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CSB warns Medicaid redesign may be delayed to July 1, 2027; RAFT House could shift to Clubhouse Model
Summary
Hanover County CSB staff said General Assembly proposals make it likely Medicaid redesign will be delayed until July 1, 2027 with a six‑month phase‑in; staff flagged potential programmatic impacts for RAFT House, including a possible change to the Clubhouse Model, and agreed to provide an update at the April full Board meeting.
Dr. Gabriella Caldwell‑Miller told the Programming Committee that, based on proposals under consideration in the General Assembly, Medicaid redesign implementation is "likely" to be delayed one year "until July 1, 2027, with a 6‑month phase in." She described RAFT House as the Hanover CSB program most likely to be affected and raised the possibility of converting RAFT House to the Clubhouse Model pending how redesign details unfold.
Woodi Sprinkel asked for a status update at the April CSB Board meeting. The committee did not take any formal action regarding RAFT House at this meeting; members focused on tracking legislative developments and requested that staff return with a fuller assessment of operational impacts and recommended next steps once the General Assembly's proposals are clearer.
