have money allocated to their children, they can find ways to live without going to Adult Day Care Ctr everyday which use up big part of Medicaid money. Financial Impact: $9.8 million could be saved if implemented January 1, 2012. Savings would be offset by any increased cost of individuals entering nursing homes or costly waivers. Benefits of Proposal: It is estimated that this reduce payments to medical day care centers by $9.8 million if implemented beginning 1/1/12. Concerns with Proposal: Many individuals and their families depend on these centers to care for family member so that they can work. If families cannot use the centers during working then individuals currently receiving services may have to enter more costly nursing homes or in the case of some of the other waivers, may need to receive more costly waiver services. May result in more institutionalization at a time when Maryland is seeking to rebalance its long term care system. Impacted Stakeholders: MAADS, HFAM, Disabled Population, Elderly Population, Adult Day Care providers System Implications: None Proposal Number: 82d Theme: Service Limits - Medicaid Program Benefit Structure Viable?: Yes, but longer term. Implementation Timeline: Long Term Required Approvals: Regulatory Change: Yes Statutory Change: Yes Yes Yes State Plan Amendment: Federal Waiver: Proposal Description: -The current benefit structure for the existing Medicaid population should be re-examined to identify potential adjustments in coverage that will reduce medical expenses without negatively impacting quality of care. -The State should consider implementing a benefit package that is more consistent with commercial benefits in terms of cost sharing, copayments, and benefit limitations for any expansion population as well as potentially the MD CHIP population at higher income levels. Financial Impact: Not clear. Benefits of Proposal: This should be examined as part of preparing for health reform. Concerns with Proposal:
have money allocated to their children, they can find ways to live without going to Adult Day Care Ctr everyday which use up big part of Medicaid money. Financial Impact: $9.8 million could be saved if implemented January 1, 2012. Savings would be offset by any increased cost of individuals entering nursing homes or costly waivers. Benefits of Proposal: It is estimated that this reduce payments to medical day care centers by $9.8 million if implemented beginning 1/1/12. Concerns with Proposal: Many individuals and their families depend on these centers to care for family member so that they can work. If families cannot use the centers during working then individuals currently receiving services may have to enter more costly nursing homes or in the case of some of the other waivers, may need to receive more costly waiver services. May result in more institutionalization at a time when Maryland is seeking to rebalance its long term care system. Impacted Stakeholders: MAADS, HFAM, Disabled Population, Elderly Population, Adult Day Care providers System Implications: None Proposal Number: 82d Theme: Service Limits - Medicaid Program Benefit Structure Viable?: Yes, but longer term. Implementation Timeline: Long Term Required Approvals: Regulatory Change: Yes Statutory Change: Yes State Plan Amendment: Yes Federal Waiver: Yes Proposal Description: -The current benefit structure for the existing Medicaid population should be re-examined to identify potential adjustments in coverage that will reduce medical expenses without negatively impacting quality of care. -The State should consider implementing a benefit package that is more consistent with commercial benefits in terms of cost sharing, copayments, and benefit limitations for any expansion population as well as potentially the MD CHIP population at higher income levels. Financial Impact: Not clear. Benefits of Proposal: This should be examined as part of preparing for health reform. Concerns with Proposal: