In a world where transparency and accountability are becoming increasingly important, concerns are growing about the rights of brain-injured individuals in Connecticut who rely on federally funded programs for their care. Disturbing news has recently emerged regarding the Approved Provider Directory and Connecticut care management referral processes of federally funded waivers. According to Marihonor Flagg, a representative from ACR Allied Community Resources, the approved provider directory is not available for public view, citing a directive from the Department of Social Services DSS. ABI Resources states, "This lack of transparency is extremely concerning and raises questions about the quality and reliability of the information contained in the directory, as well as, past and current Care Management referral practices of federally funded services to Medicaid agency providers." Furthermore, Flagg states that "there is no link to the Provider Directory that Allied produces and maintains." ABI resources states, this adds to the confusion and uncertainty surrounding this issue. This lack of access to vital information could potentially have serious consequences for individuals and families in need of assistance from Medicaid programs. Why would a Medicaid agency provider directory list be hidden from the public? ABI Resources recently contacted the state's Department of Social Services DSS and the Community Options Unit COU in an effort to obtain clarity on these concerns. Jennifer Cavallaro, the Social Services Program Division Director for the Division of Health Services Community Options Unit; Amy Dumont, LCSW, the Social Services Program Manager; Elizabeth Orejuela, the Community Nurse Coordinator, and Michael Slitt, Staff Attorney at the Connecticut Department of Social Services, have been contacted, but as of now, a clear response has yet to be provided. ABI Resources has taken steps to address these concerns by reaching out to the federal government for assistance. Specifically, the organization has requested an investigation into management practices and has requested more detailed information about the programs, including the total number of program-approved agency providers, the entity responsible for managing and updating the approved provider directory list, information about public access to this list and Care Management referral practices of federal program agency providers. ABI Resources' requests for information have been made in accordance with the Freedom of Information Act (FOIA). ABI Resources remains committed to steadfast advocacy for the rights of individuals with disabilities. We are dedicated to staying informed and up-to-date on the latest developments, and we pledge to keep you informed as we receive new information. This article sheds light on the concerns surrounding the lack of transparency and accountability in Connecticut's federally funded programs. Connecticut, brain-injured individuals, , transparency, accountability, Approved Provider Directory, care management referral processes, Medicaid agency providers, lack of access, concerns, confusion, investigation, advocacy, Freedom of Information Act. Trending Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Medicaid referral fraud is illegal and punishable by fines and imprisonment. The government has taken steps to crack down on this type of fraud through enforcement actions by the Department of Justice and the Office of Inspector General. It is important for healthcare providers, patients, and the general public to be aware of the signs of Medicaid referral fraud and to report any suspected instances of fraud to the appropriate authorities. The law is beneficial in protecting brain injury, TBI, and stroke survivors enrolled in Medicaid programs from Medicaid referral fraud for several reasons: Holding fraudsters accountable: The law serves as a deterrent against Medicaid referral fraud by holding individuals and companies that engage in this type of fraud accountable. This can include fines, imprisonment, and exclusion from government healthcare programs. Protecting people: The law helps protect people, including brain injury, TBI, and stroke survivors, from receiving substandard care or unnecessary treatments. It ensures that these people receive the necessary care and treatments based on their medical needs, rather than the financial interests of healthcare providers. Maintaining the integrity of the healthcare system: By cracking down on Medicaid referral fraud, the law helps maintain the integrity of the healthcare system and ensures that taxpayer dollars are used for their intended purpose: to provide necessary and quality care to those in need. Encouraging transparency: The law promotes transparency in the healthcare system by requiring healthcare providers to disclose any financial relationships they have with other providers or companies. This helps to prevent conflicts of interest and ensures that people receive care based on their medical needs. The law is an important tool in protecting brain injury, TBI, and stroke survivors enrolled in Medicaid programs from Medicaid referral fraud. It helps to ensure that people receive necessary and quality care, and that the integrity of the healthcare system is maintained. The negative impact of Medicaid referral fraud on brain injury, TBI, and stroke survivors enrolled in Medicaid programs can be significant. Here are some ways in which this type of fraud can have a detrimental effect: Reduced quality of care: When healthcare providers are motivated by illegal kickbacks and bribes, they may not provide the best care to clients. This can result in substandard medical treatment and potentially worsen the condition of brain injury, TBI, and stroke survivors. Increased healthcare costs: Medicaid referral fraud drives up healthcare costs for both clients and taxpayers, which can be particularly problematic