Medicaid Modernization Public Input Meeting Santa Fe, New Mexico August 2, 2011

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Look at what providers are doing as cost cutting measures. Look at those who receive the care and find out if they are getting it. Do a complete audit - Many professional providers (administrators) have been charged with gross negligence and gross misuse of dollars Medicare and Medicaid. Need to increase revenue for health care Tax out of state corporations Close tax loop holes from corporations and the wealthy. Increase quality of care Reduce recidivism in health care facilities Decrease use of waiting rooms primary health care intervention. Increase revenue Daughter in program working well right now Mi Via. Has a circle to help manage her disability. Her circle knows what her needs and likes are and gives her the best possible quality of life. Hopes these services are a priority. Provides good jobs Saluds are wastes. Need something like a DME providers that bypass the Saluds. Prescriptions not filled timely. (Comments specifically related to Evercare and Amerigroup). Universal single payer health care plan is what we need to serve our people. Getting rid of the Saluds would free up a lot of money. Important we use mid-wives in health care homes. Special support provider (SSP) helps with daily support. Without it is very hard to survive. SSP provides rides to hospital, bank, and prescriptions. Asking that Medicaid continue to support this service. There is a task force that has a paper on SSPs Please don t balance the budget on people with disabilities, low income and the elderly. MCOs are an unnecessary evil. Lots of waste, fraud and abuse. Biggest problem is that eligibility goes up to 235% FPL. Hurts people who really need it, very low income. Many people with disabilities have multiple disabilities and need lots of care. MCOs feel their role is a gatekeeper. People with behavioral health are not getting in the system and not getting care. For those who are just over the eligibility, find a way to help and allow them to get services. Mia Via world has to be re-evaluated every year, which is redundant and waste in the number of people who have to come and re-evaluate the client. One of the key ways to improve the layers is by the atmosphere within the HSD. Gatekeeper vs. enemy philosophy. Communication and clarity needs improvement.

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Hoping to be able to keep insurance through Amerigroup. Please keep this service. There are opportunities to improve the Medicaid program. However, this program is not unsustainable and does not need to radically restructure this program. People who are eligible should be enrolled. Support the Personal Care Option (PCO) program. Look at ways to move people off of waiting lists by looking at other programs. Look at Department of Health s (DOH) input on the DD Waiver program. Nervous about 1115 waiver program. Want to know what parts are going to be waived? There are some things to waive that are currently not available in Medicaid. Medicaid is not a broken program and serves NM well. Nobody can argue it can t be improved, just about the way it can be approved. Personal responsibility (issue about question regarding taking personal responsibility) Finds it offensive. skin in the game Cost-sharing is a failed policy. Access to care. HJM 17 addresses treatment for people with mental illness. Collaborative structure provides monthly meetings to voice concerns about the Medicaid system and their providers. Family is a very supportive health care unit.