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Indiana child care agencies protest cost of new rules

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An Indiana effort to shift some foster care costs to the federal government would throw up more red tape and make it harder for caretakers and providers to get services for troubled children, a coalition of child care agencies said Friday.

The group called IARCCA, an Association of Children and Family Services, also said rules proposed by the Indiana Department of Child Services would shift some costs from the state to the federal Medicaid program at the expense of residential treatment centers and child placement agencies.

IARCCA wants the proposed rules withdrawn.

The IARCCA concerns, which were to be presented at a public hearing on the new rules Friday afternoon, marked the latest round in a fight between DCS and foster parents and agencies over cost-cutting steps taken by Gov. Mitch Daniels' administration. Foster parents and agencies claims the cuts threaten services for children with special needs, including medical and emotional conditions.

IARCCA, which has more than 100 member agencies, won a federal injunction in January blocking DCS from cutting payments to foster and residential care agencies.

"They're going to delay children getting therapies," said Cathleen Graham, IARCCA's executive director of IARCCA. "The additional referrals we will have to get for these therapies will be in the thousands" for all the children affected.

DCS has said the rules would shift about $22 million in state costs to Medicaid, but Graham said it would cost agencies and centers more than $26 million in additional paperwork, staff time and other expenses to comply with the rules.

Graham also said Indiana has not yet filed an amendment to its state Medicaid plan seeking federal approval for the new costs. She said the federal Centers for Medicaid and Medicare services rejected a similar attempt in 2002 to shift some state costs to the federal health plan for needy people.

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  1. These liberals are out of control. They want to drive our economy into the ground and double and triple our electric bills. Sierra Club, stay out of Indy!

  2. These activist liberal judges have gotten out of control. Thankfully we have a sensible supreme court that overturns their absurd rulings!

  3. Maybe they shouldn't be throwing money at the IRL or whatever they call it now. Probably should save that money for actual operations.

  4. For you central Indiana folks that don't know what a good pizza is, Aurelio's will take care of that. There are some good pizza places in central Indiana but nothing like this!!!

  5. I am troubled with this whole string of comments as I am not sure anyone pointed out that many of the "high paying" positions have been eliminated identified by asterisks as of fiscal year 2012. That indicates to me that the hospitals are making responsible yet difficult decisions and eliminating heavy paying positions. To make this more problematic, we have created a society of "entitlement" where individuals believe they should receive free services at no cost to them. I have yet to get a house repair done at no cost nor have I taken my car that is out of warranty for repair for free repair expecting the government to pay for it even though it is the second largest investment one makes in their life besides purchasing a home. Yet, we continue to hear verbal and aggressive abuse from the consumer who expects free services and have to reward them as a result of HCAHPS surveys which we have no influence over as it is 3rd party required by CMS. Peel the onion and get to the root of the problem...you will find that society has created the problem and our current political landscape and not the people who were fortunate to lead healthcare in the right direction before becoming distorted. As a side note, I had a friend sit in an ED in Canada for nearly two days prior to being evaluated and then finally...3 months later got a CT of the head. You pay for what you get...

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