Hi all-

Just want to chime in on this and just present an opinion and start off with something we all know.  Providers are responsible for providing Medicaid Waiver Services.  The county board is the social service agency.

The waiver rates do not support this type of expense being absorbed by the provider.  This expense, in my opinion is a responsibility of the county board and/or the non-profit housing board. 

If the county board feels the person served should have some sort of contribution towards the extermination based upon their income, that is something the county can take into consideration, but the provider shouldn’t be ultimately responsible.

The county board is the agency responsible for ensuring the health, safety and welfare of the person served.  The provider is responsible for carrying out the areas outlined in the ISP, which also includes the health, safety and welfare, but not to the extent of taking on an additional unfunded financial burden such as this.  All this does is continue to contribute to our overall DSP crisis.

Extermination is a room and board issue.  Room and board is a responsibility of the person served and the county board is the one who subsidies if the person served doesn’t have the money, not the provider.

Just my two cents.

Thank you-

KB

From: opra_members@opra.simplelists.com <opra_members@opra.simplelists.com> On Behalf Of Anita Allen
Sent: Thursday, October 31, 2019 12:27 PM
To: opra_members@opra.simplelists.com
Subject: Question for Members

Member question below. All responses appreciated.

We have a waiver individual that is having issues with bed bugs in his home.  This has been an ongoing problem.  We believe the bugs are coming from one of their family members.  The house he lives in has been purchased by the State and is rented to him through a local non-profit agency.  The non-profit has treated the home in the past but has refused to continue to do so.  The individual is on an extremely limited income and cannot afford to treat the home, especially if the family member is going to continue to carry them in.  The County Board has said there is nothing that can be done except for the individual to pay for the extermination.  We are willing to pay for one round of extermination but we are not willing to do so as long as the family member is going to keep bringing them in the home.  How are other providers handling this type of situation?

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