We received an e-mail yesterday late in the evening regarding changes The Centers for Medicaid and Medicare Services (CMS) is proposing in regard to State Medicaid agencies.  While I am a neophyte, CMS appears to be the federal agency that manages funding allocations which are appropriated to the states.  CMS has proposed what would be equivalent to private insurance plans. 

Perhaps most important, CMS proposes 11 exemptions to needy populations that would probably cover most of our rider clientele.  Mike LaVoie, who has worked in the system for more than 30 years, writes, “In case, you missed this buried in some of the documents from Agency for Persons with Disabilities, pay particular attention to CMS recommendations cited in the email- from Department of Transportation to eliminate the requirement for Medicaid to provide transportation to and from Medicaid Services.  Needless to say, this could be devastating to the provision to transport to access Adult Day Training and Supported Employment services. “

LaVoie continues, “CMS suggestions that this could take years may be misleading as we all know, CMS has approved equally impactful decisions faster than that lately”

Lsia Bacot suggests that interested parties should comment by clicking onto this link:  http://www/regulations.gov/fdmspublic/component/main?main=SubmitComment&o=09000064803baf64

The comments should were due Monday, March 26, 2008 which is the day before this posting.  Everyone apologized about the short turnaround.  However, this was an important decision that was made public much too late for most people to react.

Here are a couple of the emails that were sent yesterday:


From: Mike

Sent: Monday, March 24, 2008 2:23 PM

Subject:FW: CMS Proposed Rule- Important

 Hey folks,In case you missed this buried in some of the documents from APD.Pay particular attention to CMS recommendations cited in the email from Dept of Transportation,to eliminate the requirement for Medicaid to provide transportation to and from Medicaid Services.Needless to say, this could be devastating to the provision of transport to access ADT and Supported Employment services.Suggestions that this could take years may be misleading as we all know CMS has appoved equally impactful decisions faster than that lately.Mike 


From: Johnson, Karen E.

Sent: Monday, March 24, 2008 9:06 AM
To:

Subject:FW: CMS Proposed Rule- Important

FYI 

—–Original Message—–
From: Mack, Heather@Career & Technical Education

Sent: Monday, March 24, 2008 8:58 AM

To: Johnson, Karen E.

Subject:FW: CMS Proposed Rule- Important

  Although many of us get these from Paula, I think there are many on our ICB list that do not.  Please forgive if this is redundant for you. HeatherHeather Mack, Special Populations
Career and Technical Education
2700 Judge Fran Jamieson Way
Viera, Florida  32940
321-633-1000 ext. 379
mack.heather@brevardschools.org


