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MCBDD warns Medicaid match burden could push counties toward fiscal emergency; highlights fair accessibility efforts
Summary
MCBDD Superintendent Stacey Maleckar told commissioners a moratorium on new Medicaid waiver providers and rising county Medicaid-match obligations are stressing county boards; she also recognized community champions and introduced Leadership Academy graduates.
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MCBDD Superintendent Stacey Maleckar briefed the Board on Medicaid match pressures and community programs.
Ms. Maleckar said a moratorium on new Medicaid waiver providers persists and that 10 counties are currently in fiscal emergency; a state cost‑projection tool indicates as many as 29 counties could reach fiscal emergency by 2029 if current trends continue. She emphasized that the state manages authorizations while counties bear fiscal risk and urged ongoing advocacy at the state level. The Board noted the issue is influenced by federal legislation and state cost‑sharing decisions.
Maleckar also recognized recipients of standout‑champion awards for inclusive fair programming and announced Sensory Friendly Friday at the county fair (10 a.m.–2 p.m.). She introduced graduates of the MCBDD Leadership Academy; graduate Amanda said she "developed skills in listening, communication, and time management."
