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1:46 a.m. • 6-18-13

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Comments :: Federal rule change threatens adult group home funding

63 Comments


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I guess some of the posters here would just put their parents on an ice floe and let the tide carry them out to sea.

There are so many hands in the till that after it is all said and done very little goes into the actual care of many of these in need but more into the pockets of those who control the funds,without line item accountability who really can tell who is getting what,just medicaid and medicare alone are two of the major programs that are always being exposed for fraud,prevention is needed not exposure after the fact.

"Amazing WRAL ignores the reality that the rule comes directly from Obamacare and zero mention of the new costs released by the CBO..." - UNC006

Actually these changes Medicaid reimbursement rules for assistance with eating and bathing were put in place 7 years ago during the Bush administration with a implementation date of April 30, 2012.

Why should a much higher rate be paid for one setting (group homes) over private homes. I believe a single rate should be paid no matter what the setting is. The rate that Medicaid was reimbursing group homes for assistance with eating and bathing is a form of fraud itself at over $100K per year. What do they pay the assistants who work in the homes - under $20K per year with a ratio of 1 caretaker to 10 patients on average. Tell me why a group home should be getting over one million dollars per year for each employee who provides assistance with eating and bathing.

"Whatever happened to family responsibility and taking care of our own. Why is it now always up to the state to take care of everyone?"

So we should have children and rear them to become caregivers? like people used their children for farmhands a century ago?

That's an interesting idea and it could work but it it has some implications too.

"Yeah really, so you are saying that the DEMS always kept well abreast of every Federal Change. The fact is this change comes down from a Democrat Administration that is controlling these agencies."

Before posting again, please do at least 10 seconds of research. This policy has been on the books for 7 years. It was passed under the Bush administration. Everyone knew it was coming. When it came time to actually implement it here, our legislature dropped the ball. They have already asked for a prior extension and STILL haven't done anything about it.

BTW - the law just says that the feds are just going to reimburse care at 1 rate and not pay more or less depending on the setting. It is really simple. The state can either adopt that policy too OR allocate more state level funding if they want to pay certain caregivers more/less.

We're seeing the tip of the iceberg here, it will only get worse as each phase of the ill conceived federal healthcare law is instituted.

"Actually, the republicans control both houses and could have easily passed the legislation. They didn't. Part of the job of governing a state is making sure we are in compliance with federal law for these types of programs so we don't lose funding. This law applies to EVERY STATE. Somehow, our legislators are the only ones who can't seem to keep up."

Yeah really, so you are saying that the DEMS always kept well abreast of every Federal Change. The fact is this change comes down from a Democrat Administration that is controlling these agencies. This is simply another example of why these programs are simply evil. A government agency now holds the lives of these people and frankly they could care less as is clearly demonstrated. Where states went wrong was allowing the Feds to hand off these programs in the first place. The Feds suckered them and they went for it.

Nice try bill. Please remember there are Dems in the State Government that were involved as well."

Yah but when dems do something and mess it up , it's the thought that counts, they get a pass on it, and can move onto the next failure. When its repub the bellyaching reaches fever pitch. If it wasnt for double standards liberals wouldnt have standards at all.

This is so sad. I pray something can be done to help these people.

"Nice try bill. Please remember there are Dems in the State Government that were involved as well."

Actually, the republicans control both houses and could have easily passed the legislation. They didn't. Part of the job of governing a state is making sure we are in compliance with federal law for these types of programs so we don't lose funding. This law applies to EVERY STATE. Somehow, our legislators are the only ones who can't seem to keep up.

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