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Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Trips to Courage Center<br />

WhilMkphysiw1 therapy afsO proided<br />

thrmgh the schools, 5,ia rosa<br />

addit l theray at Courage Cnter.<br />

Ho'JthPortm pays the bill.<br />

Page 14<br />

Financing<br />

823<br />

When asked, 'Does your child's c<strong>on</strong>diti<strong>on</strong> affect your<br />

ability to be employed?" just under <strong>on</strong>e-third (28.6%) said<br />

"yes." In fact, the greatest impact <strong>on</strong> family finances comes<br />

from n<strong>on</strong>-medical sources such as employment changes. Often,<br />

parents who said that their child's c<strong>on</strong>diti<strong>on</strong> did not affect<br />

employment made comments like the following:<br />

"Because of his c<strong>on</strong>diti<strong>on</strong>, I chose not to work."<br />

'No... I stayed out <strong>on</strong>e extra year because of his heart problems..."<br />

"I didn't think any<strong>on</strong>e in a day care situati<strong>on</strong> would have d<strong>on</strong>e the<br />

infant stimulati<strong>on</strong> which I did..."<br />

Clearly, decreased employment limits income and therefore<br />

limits the amount of m<strong>on</strong>ey a family has available to meet the<br />

family's needs. Additi<strong>on</strong>ally, families report decreased<br />

employment also increases or is a source of stress.<br />

All families surveyed received their health insurance<br />

through their employer but, in additi<strong>on</strong>, nearly <strong>on</strong>e-half (15<br />

families) received additi<strong>on</strong>al benefits through state or federal<br />

programs such as TEFRA, SSI, <str<strong>on</strong>g>Medicaid</str<strong>on</strong>g>, Vocati<strong>on</strong>al<br />

Rehabilitati<strong>on</strong>, WIC, and family subsidies. Pending loss of<br />

these programs due to governmental cutbacks is a major source<br />

of parental c<strong>on</strong>cern.<br />

HealthPartners covers<br />

most direct medical<br />

expenses. Families report<br />

paying from $10 to $42<br />

per m<strong>on</strong>th in out-ofpocket<br />

expenses.<br />

However, the vast array<br />

of habilitative services are<br />

covered by supplemental<br />

coverage or are provided<br />

in the school setting.<br />

Families, physicians,<br />

and the Community<br />

pAvte New 'P'APt#IePFA4jp

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