for brain injury, TBI, and stroke survivors who may already be facing significant medical expenses. Reduced access to care: When healthcare providers engage in referral fraud, they may limit the options available to brain injury, TBI, and stroke survivors, making it more difficult for them to access the care they need. Unnecessary treatments and procedures: People who are referred for fraudulent reasons may end up receiving treatments or procedures that are not necessary or beneficial, which can result in further medical complications and increase their recovery time. In conclusion, Medicaid referral fraud can have serious consequences for brain injury, TBI, and stroke survivors enrolled in Medicaid programs, and it is important to take steps to prevent and detect this type of fraud in order to ensure that people receive the high-quality care they need and deserve. Medicaid referral fraud Healthcare fraud Brain injury TBI (traumatic brain injury) Stroke survivors Quality of care Healthcare costs Access to care Unnecessary treatments Protecting patients Law and enforcement Integrity of healthcare system Transparency in healthcare Conflicts of interest Medical necessity Kickbacks and bribes Substandard care Financial relationships between providers Criminal penalties Medicaid ABI Waiver program Medicaid MFP Money follows the person program The Office of Inspector General for The US Department of Health and Human Services discusses the Federal Anti-kickback Statute. - - - More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov The information provided in this communication is intended for informational purposes only and is not intended as legal advice. The information contained in this communication may not reflect the most current legal developments and may not be applicable in all circumstances. No recipient of this communication should act or refrain from acting on the basis of any information contained in this communication without seeking appropriate legal advice from an attorney licensed in the recipient's state. No attorney-client relationship is formed by this communication, and the recipient should not rely on this communication as a source of legal advice. Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Advocacy Request for Brain Injury Survivors in Connecticut. Dear Governor Ned Lamont, I hope this letter finds you in good health and high spirits. I am writing to respectfully request your advocacy support regarding a pressing issue that is impacting individuals and families living with brain injuries in Connecticut who rely on federally funded programs. Specifically, individuals using federally funded programs such as the Money Follows the Person (MFP) Program and the Acquired Brain Injury (ABI) Waiver Program may be facing limited access to available services due to what may appear to be covert referral practices by Connecticut contracted care management agencies. This issue significantly reduces the full access of thousands of disabled Medicaid consumers of federally funded services. As an organization dedicated to promoting full equal access to care for people with disabilities, I am reaching out to request your assistance in investigating this matter and guiding appropriate actions to ensure that people with disabilities receive the necessary resources and services. The negative impact of limited access to care for brain injury survivors is significant and cannot be ignored, potentially resulting in delayed recovery, increased health risks, reduced quality of life, financial burden, and mental health consequences. Furthermore, I would like to express concerns regarding how this situation may negatively impact federal funding and increase healthcare expenses. Limited access to necessary care could not only place an additional financial strain on Connecticut and its citizens but also jeopardize the state's ability to secure much-needed federal support for these programs in the future. It is widely acknowledged that care managers play a crucial role in providing high-quality care to consumers with disabilities. However, recent evidence suggests that the current workload faced by care managers far exceeds what is necessary for consumers' health and well-being. This puts an enormous strain on care managers, who may be responsible for as many as 40 consumers at a time, making it increasingly challenging to provide ethical, professional care that is person-centered and in line with the rights of disabled people. Care managers are essential professionals who work tirelessly to ensure that consumers receive the care and support they need to live fulfilling lives. However, when their workload is too heavy, the quality of care they can provide suffers, leading to ethical concerns and potential neglect of consumers' needs. It is essential to acknowledge the challenges faced by care managers and to take steps to alleviate their workload. By reducing the number of consumers assigned to each care manager, we can ensure that the care provided is of the highest quality and aligns with the principles of person-centered care and the rights of disabled people. This will also benefit care managers, who will be better able to manage their workload and provide the care they are trained to provide. Therefore, I respectfully request that you use your influence to address this issue and ensure care management transparency and accessibility to the practices of federally funded referrals. Would you please ensure individuals with disabilities have full access to all available resources and services they are entitled to? Your advocacy on this matter would make a significant difference in addressing this issue in a fair and unbiased manner. Thank you for your unwavering commitment to protecting the rights of individuals with disabilities. Your continued efforts to promote equality and access to necessary resources and services are invaluable. Sincerely, David