In a recent government meeting, discussions centered on the challenges and opportunities within the realm of community-based care for children, particularly in relation to the overreliance on residential treatment facilities. Ms. Stanford highlighted that many states are drawn to these facilities due to the perception that they offer specialized care and comprehensive services. However, she cautioned that the reality often falls short, with many facilities lacking effective operational standards and oversight.

Concerns were raised about the role of the Centers for Medicare & Medicaid Services (CMS) in regulating these facilities. It was noted that while CMS has the authority to cancel contracts with facilities that do not meet health and safety standards, this power has rarely been exercised. The discussion revealed a gap in oversight, with facilities often able to operate without facing significant consequences for failing to provide adequate care.

The meeting also emphasized the importance of home and community-based services as alternatives to institutional care. Ms. Manley shared insights from New Jersey's successful implementation of a single point of contact system that prioritizes these services, suggesting that such models could serve as a blueprint for other states seeking to improve their care systems.

Overall, the meeting underscored the need for enhanced regulatory frameworks and the promotion of best practices to ensure that children receive safe and effective care in their communities rather than in residential facilities.