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How to get back pre-Annual Plan services!

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Joined: 22 Oct 2005
Posts: 45

PostPosted: Tue Jul 25, 2006 3:12 pm    Post subject: How to get back pre-Annual Plan services! Reply with quote

PLEASE pass this info along to all families and case managers!!!

Word on the street is that Leslie Campbell from the Centers for Medicare and Medicaid Services (CMS), the agency charged with overseeing Indiana’s Medicaid Waiver program, is closely watching the annual rates that were imposed under the Annual Plan. People are having success getting funding restored to pre-Annual Plan levels by writing to Protection and Advocacy to explain their situation and sending a copy of that letter to Leslie Campbell. Please note: copying Leslie is very important in order to make this work!

When writing your letter to Protection and Advocacy, be sure to emphasize that the waiver recipient suffered a decrease in services. This will be much stronger than talking only about a reduction in money.

For example, you might want to include wording like this in your letter:

(Name) has suffered a reduction in services brought about by the significant reduction in dollars available to (him/her) since the Annual Plan took effect. This reduction does not allow (name) to purchase
necessary services to assure (his/her) health and safety or to make progress on active treatment goals. The reduction in dollars was made without the knowledge or permission of (name) or of his parent or guardian, case manager, or other interdisciplinary team members. (Add details of how the reduction is impacting the person, as well as other information you feel is pertinent.)

Send letter to:

Indiana Protection and Advocacy Services
Tom Gallagher, Executive Director
4701 N. Keystone Ave.
Suite 2222
Indianapolis, IN 46205

Send copy of letter to:

Leslie Campbell
Centers for Medicare and Medicaid Services
233 N. Michigan Ave., Suite 600
Chicago, IL, 60601
(312) 353-1557
(312)353-3866 (fax)
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Joined: 09 Dec 2005
Posts: 14

PostPosted: Thu Jul 27, 2006 5:04 pm    Post subject: Interesting information and thank you Reply with quote

Thank you for this info. Have sent it out to some friends of mine already who have already suffered greatly from the rate cuts that were later followed by even the good providers cutting service hours.
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Joined: 24 Oct 2005
Posts: 12

PostPosted: Tue Oct 10, 2006 9:56 pm    Post subject: Reply with quote

Here is the content of an e-mail that was sent out by Indiana Protection & Advocacy to be distributed to all:

IPAS has two DD issues under consideration for which we gathering information in order to determine if we can take further action. Should you get a call that would fit under either of the issues, please let the caller know we are NOT opening cases on the subject at this time, but we would like to speak to them if they would be willing to pass on
their information. Please refer directly to Debra J Dial, IPAS Staff Attorney. 800.622.4845, extension 230, e-mail djdial@ipas.IN.gov


1. IPAS is looking for individuals who have experienced actual decreases in waiver services due to the rate changes that occurred in October, 2005. This could be the DD, support services, or autism waiver. We will need copies of anything written that supports this decrease (i.e., CCBs, letters from Medicaid or BDDS, letters from providers that decrease or end services from the providers due to changes in the rates, notes from team meetings that reflect what the person actually needs, etc.). We are not looking for decreases in what providers are being paid. There must be an actual decrease or cessation of services because of the rate change before you refer a person to us.


2. IPAS is interested in speaking with anyone calling about the change in waiver case management providers that takes effect today. As you know, all case managers are now employed by one provider and some folks are getting letters that give only six or so case managers to pick from. We are interested in hearing from anyone with a complaint about this new system. Again, any paperwork they can provide would be helpful.
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