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CMH of Ottawa County warns state Medicaid restructuring, provider rate gaps could reshape services; plans new residential option
Summary
CEO Michael Brashears told the Community Mental Health of Ottawa County board that a state plan to restructure Medicaid management and ongoing low provider rates are prompting a review of service delivery and a push to create local high‑need residential capacity.
Community Mental Health of Ottawa County CEO Michael Brashears told the board on Oct. 24 that a state plan to restructure how Medicaid is managed — and persistent low rates paid to outpatient and residential providers — is creating uncertainty for local service access and could force CMH to provide more care directly.
The issue surfaced in Brashears’ regular report, during which he summarized a recent court decision allowing the state to proceed with a proposal to change who manages Medicaid funds and the procurement timeline for new Prepaid Inpatient Health Plans (PHPs). He said a judge will review how any new manager would interact with CMHs to ensure CMHs can meet their obligations under state law. "We would not co-manage the Medicaid like we…
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