Co-Pays for BHRS: Another attempt to destroy the BHRS system in Pennsylvania

Steve Kossor

To the friends of the Institute for Behavior Change:

I have been in touch with Federal and national advocacy officials about the co-pay scheme announced by DPW on Saturday, August 11th, and they agree that there are significant “questions” that need to be answered before this should be implemented.  Since no parent can be denied Behavioral Health Rehabilitation Services (BHRS, mistakenly called “wraparound services” in Pennsylvania) if they are unable or unwilling to pay a co-pay, the scheme requires Medicaid-contracted insurance companies to simply deduct the amount of the co-pay from the payments made to the providers, resulting in the reduction in costs that the state wants, but the first people who will lose out will be the BHRS providers, who will effectively be forced to work for less than the pay rate set in 1992.  Then, more and more children and their families will lose the effective treatment…

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