Missouri's methods of reimbursing community providers who care for people with developmental disabilities are complex, confusing and conflict with federal Medicaid rules. That’s because providers are reimbursed at vastly different rates for the same level of care.
It’s a situation that’s also leading to low pay for the providers’ workers and exacerbating the state’s already high turnover.
The Centers for Medicare and Medicaid Services put the state on a five-year corrective action plan earlier this year. So to address the issue, the Division of Developmental Disabilities will request $58.1 million from Missouri lawmakers next year on top of the $20 million extra it received this year. Many providers say it’s long overdue.