Posts Tagged ‘Justin Senior’

AHCA Tries to Reassure Parents on Private Duty Nursing Care

February 7, 2013

By Mark Sherman, LRP Publications

Since September, Florida officials have been taking various steps in response to charges by the Justice Department that they are violating the ADA by letting certain children with disabilities live in nursing homes when they could be living at home.

The charges, In re: United States’ Investigation of the State of Florida’s Service System for Children with Disabilities Who Have Medically Complex Conditions, 112 LRP 44774 (DOJ 09/04/12), mirror the allegations in a federal class action lawsuit, T.H. et al. v. Dudek et al. (more…)

Miami Herald: How Florida Limits Care for Disabled Kids

January 2, 2013

By Carol Marbin Miller, The Miami Herald

 Christian Perez 13, who is medically complex and disabled, with his father Alex Perez at their home in Westchester this Tuesday, Dec. 26, 2012.

In a drab, cramped conference room in Doral, a 45-year-old single mother is fighting with the state to secure in-home nursing care for her severely disabled daughter — while the 10-year-old fights for her life.

The mother sits across a wooden table from a state hearing officer who will decide whether health regulators were right to insist she get 18 hours each weekday of nursing care for her daughter, and fewer on the weekends, instead of the 24 hours her daughter’s pediatrician says are necessary. As her expert witness — a registered nurse — testifies, the woman’s daughter begins to cough, then vomit, then struggle for breath as her breathing tube becomes clogged. The hearing stops as the child’s mother and the nurse suction the girl’s tube, then clean, change and console her.

Generally lacking in such drama, hearings like the one that occurred Dec. 14 are held hundreds of times each year in Florida as the parents of severely disabled and medically fragile children battle state health administrators for nursing care and services for their children. Without such care, some of the youngsters will end up in nursing homes, something the 10-year-old’s mother is trying to avoid. (more…)

Florida Vows to Stick Fewer Kids in Nursing Homes, Place Stronger Emphasis on In-Home Care

December 13, 2012

By Carol Marbin Miller, The Miami Herald

Florida’s top healthcare administrator is vowing to keep as many medically fragile children as possible at home with their parents — and to improve the lives of those who remain in nursing homes — amid an outcry over hundreds of children living in institutions designed for frail elders.

Liz Dudek, who heads the state Agency for Health Care Administration, outlined a series of new policies on Wednesday to help the parents of severely disabled children care for their kids at home. The new policies also are contained in a memo written Tuesday by Justin Senior, AHCA’s deputy secretary for Medicaid, the insurance program for needy and disabled people. (more…)

Can Florida’s Medicaid Reform Plan Be the Model for the Nation?

October 1, 2012

By John Dorschner, The Miami Herald

Quietly, over the past six years, an experiment in providing healthcare for the poor has been playing out in Broward and four other counties around the state. Its basic goal is to relieve the financial pressures of Medicaid on Florida’s taxpayers by turning over poor and disabled patients to private companies, a move lawmakers believe will cut costs.

Conservatives love the Medicaid reform program, pointing to an in-depth University of Florida study indicating that the experiment has lowered costs while not raising consumer complaints. The Legislature has already approved a slightly modified model of the reform to go statewide. At least one national think tank believes it should be a model for the entire country. (more…)

AHCA Seeks Another Extension of Medicaid Managed Care Pilot

November 29, 2011

Nearly five months after a Medicaid managed-care pilot was scheduled to expire, the state is asking for another temporary extension to try to finalize details of continuing the program through June 2014. (more…)