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“Division III” of the House Finance committee has made the following reductions to the Governor’s budget that may affect people in the Developmental Services System.

Posted: March 18, 2015

“Division III” of the House Finance committee has made the following reductions to the Governor’s budget that may affect people in the Developmental Services System.

BDS Slashed $52 Million! 

The BDS line items: DD/ABD/IHS has been combined into one account. Family Support is being kept separate and will not be combined with the waivers. The total amount of money for those 4 programs has been reduced by $26 million in state funds or about $52 million in total funds from the Governor’s budget. Please note that Family Support funding has been cut by a proportional amount of the $26 million. The specific amount is not yet known. The committee is leaving the details of what would be cut to DHHS.

Reductions in Optional Medicaid Medical Services 

Under the House budget, adults over 21 years of age will no longer be able to access many optional services such as Ambulance, Physical Therapy, Speech Therapy, Occupational Therapy, Personal Care and Target Care Management under the Medicaid program. These services are not required by CMS, thus the state can choose not to provide them in NH.

Area Agency Consolidations

The committee will vote tomorrow to order DHHS to consolidate Area Agencies. There is no plan on many or which Area Agencies, however, a savings dollar amount must be achieved through consolidation. This plan is lumped in with closing Community Mental Health Centers and DHHS District Offices.

Forced Step 2 Savings 

The state budget now includes a provision that instructs DHHS to save 5% of the total “spend” of DD and Elderly long term care services (CFI, DD Waivers and Nursing Homes). The savings would be achieved by handing control of these services to the two Managed Care Organizations, Centene Corporation and BMC HealthNet.

 

 

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