From:Davis, Paula [mailto:Paula.Davis@brevardcounty.us]
Sent: Monday, March 24, 2008 7:46 AM
To:Philip.Antos@vr.fldoe.org; pamela.ascanio@vr.fldoe.org; fairhousingbaade@bellsouth.net; tballard@fl.easterseals.com; fbarger@uwbrevard.org; Arthur_Barndt@dcf.state.fl.us; laura@d-s-i.com; patrick.blucker@patrick.af.mil; lbrannon@circlesofcare.org; mbrilley@job-link.net; sbunker@cfl.rr.com; scaporina@fl.easterseals.com; scash@cvicentralflorida.org; achestnut@brevardparks.com; dcooke@arc-brevard.org; Davis, Lacie; Sandra_Deveaux@doh.state.fl.us; kdilulio@arc-brevard.org; ldonoghue@211brevard.org; judy_dunning@apd.state.fl.us; Olga_Emgushov@doh.state.fl.us; texum@mail.ucf.edu; dezell@mail.ucf.edu; Betsy@Brevardbln.org; feldml@palmbayflorida.org; fertell@brevardcc.edu; cindyf@communityservicescouncil.org; llfowler@bellsouth.net; ceo@spacecoastredcross.org; giordja@hotmail.com; mgoff@rbhsinc.com; traci.griffin@vr.fldoe.org; lisa.gurri@health-first.org; mhalal@devereux.org; Christopher_Hale@doh.state.fl.us; pamelia_hamilton@doh.state.fl.us; thargrave@bacbrevard.com; rayfly42@bellsouth.net; eklausman@cfl.rr.com; llee@uwbrevard.org; dlee779@cfl.rr.com; Lewis, Eva@Exceptional Education; jim@ridescat.com; janlokay@aol.com; Lowe, Kathy; Mack, Heather@Career & Technical Education; fairhousingmiles@bellsouth.net; bmitchell@brevardparks.com; patricia.nellius@cbcbrevard.org; bohara319@aol.com; dolson@bacbrevard.com; paulillo@fit.edu; Denise_Porter@doh.state.fl.us; althea_puzio@doh.state.fl.us; Barbara_Ray@doh.state.fl.us; prosbury@dcf.state.fl.us; lovesgreen52@bellsouth.net; JSchiff@SpaceCoastEDC.org; kschillo@cocoabeachchamber.com; rseemer@etsfl.com; sshinn@sceic.com; angela_simonton@doh.state.fl.us; lverrysi@mail.ucf.edu; jcsmith@mail.ucf.edu; maria_stahl@doh.state.fl.us; rstimson@specialgatherings.com; dswartz8@cfl.rr.com; ntaback@brevardparks.com; Tolson, Sharon@Viera; maria.trieste@health-first.org; Marlene.A.Ulisky@SSA.gov; rv@cfl.rr.com; walkerw@spacey.net; jwatson@job-link.net; jwhitaker@circlesofcare.org; Wickham, Cindy@Viera; mwysocki@goodwillcfl.org; Davis, Paula; Becker, Brenda J; Becker, Jason L; Breslin, Brian R; Bryant, Stephanie L; Dettra, Samuel R; Ford, Suzanne; Golden, Ian J; Hansen, Christine; Harris, Tammy J; Herriott, Carl J; Holt, Leigh R; Howell, Cheryl; Ingalls, Joyce L; Joiner, Chenita M; Langan, Judy; Parks-Martin, Donna; Mcdonald, Michael E; Mcguffie, Glenn A; smosey@etsfl.com; Parks-Martin, Donna; Reich, Rosa M; Singleton, Lesley D; Spiller, Laverta; Urban, Sandra; Williams, Gay N; Wright, Pam

Subject:FW: CMS Proposed Rule- Important

 FYI – regards M-NET 

PaulaPaula C. DavisHuman Services Planner IIBrevard County Housing and Human Services2725 Judge Fran Jamieson Way, Suite B103Viera, Florida  32940 321-633-2076paula.davis@brevardcounty.us 
Disclaimer: “This e-mail is for information purposes only and does not necessarily reflect the views of the Brevard County Board of County Commissioners nor Brevard County Housing and the Human Services Department.”



From:Bacot, Lisa M. [mailto:Lisa.Bacot@dot.state.fl.us]
Sent: Thursday, March 20, 2008 4:25 PM
To:CO-CTD Staff
Subject:CMS Proposed Rule- Important
Importance: High

 TO:  Entire TD Distribution List 

The Centers for Medicaid and Medicare Services (CMS) has issued a proposed rule relating to allowing State Medicaid agencies the opportunity to create benchmark packages that would be equivalent to private insurance plans.  We appreciate that CMS is looking outside the box, however, one of the proposed plans in this rule is to allow Medicaid agencies the opportunity to “relieve States of the responsibility to assure transportation to and from providers.”  Before a state could act on this (if it becomes final rule), the state plan would have to be adjusted, so it would be a year or two down the road.  In addition,  CMS proposes 11 exemptions to needy populations that would probably cover most of our rider clientele.   Regardless, it does have the potential of making very significant changes to Medicaid Transportation services to certain clients. If you do want to comment, please click on this link:  http://www.regulations.gov/fdmspublic/component/main?main=SubmitComment&o=09000064803baf64  You can then enter your contact information in and either type in your comments or revise the attached sample letter and upload it into the system.  Comments are due Monday, March 24, 2008.  I apologize for the short turnaround.  I do not have a copy of CTAA’s response, but when I get it, I will send it to you. Thank you.  Lisa M. BacotExecutive DirectorFlorida Commission for the Transportation Disadvantaged605Suwannee Street, MS 49Tallahassee, FL 32399-0450lisa.bacot@dot.state.fl.usDirect Line (850) 410-5711Toll Free (800) 983-2435TTY (850) 410-5708Florida Relay System Dial 711 (Florida Only)FAX (850) 410-5752www.dot.state.fl.us/ctd