Brownback Administration Suspends Medicaid Waiver Integration
Gov. Sam Brownback’s administration will not fight a legislative directive to postpone the integration of Medicaid waiver services for Kansans with disabilities, according to an email sent by an administration official.
The Legislature passed a budget early Monday that included a provision prohibiting spending in the next fiscal year on any waiver integration plan to be implemented before July 2018.
Brownback could have vetoed that part of the budget bill. But an email sent Wednesday by Becky Ross, director of Medicaid initiatives for the Kansas Department of Health and Environment, suggests the governor will let it stand.
“Due to a legislative directive, KDHE and KDADS (the Kansas Department for Aging and Disability Services) are suspending work on the waiver integration project,” Ross wrote in the email. “The agencies’ leadership expects to reassess the project at a future date to determine when to resume work and when it will be implemented.”
The administration’s decision appears to end a months-long saga during which advocates for Kansans with disabilities repeatedly voiced concerns that the integration plan was moving ahead too quickly, with too few details about how it would be operated.
The waivers provide Medicaid coverage for support services that allow Kansans with disabilities to remain in home and community-based settings rather than institutions. The services are split into seven groups based on type of disability: developmental, physical, frail elderly, autism, traumatic brain injury, technology assisted and serious emotional disturbance.
The Brownback administration’s plan would compress the services into two groups: one for children and one for adults. Administration officials say that would allow all Kansans to receive a broader array of services more efficiently, rather than being constrained by labels.
But disability advocates worried it could lead to service reductions.
The administration already agreed to delay it once, prior to this week’s suspension.
Sean Gatewood, a former Democratic legislator, is a spokesman for the KanCare Advocates Network, a coalition of groups that work with people on Medicaid, which in Kansas is a privatized program called KanCare.
“We’re just excited the administration and the Legislature took a stance to delay (integration) and get meaningful input from legislators and stakeholders,” Gatewood said.
Rep. Dan Hawkins, a Republican from Wichita who chairs the House Health and Human Services Committee, appointed a subcommittee to evaluate the administration’s integration plan and the advocates’ concerns.
After that subcommittee in March returned a report that also concluded the plan was short on details and should be postponed, Hawkins procured a letter from Lt. Gov. Jeff Colyer assuring him the administration would not move forward until after the 2017 session.
According to Ross’ email, the project is now on hold indefinitely.
Hal Schultz, a Lawrence resident who leads a self-advocacy group for Kansans with intellectual and developmental disabilities, said that was good news.
“I actually like that idea, because I think that if we put all the waivers into one that it would make things really confused for the state and for self-advocates and also that services would not be done the correct way,” he said.
Schultz, who spoke about waiver integration during a March rally at the Statehouse, said he felt like he was being heard by his representatives in government.
Schultz said he and other advocates remain willing to provide input on any future waiver integration plan. But Wednesday’s announcement also suspended the activities of several workgroups the administration had formed to discuss the plan.
Andy Marso is a reporter for KHI News Service in Topeka, a partner in the Heartland Health Monitor team. You can reach him on Twitter @andymarso