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Regions describe crisis-stabilization gaps and bed-count tradeoffs; IMD rules cited as reimbursement constraint
Summary
Directors told the Appropriations Committee that several regions lack operational crisis stabilization units (CSUs) and that recent RFPs drew few bids. Testimony addressed bed-count design (10 vs. 16 beds), staffing ratios, and the Medicaid IMD exclusion that affects funding for inpatient beds above 16.
Shar Farrell told lawmakers that Northwest’s crisis stabilization residential contract with a previous vendor ended in July 2022 and the center is now contracting with “Center Inc.” under a contract awarded September 2023 that began operations in January 2024.
Lake Region director Julie Baumgard said her region has been without a crisis stabilization unit since June 2023 and that a current request-for-proposals (RFP) remains pending; initial market…
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