[rehab] Medicaid Payments for O&M Services

[Andrews, David B B (DEED)]

Over the past 30 years or more -- most, if not all of the major players in the blindness field have been actively trying to discourage the "medical model" of blindness.  While I can understand renewed interest in it -- as funds get tighter, I am not convinced it is something that ultimately furthers our cause.

Dave



-----Original Message-----
From: rehab-bounces at nfbnet.org [mailto:rehab-bounces at nfbnet.org] On Behalf Of Jan Bailey
Sent: Wednesday, January 19, 2011 5:30 AM
To: Rehabilitation Counselor Mailing List
Subject: Re: [rehab] Medicaid Payments for O&M Services

Well, medical doctors know next to nothing about blind rehab, so how would 
they properly prescribe  what's needed?

Jan

----- Original Message ----- 
From: "gabe vega" <theblindtech at gmail.com>
To: "Rehabilitation Counselor Mailing List" <rehab at nfbnet.org>
Sent: Wednesday, January 19, 2011 5:20 AM
Subject: Re: [rehab] Medicaid Payments for O&M Services


>I am a little confused here. We always talk about spreading education  and 
>awareness to the public, government and other professions about  blindness 
>and all it brings, and you are telling me this medicade  situation is a bad 
>thing?
>
> will it not put more of a spotlight on blindness based on the fact  that 
> more people will have to deal with and provide for people of who  are 
> blind?
>
> I am not sure if I subscribe to this blind nitch rehab model anyways,  how 
> has it advanced this so called 70% emplyment rate for the past 20  years 
> for example?
> On Jan 19, 2011, at 5:15 AM, Jan Bailey wrote:
>
>> Extra funding would be nice, but I agree with you.
>> Jan
>>
>> ----- Original Message ----- From: "Marks, Jim" <jimmarks at mt.gov>
>> To: <rehab at nfbnet.org>
>> Sent: Tuesday, January 18, 2011 3:03 PM
>> Subject: [rehab] Medicaid Payments for O&M Services
>>
>>
>>> The Montana Legislature is considering a bill that would require 
>>> Medicaid to pay for orientation and mobility services for qualified 
>>> children in K-12 education.  It may overlap to adult services as  well. 
>>> The primary advocate for the bill is an Orientation and  Mobility 
>>> Instructor working for her local school district.
>>>
>>> While it's nice to have new funding streams for services, I'm  concerned 
>>> about the medicalizing of blindness rehabilitation  services.  It would 
>>> be a shame to involve medical doctors in things  like buying a long 
>>> white cane when the docs know almost nothing  about blind rehab.
>>>
>>> What have other states done?  Are there issues/pitfalls to consider?
>>>
>>> Thanks in advance for your replies.
>>>
>>>
>>>
>>>
>>> -----
>>> Jim Marks
>>> Disability Transitions Programs Director
>>> Montana Department of Public Health & Human Services
>>> jimmarks at mt.gov
>>> http://vocrehab.mt.gov
>>> (406) 444-2591
>>>
>>> "The legitimate purpose of society and its governments is not to  govern 
>>> people and to promote the good life for them, but to empower  them to 
>>> govern themselves and to provide the good life for  themselves and their 
>>> fellow humans."  Justin Dart
>>>
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>>
>>
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>
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