Medeiros ______________________ Governor Ned Lamont, advocacy support, brain injuries, Connecticut, federally funded programs, Money Follows the Person Program, Acquired Brain Injury Waiver Program, care management agencies, Medicaid consumers, disability access, care transparency, investigation, delayed recovery, health risks, quality of life, financial burden, mental health consequences, federal funding, health care expenses, care management transparency, resources, services, equality, disability rights Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Still no answers 250 days later. Erin Kane, Head of Quality and Performance Improvement for CCC Connecticut Community Care. Julia Evans Starr, President of CCC Connecticut Community Care. Persist in neglecting the matter and refraining from offering any pertinent information. Title: Alleged Discrimination at Connecticut Community Care Inc. Calls for Internal Investigation On August 1, 2022, ABI Resources, a provider of services for individuals with Acquired Brain Injury (ABI) under the Medicaid ABI Waiver Program, submitted a formal inquiry and request for an internal investigation into an incident that took place on July 25, 2022, involving Connecticut Community Care Inc. (CCC), a care management organization in Bristol, Connecticut. The incident in question raises concerns about potential discrimination and a violation of the ethical principles of person-centered care that CCC is expected to uphold. The Medicaid ABI Waiver Program is designed to support people with acquired brain injuries, allowing them to live in the community and avoid institutionalization. This program is overseen by the Connecticut Department of Social Services and adheres to strict guidelines and protocols to ensure the welfare and dignity of its beneficiaries. The incident on July 25, 2022, involved CCC manager Doreen Andrew directing the immediate removal of ABI Resources' support services for a Willington consumer without prior notice. The directive was sent to an ABI Resources Program Support Manager via text message at 8:00 am, leaving the consumer without adequate support and potentially violating the regulations of the Medicaid ABI Waiver Program. ABI Resources has voiced their concern that the actions taken by CCC and Doreen Andrew may conflict with the program's regulations and contradict the values and mission of ethical person-centered care that Connecticut Community Care claims to champion. In response to these concerns, ABI Resources has formally requested an internal investigation by CCC to determine if discrimination or a breach of policy occurred. This incident underscores the importance of adherence to regulations, transparent communication, and ethical practices in the provision of services for vulnerable individuals. It is essential for care management organizations like CCC to thoroughly investigate any allegations of discrimination or policy violations to maintain the trust and confidence of the communities they serve. The outcome of the internal investigation will be crucial in determining if any wrongdoing occurred and if corrective measures need to be taken to ensure that the rights and dignity of those under the care of Connecticut Community Care Inc. are protected. As the investigation unfolds, it is imperative that all parties involved prioritize the welfare of the consumer and uphold the highest standards of care in their practices. Erin Kane Head of Quality and Performance Improvement for CCC Connecticut Community Care. Julia Evans Starr, President, of CCC Connecticut Community Care. Persist in neglecting the matter and refraining from offering any pertinent information. Alleged discrimination Connecticut Community Care Inc. ABI Resources Internal investigation Medicaid ABI Waiver Program Ethical person-centered care Doreen Andrews Incident Regulations Vulnerable individuals Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

The Importance of Informed Choice in Achieving Free Choice in Healthcare Introduction. Informed choice is essential in achieving free choice in healthcare, especially for individuals with disabilities. The ABI Waiver Program and the Money Follows the Person Program are examples of initiatives that prioritize informed choice in healthcare for individuals with disabilities. However, challenges to informed choice still exist, and policymakers and healthcare providers must prioritize strategies to promote informed choice in healthcare for individuals with disabilities. By doing so, individuals with disabilities can make decisions about their healthcare that align with their values, preferences, and personal circumstances, leading to better outcomes and a more patient-centered approach to healthcare delivery. In the contemporary world, the concept of free choice is closely associated with personal autonomy and individual rights. However, free choice is not just about having the ability to choose; it is also about making informed decisions. In healthcare, the concept of informed choice is especially critical, as patients' decisions can have significant implications for their well-being and quality of life. This article will discuss the importance of informed choice in healthcare and the challenges that patients and healthcare providers face in ensuring that individuals make truly informed decisions. The Role of Informed Choice in Healthcare Informed choice is a process by which patients acquire the necessary information, knowledge, and understanding to make decisions about their healthcare. This process involves healthcare providers presenting patients with evidence-based information about the available treatment options, as well as the risks and benefits associated with each. Patients should also be given the opportunity to ask questions and clarify any doubts they may have. The ability to make informed choices is crucial to upholding the principle of