
Trying to post again with a link as required. This is directly related to Ohio and Ohio’s Medicaid waiver programs.
What are they angling for here? In the article they zero in on the inability to verify that any care is happening when it happens in a “private home” by family. RFK Jr. repeated that claim in a recent speech. It feels to me that they are positioning themselves to promote institutional care.
In Ohio, for a family member to qualify for a Medicare waiver to get paid for caring for a disabled family member, they have to prove they are the “person of last resort”.
I know this first-hand because I have a niece with down syndrome and additional medical complications that require 24hr care (she’s a baby). Her mother is unable to return to work while she needs this level of care and is trying to qualify for a waiver to help replace her income. The state of Ohio wants her to go to work and use a skilled technician to deliver care for a number of approved hours during the day (that number isn’t settled yet). This leaves her mother working during the day and administering care all night. Not sustainable.
So if home care businesses that receive Medicare waiver funds are fraudulent and family receiving Medicare waiver funds to provide care is fraudulent, under what scenario is a disabled person able to access Medicare waiver funds for care in a way that these political provocateurs wouldn’t target as fraudulent? I assume none.
It’s already very, very difficult to access this type of care. This focus on Medicaid waivers as “fraud” with no proof is going to cause real harm.