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Category: Medicad

The Survival Coalition is asking you to complete a short, 10 question online survey on how we can make Medicaid better for everyone. As you probably know, Congress was thinking about making big changes to Medicaid in order to save money. Wisconsin Medicaid programs include: Family Care, IRIS, Katie Beckett, Children’s Long Term Care, MAPP, mental health programs, autism services, BadgerCare and services provided by the ForwardHealth Card. We want to know what ideas you have on how to make Medicaid better!
 
Please complete the survey at the link copied here:  https://www.surveymonkey.com/r/WXYMHS7
 
Feel free to share the survey with anyone who also has ideas on how to make Medicaid better. We will use your answers to write a report on new ideas for Medicaid. The last day to complete the survey is Monday, November 6
 
If you have questions about the survey, please contact the Survival Coalition at: survivalcoalitionwi@gmail.com 
 
Thank you for taking the time to complete the survey!
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More than 1,500 people responded to Survival Coalition's survey asking how Wisconsin's disability community uses our state's more than 20 Medicaid programs, and how their lives would be impacted if Medicaid changes (e.g. funding is cut and per capita caps are imposed as passed in the House version of the AHCA). Here is a sampling of those statewide results, organized by Congressional district, along with information about Medicaid and Medicaid funding in Wisconsin.

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On April 25th, The Arc Wisconsin hosted an on-line conversation with The Survival Coalition of Wisconsin Disability Organizations and the Wisconsin Long-Term Care Coalition to update Wisconsin residents on the latest threats to Medicaid. This training featured the latest information direct from The Arc US lobbyists who have been spending time on Capitol Hill.
 
Congress is considering proposals that are estimated to cut federal Medicaid funding by 25%. Wisconsin currently operates more than 20 Medicaid programs; one in five people use some form of Medicaid which can include Birth to 3 services, Family Care, IRIS, school therapies, Katie Beckett, autism supports, personal care, mental health supports and more…
 
You can listen to a recording of the training by going to this link.
 
See the presentation slides: http://www.survivalcoalitionwi.org/wp-content/uploads/2017/05/Next-Steps-for-Advocates-Protecting-Medicaid-4-25-17.pdf

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The process for accessing personal care services through Medicaid is changing for those who are enrolled in “fee for services” Medicaid. This impacts most children and some adults including:

  • BadgerCare Plus members
  • Wisconsin Medicaid members
  • Include, Respect, I Self-Direct (IRIS) members who do not self-direct their personal care services
  • Members enrolled in Wraparound Milwaukee or Children Come First programs

The change impacts the assessment process to determine eligibility and the numbers of hours of support a member is eligible to receive. DHS recently issued a Forward health memo called the  New Personal Care Independent Assessment and Prior Authorization Policy describing the change. Attached is the fact sheet that was sent to members starting Monday April 17th. Implementation will start June 1st.

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Late in March, a proposal to overhaul the nation's healthcare system and revamp Medicaid was voted down.  Advocates feel it's  good news  for people with disabilities.  There were simply not enough votes to pass the legislation.

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George Town University released an article listing the top five threats posed  to  children and families by turning the Medicaid program into a block grant.  The reasons include:

  1. It's a cut.
  2. It jeopardizes the nation's progress in covering kids.
  3. It leaves states holding the bag when a new disease strikes or a new treatment is discovered.
  4. It diminishes state flexibility to respond to changing economic circumstances.
  5. It endangers key features of Medicaid that work for kids – namely its strong benefits and cost-sharing protections.

The article explains why each reason is a threat.  Block grants are said to bring innovation and opportunities to states, but many feel that any major changes to Medicaid would have a big impact on  the health and financial security of families and communities.   

Read article

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The Kaiser Family Foundation has released a short video slideshow that explains how Medicaid works now and what is at stake as policymakers in Washington consider converting program financing to a block grant or per capita cap. The video describes how Medicaid is funded under current law, whom it covers and how spending is distributed across various groups of enrollees, including children, adults, seniors, and people with disabilities.

Watch video

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The federal government currently pays a fixed portion of states’ Medicaid costs, varying by state but averaging about 64%. Previous congressional budget and health plans have proposed converting Medicaid into a block grant or imposing a per capita cap. This article describes how, under these proposals, costs will shift to states and how it will effect programs.

Read article

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Recently, a leaked copy of the plan to eliminate the ACA and develop a per-capita plan for Medicaid (the federal program that funds Family Care/IRIS, BadgerCare, Katie Beckett, Children's long-term supports and autism programs, etc. in Wisconsin) was released. While changes in the plan are expected, here's an overview of the direction the bill would take regarding the ACA and Medicaid.

Read overview

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Talk of major changes to Medicaid have many people with disabilities worried.  Right now, Medicaid programs must meet certain federal requirements, but they are administered by the states.  Indicators point toward the Trump administration moving to a block grant system for Medicaid.   Details are sketchy, but there's fear that this would mean significantly less funding for Medicaid.   

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