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Dakota Boys & Girls Ranch warns of access loss after new ‘one‑assessment’ navigator process and urges rate modernization
Summary
Dakota Boys and Girls Ranch told the appropriations committee that a new centralized behavioral health "one-assessment" navigator process and an outdated PRTF rate-setting formula led to a drop in admissions and unsustainable operating losses.
Tim Ganger, senior director of residential partnerships at Dakota Boys and Girls Ranch, told the House Appropriations Human Resources Division that two recent policy changes — a centralized "one assessment" behavioral health navigator process implemented July 1, 2024, and an outdated PRTF rate-setting methodology — have contributed to fewer admissions and financial strain for youth residential treatment providers.
Ganger said Dakota Boys and Girls Ranch operates 48 psychiatric residential treatment facility (PRTF) beds and 12 qualified residential treatment program (QRTP) beds (60 total) in North Dakota and that these are short-term medical or foster-care levels of care…
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