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ICPCM - Rally

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Joined: 12 Nov 2005
Posts: 8

PostPosted: Mon Jun 12, 2006 4:02 pm    Post subject: ICPCM - Rally Reply with quote

Was curious what the word was at ICPCM meeting held today.

Anyone mention the rally???
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Joined: 24 Apr 2006
Posts: 28

PostPosted: Wed Jun 14, 2006 2:14 pm    Post subject: Adrienne Shields Showed Up Reply with quote

At the CM ASSociation meeting, Adrienne Shields (former Case Manager & employee of TLC and now Director of all local BDDS offices) showed up and spoke. The attempt was to offset the rally. The state is saying they are going to make case management a "regular" Medicaid service again which means, no more of the 63% Federal match as under the waiver. They are saying that consumers will have a choice even through the consolidation (IPMG). The choice though is which CM they stick you with....it is not a choice when there is only one CM company and they do everything the same. What if you have a problem? Who do you go to? What if they do nothing? It's not like you can go to a different CM agency. Shields is also trying to say that CM under IPMG will not have caseloads of 50 or more......I don't know who does her math but if you have 9,500 or more consumers needing CM and only 150 -200 case managers, that comes pretty close to 50 on a caseload. I received notice today from Leslie Campbell, Regional Director, CMS Chicago that the state of Indiana has NOT sent in an amendment to the waiver to remove CM services. So let's look at this:

If CM is a regular Medicaid service, no 63% Federal match. If CM costs $15 million ( the state's number which means it will be much larger), Indiana loses $9.5 million in Federal monies.

If CM is a regular Medicaid service and maybe gets a 50-50 Federal match, that's still a loss of Federal money in access of $2.0 million.

There is suppose to be a memo coming out from FSSA/DDRS tomorrow or Friday to explain how CM will work under consolidation and have wonderful presentations for everyone so to tell us crap. Don't be fooled.....this is just a last ditch effort by the state to offset the rally. The Governor is sweating and the Attorney General's Office. THE RALLY IS STILL ON WITH MULTITUDES OF FAMILIES, CONSUMERS AND PROVIDERS COMING. BE THERE!
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Nancy Swaim

Joined: 26 Oct 2005
Posts: 17

PostPosted: Thu Jun 15, 2006 10:49 am    Post subject: Reply with quote

Actually, the rally wasn't mentioned.

Following is summary of statements made at the ICPCM meeting by Adrienne Shields, Director of Client Services. I think this is accurate, and encourage other case managers to correct any errors I have made.

The State is in negotiation with IPMG for the contract for Consolidated Case Management. The contract had not been finalized as of last Monday, and once it is finalized it will take some time for it to be signed by all the folks at the State who need to sign. The start up date will probably be at least 90 days from the time it is finalized to allow for this signature process. The case management change will not occur on July 1.

Adrienne hopes to send a letter to case managers and families this week with information about the changes in case management that are planned.

Case management will be removed from the Medicaid Waiver as a service, and case management will become part of the State’s Medicaid Administration. The federal government does cover 50% of these expenses.

A series of meetings is expected to begin on June 23rd, with case managers, and will be held around the State. It is planned that Adrienne and Rich Metzger, with IPMG, will facilitate these meetings. Adrienne believes they will have information about caseload size, salary levels and other details about case management employment ready for those meetings. The first meeting will be at the Government Center, and times and locations for all meetings will be announced as soon as these are established.

Adrienne also said that case managers would not be auto-assigned; and that families and consumers would have the opportunity to choose their case managers from among hose hired by IPMG.
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