patient autonomy, a core value in modern medical ethics. Autonomy dictates that patients have the right to make decisions about their own bodies and healthcare. Without informed choice, patients may not understand the implications of their decisions, and their autonomy is compromised. Challenges to Informed Choice in Healthcare Information Overload: In the era of the internet and digital technology, patients have access to a vast amount of information, often of varying quality and reliability. Sorting through this information can be overwhelming, and it may be challenging for patients to distinguish between accurate and misleading information. Medical Jargon and Complexity: Medical information can be complex and difficult to comprehend for patients without a healthcare background. Healthcare providers should prioritize presenting information in a clear and easily understandable manner to ensure that patients can make informed choices. Limited Time with Healthcare Providers: In many healthcare settings, providers have limited time to spend with patients. This time constraint can make it challenging to provide comprehensive information about treatment options and answer all of the patient's questions. Cultural and Linguistic Barriers: In diverse societies, language and cultural differences can pose challenges to informed choice. Healthcare providers should be culturally competent and able to communicate effectively with patients from different backgrounds. Strategies to Promote Informed Choice in Healthcare Patient Education: Healthcare providers should prioritize patient education, ensuring that individuals have access to reliable, evidence-based information about their conditions and treatment options. Educational materials should be tailored to different levels of health literacy and presented in various formats to accommodate different learning preferences. Shared Decision-Making: In shared decision-making, healthcare providers and patients collaborate to make decisions about treatment options. This approach acknowledges the patient's values, preferences, and personal circumstances, resulting in a more informed and personalized healthcare plan. Health Literacy: Encouraging and improving health literacy among the general population can empower individuals to better understand and engage with healthcare information, leading to more informed choices. Culturally Competent Care: Healthcare providers should receive training in cultural competence to effectively communicate with patients from diverse backgrounds, fostering trust and understanding and ensuring that patients can make informed decisions about their care. Conclusion Informed choice is essential in achieving free choice in healthcare, allowing patients to make decisions that align with their values, preferences, and personal circumstances. By addressing the challenges to informed choice and implementing strategies to promote patient education, shared decision-making, health literacy, and culturally competent care, healthcare providers can ensure that patients are empowered to make truly informed decisions about their healthcare. Ultimately, this will contribute to better patient outcomes and a more patient-centered approach to healthcare delivery. ______________________ informed choice, healthcare, patient autonomy, healthcare providers, treatment options, risks, benefits, information overload, medical jargon, limited time, cultural barriers, linguistic barriers, patient education, shared decision-making, health literacy, culturally competent care, ABI Waiver Program, Money Follows the Person Program, disabilities, community-based care, person-centered planning, healthcare information, accessible formats, plain language, braille, disability-specific care, communication, funding, patient-centered approach, well-being, quality of life, evidence-based information, values, preferences, personal circumstances, training programs, federal initiatives, nursing homes, psychiatric hospitals, home modifications, personal care assistance, housing, home health care, transportation, miscommunication, misunderstandings, policy makers, patient outcomes, reliability, digital technology, diverse societies, training, communication, transition process, support, decision-making, independence, services, barriers, challenges, strategies, reliable, tailoring, formats, learning preferences, collaboration, trust, understanding, outcomes, empowerment, knowledge, understanding, implications. Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Introduction Connecticut's Acquired Brain Injury (ABI) Waiver program and the Money Follows the Person (MFP) program are designed to promote independence, self-determination, and community integration for individuals with acquired brain injuries and those transitioning from institutional to community-based care settings. Informed choice plays a critical role in ensuring the success and effectiveness of these programs. This article will explore the relationship between informed choice and Connecticut's ABI Waiver and MFP programs, discussing the challenges and strategies for promoting informed decision-making among program participants. What is informed choice, and why is it important in healthcare? What are some challenges that patients and healthcare providers face in ensuring informed choice in healthcare? How can healthcare providers promote informed choice among their patients? How do the ABI Waiver Program and the Money Follows the Person Program prioritize informed choice for individuals with disabilities? What strategies can be implemented to address cultural and linguistic barriers to informed choice in healthcare? How can individuals improve their health literacy to make more informed decisions about their healthcare? What role does shared decision-making play in promoting informed choice in healthcare? How can healthcare providers become more culturally competent