. Continue reading
Changes to Medicaid’s supported living rates are being finalized following the completion of an intensive cost survey of Idaho providers. This benefit pays for caregivers to support developmentally disabled adults in their own residence rather than in an institution or in a certified family home.
A group of supported living providers had previously sued the Department of Health and Welfare, contending that rates were too low to support their services. The 9th Circuit Court enjoined the department to pay a higher rate for these services. The Office of the Attorney General contested this case up to the United States Supreme Court, which resulted in the landmark Armstrong vs. Exceptional Child Center decision last December that established that providers do not have standing to sue states to increase their reimbursement. Continue reading
The federal district court recently ruled on a lawsuit involving people with developmental disabilities who receive Medicaid funding to pay for their day-to-day living support. Medicaid’s goal is to provide people with disabilities the supports they need to live as safely and independently as possible in their community, rather than an institution.
Medicaid will pay for up to 15 services directly related to a participant’s developmental disability as well as any services for additional medical needs they may have. Developmental disability services can include such things as 24 hour care so that participants can live in their own home, therapy to help participants develop skills they need to live in the community, non-medical transportation so that they can access and integrate into the community, and other supports that ensure that their homes meet their functional needs. Continue reading
Medicaid’s cost survey of providers for supported living services will begin soon. This survey is for providers who offer up to 24-hour support to qualified participants with developmental disabilities so they can live in their communities rather than in an institution.
We have received a number of questions about the survey and how it will be conducted. The framework of the study is set by Idaho state regulations, which you can find here (page 27, section 037). Continue reading