Transcript Rosie D v. Romney

Rosie D v. Romney
The Competing Remedial Plans
The Similarities Between the Plans
The remedial plan includes many elements that were agreed to by all
parties:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Improvements to EPSDT screening;
Outreach and education to families, professionals and providers;
Use of CANS for preliminary assessment;
Single team, single plan, and single case manager with
participation by all key agencies, providers, and families;
Most covered services;
Framework of delivery system using lead entity/provider for each
area;
Data collection
Court monitor
Fundamental Differences Between
the Plans
(1) Eligibility: all SED kids v. high end kids
(2) Deadlines: tight timelines v. flexible goals
(3) Modification: by court v. by defendants
(4) Enforceability: all provisions v. only those
required by the Medicaid Act
(5) Court oversight: limited to five years v.
unlimited
Detailed Differences Between the
Plans
(1) Screening by any health professional v. only by a
pediatrician
(2) Comprehensive, home-based assessments for all kids
who need more than outpatient services v. only high
end kids
(3) Covered services include after-school, therapeutic
foster care, MST, and other therapies
(4) Detailed description of delivery system, provider
qualifications, performance standards, and rates
(5) Significant role for families, professionals and local
experts in designing and developing system
(6) Outcomes
(7) Level of detail