and improve their communication with patients from diverse backgrounds? What are some potential outcomes of prioritizing informed choice in healthcare? How might a patient-centered approach to healthcare delivery help promote informed choice among patients? Informed Choice in the Context of ABI Waiver and MFP Programs Both the ABI Waiver and MFP programs aim to provide individuals with greater control over their lives and care plans. To achieve this, it is crucial that participants have the necessary information and understanding to make informed choices about their care and support services. This includes: Comprehensive Information: Participants should have access to detailed information about available services, providers, and support options within the programs. Clear Communication: Information should be presented in a manner that is easy to understand, taking into account participants' cognitive abilities and communication preferences. Personalized Support: Participants should receive guidance and support tailored to their unique needs and circumstances, ensuring that their choices align with their goals and preferences. Challenges to Informed Choice in ABI Waiver and MFP Programs Complexity of Services and Support Options: The range of services and support options available through the ABI Waiver and MFP programs can be overwhelming for participants. Understanding the intricacies of each option and making informed choices can be challenging. Cognitive and Communication Barriers: Individuals with acquired brain injuries may experience cognitive and communication impairments, making it difficult for them to comprehend and process complex information. Limited Resources: Both the ABI Waiver and MFP programs operate within budget constraints, which can limit the availability of support services and resources for promoting informed choice. Strategies to Enhance Informed Choice in ABI Waiver and MFP Programs Simplify Information: Information about services and support options should be presented in a clear and concise manner, using simple language and visual aids when appropriate. Provide Decision Support: Program staff, case managers, and support coordinators should work closely with participants to help them navigate the decision-making process, offering guidance and support tailored to individual needs and preferences. Collaborate with Stakeholders: Collaboration between program staff, healthcare providers, and family members is essential for ensuring that participants receive accurate, comprehensive, and timely information to make informed choices. Develop Specialized Training: Program staff and service providers should receive specialized training to effectively support individuals with cognitive and communication impairments in making informed choices. Advocate for Adequate Funding: Advocacy efforts should focus on securing sufficient funding for the ABI Waiver and MFP programs, ensuring the availability of support services and resources necessary for promoting informed choice among participants. Conclusion Informed choice is essential for the success of Connecticut's ABI Waiver and MFP programs, as it empowers participants to make decisions that align with their goals, preferences, and personal circumstances. By addressing the challenges to informed choice and implementing strategies to simplify information, provide decision support, collaborate with stakeholders, develop specialized training, and advocate for adequate funding, these programs can better support individuals with acquired brain injuries and those transitioning from institutional to community-based care settings in achieving greater independence, self-determination, and community integration. _________________ informed choice, free choice, healthcare, patient autonomy, medical ethics, information overload, medical jargon, complexity, limited time, healthcare providers, cultural barriers, linguistic barriers, patient education, shared decision-making, health literacy, culturally competent care, Connecticut, Acquired Brain Injury, ABI Waiver, Money Follows the Person, MFP program, independence, self-determination, community integration, comprehensive information, clear communication, personalized support, support services, cognitive impairments, communication impairments, budget constraints, simplify information, decision support, collaboration, stakeholders, specialized training, advocacy, adequate funding, treatment options, risks, benefits, evidence-based information, patient preferences, patient-centered approach, healthcare delivery, patient outcomes, diverse societies, language differences, cultural competence, patient values, personal circumstances, tailored materials, learning preferences, diverse backgrounds, trust, understanding, community-based care, institutional care, cognitive abilities, communication preferences, support options, support coordinators, case managers, visual aids, family members, program staff, service providers, goals, funding, accurate information, timely information, healthcare settings, modern medical ethics, decision-making process, program participants, participant needs, healthcare plans, healthcare information, healthcare decisions, healthcare system, quality of life, well-being, complexity of services, program resources, program effectiveness, program success, participant goals, participant preferences, participant circumstances Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Dear CT DSS and COU, As a provider of waiver services for the Money Follows the Person (MFP) and Acquired Brain Injury (ABI) programs, ABI resources is reaching out to request information regarding the steps consumers must take to officially change their care managers. Your guidance in this matter would be greatly appreciated, as we aim to have a clear understanding of the process. To help us have a comprehensive understanding of the procedures involved, kindly