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FSSA tells committee it is "in a reactionary mode" on Medicaid; possible ABA changes flagged
Summary
Secretary Mitch Roob said FSSA has not removed people from Medicaid beyond routine cases and warned uncertainty over federal guidance is affecting planning; he signaled potential changes to how ABA therapy is administered through the State Plan.
Secretary Mitch Roob of the Family and Social Services Administration briefed the State Budget Committee on Sept. 17 about Medicaid fiscal-policy issues and enrollment.
Roob said the state has not removed recipients from Medicaid beyond routine eligibility terminations and that the agency is awaiting clearer guidance from the Centers for Medicare & Medicaid Services (CMS) on the Managed Care Enrollment Form (MCAF). "FSSA will not know the results from the Centers for Medicare & Medicaid until one year out from now, at the minimum," Secretary Roob said, describing the agency as "in a reactionary mode" regarding fiscal planning.
Lawmakers asked whether the state would consider curtailing certain Medicaid-covered options as a cost-saving step. Representative Gregory Porter specifically asked about Applied Behavior Analysis (ABA) therapy; Secretary Roob said final recommendations on changes to ABA administration and how it is offered through the State Plan have not yet been made.
Senator Fady Qaddoura pressed for better forecasting and coordination with the Governor’s Office, the Department of Insurance and the Department of Health on hospital and insurance issues. Representative Ed DeLaney urged the committee to address childcare-related program changes soon.
Next step: committee members heard the update and raised requests for clearer fiscal forecasts and interagency coordination; no action was taken at this meeting.
