The Colorado Medicaid Director admits the tool has flaws in her letter to the Medical Services Board, http://joshuawinkler.com/MSB_Letter-Pediat…, but refuses to restore hours to kids while they attempt to fix the broken tool. This Pediatric tool is based on a Medicare tool used to evaluate homebound seniors, not kids who can and should be able to participate in their community.
This tool was implemented as part of a larger home health rule "benefit standard", advocacy organizations across the state warned the department in September 2012 the tool was flawed, and informed the Medical Services Board of their concerns in a joint letter, http://joshuawinkler.com/MSB_Concerns.pdf, the dep't did nothing and children with disabilities across Colorado are suffering as a result!
The Colorado Department of Health Care Policy and Financing (HCPF) should be ashamed of themselves, the very problems that are occurring now were warned about by advocates last year http://www.joshuawinkler.com/MSB_Concerns.…. The Medical Services Board, the Governor appointed committee that approves Medicaid rules in Colorado, asked HCPF to stop using the tool at their April 12, 2013 meeting but the dep't refused. HCPF is mis-interpreting or over extending the federal requirements on documenting "medical necessity". Call HCPF, 303-866-3513, and the Governor's office, 303-866-2471, to voice your concerns.
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