provide details on the following aspects: The necessary forms or paperwork to be completed by the consumers, if any. The appropriate channels or points of contact for consumers to submit the required documentation. The expected timeframe for processing the change request and the potential impact, if any, on the clients' current services. Any additional steps or considerations that consumers should be aware of during this process to ensure a seamless transition. We appreciate your support in providing this information, as it will allow us to better understand the process and ensure that our practices align with the proper procedures. If possible, please provide any resources or guidance materials that could be helpful in understanding and completing the process. Thank you in advance for your assistance. I look forward to receiving your response and any additional information you can provide. Sincerely, ABI Resources All the best, David Medeiros _____________________ waiver services, Money Follows the Person, Acquired Brain Injury, programs, provider, request, information, steps, consumers, change, care managers, guidance, process, understanding, procedures, aspects, forms, paperwork, channels, points of contact, documentation, timeframe, processing, request, impact, clients' services, additional steps, considerations, seamless transition, resources, clarification, email address, phone number, Organization, 4/24/2023 Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

ABI Resources received this correspondence from DSS COU in relation to our advocacy request letter: "Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs." "David- If an individual would like to change case managers, they are permitted to do so by contacting their current case manager, access agency, or supervisor at the access agency to request such a change. The request will be granted based on case manager availability." ABI Resources is grateful for a response from DSS COU and has presented this advocacy request letter accordingly; Enhancing Ethical Systems and Advocating for Consumer Rights Dear [DSS and COU Representative], I am writing on behalf of ABI Resources to address the challenges faced by our consumers when requesting a change of care managers. We understand that various factors, such as conflicts or other concerns, may prompt consumers to consider this change. Our organization is committed to advocating for consumer rights, and we request that DSS and COU collaborate with us to improve the current system for changing care managers. Ethical Concerns in the Current Process: The current process poses several ethical concerns, including: • Fear of retaliation or negative consequences resulting from requesting a change. • Uncertainty about the process and whom to contact for assistance. • Concerns about the confidentiality of the request and potential breaches of privacy. • Anxiety over potential disruptions in care and support services during the transition. • Apprehension about establishing a new relationship with a different care manager. • Worries that the new care manager may not understand or respect their individual needs and preferences. Conflicts Arising from Case Manager Availability: The DSS COU response statement, "The request will be granted based on case manager availability," may create conflicts and not align with the best interests of the individuals served. These conflicts include: • Prioritizing agency interests over consumer needs. • Restricting consumer choice. • Inconsistency with person-centered care. • Challenging self-advocacy. • Potential for strained relationships. We request that the system be revised to align with the principles of person-centered care, consumer choice, and individual rights. Proposed Solutions: We kindly request that DSS and COU work to implement transparent, effective and ethical systems for consumer self-advocacy. These may include: • Developing easy-to-understand written materials and an online resource to document the request. Including a printable "Request to change Care Manager Form" • Designating a dedicated neutral contact person within DSS / COU and not the Care Management access agency itself. • Implementing regular training and education for care managers and relevant staff. • Establishing transparent and accessible channels of communication. • Regularly reviewing and assessing the effectiveness of the system. • Developing a clear protocol for requesting care manager changes. • Establishing a confidential reporting system. • Ensuring all parties involved in the process are trained in effective communication, conflict resolution, and ethical conduct. • Providing support and resources during the transition to a new care manager. • Encouraging ongoing feedback from consumers. Such a system would ideally offer transparency in terms of the decision-making processes, policies, and procedures that directly affect the consumers. Furthermore, it would provide them with easy access to relevant information, enabling them to make informed decisions and assert their rights and preferences. Would you please provide some information on whether DSS COU will implement such a system? If so, what is the anticipated timeline for its rollout, and what steps are being taken to ensure its successful integration? By working together, we can create a streamlined and accessible system, empowering our consumers to advocate for themselves during care manager changes. This will promote a positive and supportive relationship between consumers, care managers, and the wider service system. We look forward to collaborating with you on this important matter. Best regards, ABI Resources David Medeiros _______________________________ Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form" https://www.ctbraininjury.com/post/ethical-advocating-consumer-rights-change-care-manager I am writing on behalf of ABI Resources to address