You were Heard! Because of

Your Voices,

DMAS has gotten an

Extension to the start of LRI Guardrails.

(See above)

That is a Huge Win!

Thank You!

And thank DMAS and Your Legislators

and all who worked for this extension.

We Need Your Voices Again

• Are you tired of constant Service Facilitator (SF) turnover? I know we are!
• Do you want the quality help that Moms In Motion was built on restored? I know we do!
• Do you know SFs have gotten the equivalent of
• 0.6% raises year over year for the last 18 years? (Do you know anyone who would work for 0.6% raises for 18 years? I don't.)
• Did you know that a Professional, 3rd Party, Unbiased Rate Study was done in 2020 and found SFs should really have gotten
• 3% raises year over year for the last 18 years? Probably Not. We did.

Consumer Directed Service Facilitation is a

severely underfunded service.

You may have noticed...

• we keep sending you new SFs.

That is because....

• we cannot offer sustainable wages to the people we send to your home.
• we cannot offer wages that compete with other service lines with the same requirements for the position.
• we cannot even offer wages much more competitive than a gas station cashier or even Medicaid rate personal care aides.
• we are barely able to keep things together and the challenges keep piling up (Hello LRI :) ).
• we are starting to see cracks in our team's ability to do what needs to be done in this service. People are going to start to fall through these cracks.
• We have taken responsibility for our errors in the past and paid attendants when an authorization lapsed because of an error on our part.
• I am afraid we are going to start to see more of that and I have to ask myself, when does it stop being the fault of something we can control. We cannot control how much we are reimbursed for our services. We are having trouble keeping dedicated, trained staff. At some point does that stop being something we can control and start being because of the system? I think that time is coming if it is not here already.

Do you feel Moms In Motion or your other Service Facilitator Provider has added value to your waiver experience?

• Just help you even get Started
• Did Moms help you understand the Waivers and how to apply for the program?
• Have you gotten guidance from one of our amazing Family Resource Specialists?
• Advocacy
• Has Moms played an integral role in helping you and the community advocate for an extension of the LRI implementation.
• Has Moms played an integral role in helping you advocate for higher wages for attendants.
• Is Moms helping and has Moms helped you to understand and prepare for the the constant changes to the waiver program?
• Maximizing Your Benefits
• Did Moms make you aware that you could get diapers paid for by Medicaid if your member was over 3 years old?
• Did Moms make you aware that you should be on the waitlist for the DD waivers if your not already on one?
• Communication/Information
• Are our Newsletters valuable to you?
• Are our Social Media outlets valuable to you?
• Have you utilized our website to better understand someone or to help someone else?

Little Known Facts About Your Service Facilitators:

• Service Facilitation is not an entry level position. SFs are required to have a degree and experience.  
• SFs navigate and manage 3 waivers, 3 fiscal agents, 6 MCOs, DMAS, multiple CSBs and and many Support Coordinators and Care Coordinators.
• Most Service Facilitators manage a caseload of about 250 clients. Many of them take on additional clients to make sure they do not go without services because the need is greater than the amount of qualified individuals available to perform the job.
• Every month they see 100-150 of those clients face-to-face in the client's home as required per DMAS.
• Full-time Service Facilitators conduct 6-8 visits per day 5 days per week.
• In addition, they are also responsible for all of the follow up and intermittent support of all of the clients they are seeing that month and the ones on their caseload that they are not seeing that month.
• When clients and their families need help (with fiscal agents, portal issues, Medicaid questions, issues with attendant pay, problems with their Medicaid, etc.)... 99% of the time their first call is to that Service Facilitator, no matter the time or day.
• They spend hours every day driving and putting many miles on their personal vehicles to make home visits. This includes visits that they show up for and possibly a client had to reschedule at the last minute... no visit=no income.