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Board weighs Medicaid re-enrollment burdens on rural counties and plans for senior supports and a Level 4 sober-living home
Summary
Board members and staff discussed federal Medicaid changes (work requirements, six-month reregistration), loss of AmeriCorps VISTA capacity, senior transportation and home-repair programs, and a planned Level 4 sober-living residence in Billings with 10–12 beds charging $550/month.
Board members and staff outlined several interconnected challenges for rural service delivery, including changes to Medicaid eligibility, reduced VISTA staffing, and local plans to expand housing and supports.
Speaker 4 summarized recent changes in federal Medicaid rules — including a renewed emphasis on work requirements and a six-month re-registration process — and warned these changes will be especially difficult for smaller counties without an Office of Public Assistance (OPA) presence. "Every six months is very…
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