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Commissioners press staff on START funding, sustainability and a local resource center
Summary
Following the START evaluation, commissioners asked how the pilot would be sustained, whether the program would displace existing services, how RFPs and Medicaid billing would work, and whether a 4-bed resource center could be carved from other projects; presenters said the program would be additive, likely run via an RFP and involve managed-care and state partners for sustainability.
Commissioners pressed presenters on whether START would supplant current IDD services, how the state's $2 million authorization fits, and what funding model would sustain START beyond grant seeds. Luke Bernard and Jeanette Livingston said START does not displace existing IDD services but rather adds a specialized, shorter-term intervention and that other states rely on a mix of Medicaid reimbursement, grants and managed-care arrangements to sustain teams.
Jeanette said the county's application seeks a portion of a statewide $2 million allocation and that the plan is to issue an RFP for a vendor to hire staff, train with the National Center for START Services, and pursue Medicaid billing as services mature. Commissioners also discussed a potential 4-bed resource center for crisis stabilization and asked whether new hospital construction could carve off beds; staff said state partners and managed-care organizations have signaled interest but that operational staffing and long-term commitments remain open questions.
