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The Usual--
Last week was a pretty hectic week, although I was extremely grateful to be open all 5 days! I hate closing us down-- especially when it really isn't that bad.
Something happened in the news last week that I want to talk a bit about because I think many people don't understand how DD providers like CLI can afford to operate.
As a 501(c)3 non-profit, CLI is not allowed to be political. And the truth is that CLI represents people from both political parties. This is a bipartisan issue. We don't have a side. And if a CLI staff person has an opinion (it happens)-- that staff must keep that opinion under wraps when we are at work. So that's my preamble to this next bit.
The services that CLI and ALL other Ohio DD providers-- residential, day service, vocational, you name it-- are paid for by Federal Medicaid dollars. Like many Americans, I am worried about the growing Federal debt.
Obviously Medicaid spending is a hot-button issue. As our politicians in both parties wrangle about what gets cut and what does not-- it worries me that Medicaid funding for people with DD is going to get confused with the larger Medicaid argument. It's not clear whether would have happened if last week's Executive Order to stop Medicaid payments would have included the DD services. Our funding comes from Ohio Medicaid on a fee for service so that we get paid a fee for each unit of service that we provide. DD providers like CLI do not have deep pockets, and our business is very low margin, so a temporary stoppage of payments could put providers out of business pretty quickly.
If you are politically connected to anyone in either party-- and/or you are a letter writer-- it is important that our politicians understand Ohio's DD system-- both at the federal level and the state level.
That's all the soap-boxing I have for this week. If anyone has questions or just would like to talk to me directly, I'm happy to do that. I'm hard to reach by phone, so definitely leave a voicemail so that I can call you back. Email is often the best way to connect.
Have a great week!
-John
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