Discontinue Spending for Selected HCRA Programs.
Funding for GraduateMedical Education Innovations ($37.4 million), Long Term Care Education andOutreach ($1.3 million), disease management demonstrations ($1.8 million) and anti-tobacco funding for Roswell research ($13.6 million) will be eliminated. (2010-11Savings: $54.1 million)
Consolidate Poison Control Centers.
Currently, there are five Poison ControlCenters operating in the State. The operations of these centers will be consolidatedinto two centers. (2010-11 Savings: $2.5 million, 2011-12 Savings: $2.5 million).
Require All Pre-Need Funeral Accounts to be Irrevocable.
Require pre-needfuneral accounts established for consideration in a Medicaid eligibility determination,including those for a spouse or family members, to be irrevocable. (2010-11Savings: $1.0 million).
Require EPIC Participants to Exhaust Medicare Part D Appeal Process prior toAccessing EPIC Drug Coverage.
EPIC will not automatically provide drug coveragewhen Medicare denies a prescription. Instead, the prescriber will be notified to either begin an appeals process or change the prescription to a covered drug. During theappeals process, patients will receive up to a 90 day supply of the drug, and if theappeal is ultimately denied, the patient will continue to receive drug coveragethrough EPIC. (2010-11 Savings: $11.9 million)
Require Early Intervention Preferred Assessment Tools.
Evaluators for theprogram would be required to use assessment instruments from a DOH list of preferred instruments to determine eligibility. The current lack of standards hascreated wide variation in diagnosis and associated services. (2010-11 Savings: $0.8million)
Modify Early Intervention Speech Standards.
Evidenced-based criteria would beused to determine a child’s eligibility for speech and language services. (2010-11Savings: $1.4 million)
Allow Paraprofessional Behavioral Aides for Children with Severe Disabilities.
Paraprofessional behavioral aides would be allowed to deliver applied behavioralanalysis intervention programs to children with autism spectrum disorders and other severe disabilities. (2010-11 Savings: $1.5 million)
Revise Early Intervention Home and Facility-based Rates.
Rates for home-basedvisits would be decreased and the rates for facility or clinical-based services wouldbe increased to ensure more appropriate delivery of services. (2010-11 Savings:$2.4 million)
Audit Early Intervention Providers.
Audits of certain providers would be conductedto ensure appropriate payment. (2010-11 Savings: $0.5 million)
Restructure General Public Health Work.
The General Public Health Workprogram would be restructured by discontinuing reimbursement for certain optionalservices, including laboratories, home health care programs, and hospice and Early