March 2010 Edition - Access Press

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www.accesspress.org

Inside ■ In our own words–pg 3 ■ Station access–pg 4 ■ People and places–pg 8-9 ■ Get help filing your taxes–pg 13

H i s t o r y

N o t e

“However beautiful the strategy, you should occasionally look at the results.”

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– Winston Churchill

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Volume 21, Number 3

Minnesota’s Disability

Community Newspaper

March 10, 2010

GAMC ends, other cuts pose many challenges by Jane McClure A projected state budget deficit of $994 million has brought a proposal for deep cuts in Gov. Tim Pawlenty’s budget. The cuts, announced in mid-February, include $347 million in various health and human services programs. This devastating budget news comes on top of the current efforts at the capitol to save General Assistance Medical Care (GAMC). The crush of issues has added a sense of urgency to upcoming disability community events at the capitol, and adds to the complexity of the debate over saving programs and services. Advocates have been going to the capitol, helping at phone banks, and calling and writing to make their concerns known. GAMC was eliminated by

Pawlenty in 2009. The program, which provides health care for some of the state’s sickest and poorest residents, ends April 1. Department of Human Services officials have proposed moving GAMC participants to MinnesotaCare. But critics contend that would wipe out MinnesotaCare and create a system that many very poor GAMC recipients cannot afford. A temporary restraining order was filed March 4 to block Pawlenty from ending GAMC. The budget proposal anticipated $387 million from the federal government. If that doesn’t come through, additional cuts would be necessary. The proposed budget cuts for 2010 aren’t final. House and Senate leaders are ex-

pected to roll out their budget proposals soon to counter what the governor brought forward. But throughout the disability community and the state, advocacy groups and self-advocates are bracing for the worst. Several groups have issued action alerts and distribution information on what the cuts would mean for their constituents. (See page 3.) Minnesota Consortium for Citizens with Disabilities (MnCCD) has been reviewing the cuts and their impacts at the group’s weekly meetings. “Legislators need to hear from community members and hear their stories,” said MnCCD Co-Chairman Jeff Nachbar. While cuts may be inevitable given the state’s economic situation, members GAMC - cont. on p. 15

Katie M. was one of the self-advocates making herself heard at Arc of Minnesota Disability Day at the Capitol.

Meetings this summer

Health care management program comes to an end by Access Press staff A program that has made life easier for thousands of Minnesotans with disabilities is coming to an end. The Minnesota Disability Health Options Program (MnDHO) will be ending effecting Jan. 1, 2011, according to UCare President and Chief Executive Officer Nancy J. Feldman. In a letter to MnDHO members dated Feb. 22, Feldman announced that to UCare’s “great disappointment,” MnDHO or UCare Complete will be ending. “We are proud of what we accomplished with MnDHO, and deeply regret the impact of closing this program on our members. Rest assured we will do all we can to help you [the member] through this transition,” Feldman said. Initially a pilot program, MnDHO evolved to become a program that has maintained good health and simplified the lives of many Minnesotans with disabilities. The program was offered by the Minnesota Department of Human Services

(DHS), UCare and Axis Healthcare. Axis Healthcare, the primary care coordinating organization for MnDHO, was founded in 1997 by Courage Center and Sister Kenny Rehabilitation Institute as an innovative model of care for people with disabilities. Their experience providing health care services to persons with disabilities convinced them that neither the fee-for-service system nor the traditional managed care was able to deliver appropriate, cost-effective care. Planning for MnDHO began in the 1990s. At the time it was hailed as one of the few times that people with disabilities had been actively involved in creating a solution to the health care maze they face daily. MnDHO offers specialized services for people with physical disabilities and coordination of health care and support services. It is designed to combine physician, hospital, home care, nursing home care, home

and community-based services and other care into one coordinated care system. It initially served residents of Anoka, Dakota, Hennepin and Ramsey counties, ages 18-65. It was recently expanded to include Carver, Scott and Washington counties. Feldman said having to make the decision to end the program was difficult. She also said that UCare staff will be working hard to help everyone transition to a different option before MnDHO closes. The decision to end this program is not only a disappointment for MnDHO members; it is also met with real sadness by the UCare, DHS and AXIS Healthcare workers, who have been closely involved with MnDHO. The program was met with high hopes when it began. In a January 2002 Access Press guest editorial, the Minnesota Disability Health Options Advisory Committee wrote “In MnDHO, the person is the focus of care, not just their disability. It allows people to get

the support they need, when and how they need it, so that they can live their lives as they decide. The committee applauds the partners – UCare Minnesota, AXIS Healthcare and DHS – for stepping forward to develop this new project. This project took years in the making,” the editorial stated. “We feel confident that the partners involved understand the challenges faced by people with disabilities.” In the letter, Feldman stated the decision to close MnDHO had only occurred after much time was spent researching options to keep the program going. UCare is taking this action after facing federal Medicare payment cuts. These cuts, combined with state budget cuts and the uncertainty for future funding, make the MnDHO program unsustainable for UCare to operate. Like many other health and human services cuts the program continues to be vulnerable. UCare wanted to alert the disability community as well as Axis Healthcare members

to this news as soon as possible to give members time to select other programs. The decision to end MnDHO does not affect other UCare contracts including UCare Families and Children, Minnesota Senior Health Care Options (MSHO), Special Needs Basic Care (SNBC), and Minnesota Senior Care Plus (MSC+). Axis Healthcare will continue to operate as a care coordination care system. In addition to MnDHO they currently contract to provide care coordination for SNBC. This change will not affect eligibility for Medical Assistance. Participants in MnDHO are being told they don’t need to take any action at this time. Member information meetings will be held this summer. During those meetings, representatives of UCare, AXIS Healthcare, the Minnesota Department of Human Services, the Disability/Senior Linkage Lines, and county human services will provide resources and information about members’ options. The

meeting schedule has not been released yet. Many MnDHO members receive home and community-based services such as personal care attendant (PCA) and waiver services. DHS will work with the counties to plan for the transition of these services from UCare to your county. For those who are eligible, home and community-based services will be managed through the county fee-for-service system. Members will receive more information about this change and how will it affect them later this summer. Care team members, UCare and Axis staff and DHS are prepared to answer member questions. Anyone with questions may call UCare representatives at 612-676-3554 or 1-800-707-1711 (toll free), or the Disability Linkage Line at 1-866-333-2466 (toll free). If you are hearing impaired, contact our TTY line at 612676-6810 or 1-800-688-2534 (toll free). ■


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