the challenges faced by our consumers when requesting a change of care managers. We understand that various factors, such as conflicts or other concerns, may prompt consumers to consider this change. Our organization is committed to advocating for consumer rights, and we request that DSS and COU collaborate with us to improve the current system for changing care managers. care managers, process, consumers, self-advocacy, person-centered care, rights, conflicts, change, interests, individual, agency, availability, concerns, preferences, choice, support services, relationships, assertive, dominating personalities, confidentiality, retaliation, anxiety, transition, freedom, communication, needs, goals, planning, delivery, consumer-oriented, quality, principles, challenges, barriers, collaboration, system, revision, consumer choice, individual rights, training, education, resources, transparency, confidentiality, reporting, request, retaliation, support, regular review, accessibility, effectiveness, satisfaction, autonomy, wellbeing, assessment, improvements, concerns, feedback, implementation, assistance, service delivery, contact person, helpline, online platform, priorities, management, respect, understanding, collaboration, ethical conduct, communication channels, agency interests, consumer input, addressing concerns, continuity of care, dedicated contact, best interests, consumer concerns, care manager changes, self-advocacy process, person served. Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

The Money Follows the Person (MFP) and Acquired Brain Injury (ABI) Waiver programs in Connecticut are designed to provide rehabilitative home and community services, including life skills training for individuals recovering from various disabilities. However, concerns have been raised that those recovering at slower paces are being left behind and placed in day groups, with life skills training being overlooked. Why is this happening and could the consulting care management pay rate of $2,600 be a contributing factor? One possible reason for this issue is the prioritization of resources. With limited funding available, it can be challenging for care providers to allocate resources evenly. Is the pay rate for consulting care management taking away from life skills funding? It is essential to assess if the current funding model is sustainable and if alternative approaches could better support all People. Furthermore, assessing the effectiveness of life skills training should be a top priority. Are the current assessment methods sufficient in identifying the needs of individuals recovering at a slower pace? Providing adequate support for these People may require a reevaluation of the existing assessment processes and a more tailored approach to service delivery. In conclusion, while the MFP and ABI Waiver programs are designed to provide vital rehabilitative services, addressing the concerns of those recovering at a slower pace requires a careful examination of resource allocation, assessment processes, and service delivery. ____________________________ Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs https://www.ctbraininjury.com/post/mfp-abi-waiver-leaving-people-behind Discover the concerns surrounding Connecticut's MFP and ABI Waiver programs, which aim to provide rehabilitative services but may be leaving people behind due to funding and assessment issues. Addressing the Needs of Slow Recovery People in Connecticut Life Skills Training: The Forgotten Aspect of Connecticut's Rehab Programs? 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Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

This article pertains to a Freedom of Information Act (FOIA) request for information related to Medicaid funding and services for Connecticut's Acquired Brain Injury (ABI) 1549P Consultation Services. The request includes detailed information on funding amounts, service descriptions, eligibility criteria, service providers, and more. Subject: Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding. [FOIA Officer or Agency Head], I am submitting a request under the Freedom of Information Act (FOIA), 5 U.S.C. § 552, for records related to Medicaid funding allocated and disbursed for Connecticut's Acquired Brain Injury (ABI) 1549P Consultation Services within the ABI Waiver Programs for the years 2021, 2022, and up to the present date (04/27/2023). Additionally, I am seeking a comprehensive description of these services. Please provide the information outlined below: Total Medicaid funding amounts billed and paid for ABI 1549P Consultation Services for ABI Waiver Program years: a. 2021 b. 2022 c. 2023 (up to 04/27/2023) Detailed service description, including: a. Service objectives b. Eligibility criteria c. Types of consultations offered d. The number of individuals served e. Relevant performance metrics or program evaluations f. Method of service provision g. Tracking and billing processes. h. Where service must be provided. I. How services must be provided. Service provider information: a. List of agencies that actively bill for these services. b. Amount of Medicaid funding billed and paid to each for the above years. Please process this request in accordance with the Freedom of Information Act, and kindly inform me of any fees or charges associated with this request. I appreciate your attention to this matter and look forward to your prompt response. Sincerely, David Medeiros ABI Resources __________________________________________ Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Still, no answers! ABI Resources contacted the state's Department of Social Services DSS and the Community Options Unit COU in an effort to obtain clarity on these concerns months ago. Jennifer Cavallaro, the Social Services Program Division Director for the Division of Health Services Community Options Unit; Amy Dumont, LCSW, the Social Services Program