Posted by SLS on May 23, 2008, at 7:20:51
In reply to Re: Medicaid regulations - Any Comments?, posted by Linus on May 23, 2008, at 6:49:58
Hi Linus.
I agree with you completely.
I would just add that there are other mental illnesses besides those expressing psychosis that can reduce someone's ability to function so as to prevent them from entering a partial care program.
Maybe there can be some sort of Medicaid scrutinization or oversight program to review individual cases and make determinations based on documentation. It would certainly be cost-effective.
I appreciate the cost figures you posted. To my knowledge, they are accurate.
- Scott
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> Thank you, for clarifying one important difference in both programs. Partial Hospitalization programs are supposed to work with the more acute populations..ie., actively psychotic individuals.
> However, I think the reason why Medicaid has felt the need to issue some restrictions is because aside from actively psychotic individuals there are many consumers that are functioning at higher levels that would be very well suited in partial care programs, but have remained at Partial Hospitalization programs for years on end.
>
> It should be the Partial Hospitalization programs responsibility to identify these individuals that are not acutely psychotic and refer them to an appropriate Partial Care Program for a cost savings to Medicaid of up to $60,000 a year per person.
poster:SLS
thread:826866
URL: http://www.dr-bob.org/babble/20080519/msgs/830652.html