Manager; Elizabeth Orejuela, the Community Nurse Coordinator, and Michael Slitt, Staff Attorney at the Connecticut Department of Social Services, have been contacted, but as of now, a clear response has yet to be provided.Ongoing Silence on Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm As the world emphasizes the importance of transparency and accountability, a concerning issue involving the rights of brain-injured individuals in Connecticut, who depend on federally funded programs for their care, remains unaddressed. Despite repeated efforts by advocacy groups and concerned citizens, the issue has been met with ongoing silence from relevant authorities for months, raising alarm and amplifying concerns. Recent reports have highlighted problems with the Approved Provider Directory and Connecticut care management referral processes of federally funded waivers. According to Marihonor Flagg, a representative from ACR Allied Community Resources, the approved provider directory is not available for public view, based on a directive from the Department of Social Services (DSS). ABI Resources, a leading advocacy organization, has voiced concern over this lack of transparency, questioning the quality and reliability of the information contained in the directory, as well as past and current Care Management referral practices of federally funded services to Medicaid agency providers. Despite ABI Resources' efforts to obtain clarity on these concerns by contacting the state's Department of Social Services (DSS) and the Community Options Unit (COU), no clear response has been provided by the relevant authorities. The silence surrounding this issue only adds to the confusion and uncertainty, potentially having serious consequences for individuals and families in need of assistance from Medicaid programs. In response to this ongoing silence, ABI Resources has escalated its efforts by reaching out to the federal government for assistance. The organization has requested an investigation into management practices, and more detailed information about the programs, invoking the Freedom of Information Act (FOIA). With the rights of brain-injured individuals at stake, the lack of transparency and accountability in Connecticut's federally funded programs remains a pressing issue that demands attention. Advocacy groups and concerned citizens continue to await a response, hoping for clarity and resolution as the months of silence persist. Connecticut, brain-injured individuals, transparency, accountability, Approved Provider Directory, care management referral processes, Medicaid agency providers, lack of access, concerns, confusion, investigation, advocacy, Freedom of Information Act, ongoing silence. ___________________ Explore the ongoing silence surrounding the lack of transparency and accountability in Connecticut's federally funded programs for brain-injured individuals, raising concerns and demanding attention. Medicaid MFP program and ABI Waiver Program. https://www.ctbraininjury.com/post/unaddressed-concerns-silence-transparency-ct-federally-funded-programs Connecticut, brain-injured individuals, transparency, accountability, Approved Provider Directory, care management referral processes, Medicaid agency providers, lack of access, concerns, confusion, investigation, advocacy, Freedom of Information Act, ongoing silence. Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.

Jennifer Cavallaro Resigns as Social Services Program Division Director for the Division of Health Services Community Options Unit Jennifer Cavallaro, the Social Services Program Division Director for the Division of Health Services Community Options Unit, has resigned from her position. The announcement was made during an ABI Waiver Program meeting on Friday by Amy Dumont, LCSW, the Social Services Program Manager for the organization. Cavallaro has played a significant role in overseeing the development and implementation of various programs aimed at improving the lives of individuals and families in need of assistance within the community. Under her leadership, the Community Options Unit has successfully collaborated with ABI Resources and Connecticut Community Care (CCC) to provide comprehensive support and resources to those affected by acquired brain injuries. The reason behind Cavallaro's resignation has not been disclosed, and it remains unclear who will be appointed to fill the vacancy left by her departure. As the search for a successor begins, the Division of Health Services Community Options Unit will continue to work closely with its partners to ensure that the needs of the community are met. ____________________ Ongoing Silence! Lack of Transparency in Connecticut's Federally Funded Programs Raises Alarm Secret Directory and Practices: Concerns Rise for Brain-Injured Individuals in Connecticut Medicaid Federal Anti-Kickback Statute | Medicaid Referral Fraud | ABI RESOURCES Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care Care Managers. Do you have the right to change yours? Understanding Protecting Your Freedoms Investigating the Legality and Impact of CCC's Secret Electronic Randomization System on Federally Disability Rights Connecticut (DRCT) Team Dear Brain Injury Alliance of Connecticut ( BIAC ) Dear Governor Ned Lamont, Advocacy Request for Brain Injury Survivors Alleged Discrimination at Connecticut Community Care | Calls for Internal Investigation The Importance of Informed Choice in Achieving Free Choice in Healthcare. Informed Choice and Its Implications for Connecticut's ABI Waiver and MFP Programs Steps for Consumers to Officially Change Care Managers in MFP and ABI Waiver Programs. Enhancing Ethical Systems / Advocating for Consumer Rights and "Request to change Care Manager Form Are They Leaving People with Slower Recovery Behind? MFP and ABI Waiver Programs Freedom of Information Act Request - Connecticut ABI 1549P Consultation Services Funding.