Just Call it What it Is.... - Direct Care Training & Resource Center

PIC - MEDICAID WAIVER

Adult day care centers, adult foster care and other community based care environments often rely heavily upon publicly funded reimbursements for services. Without these, the business operation can be really tough. Some operators have decided to forgo this funding and seek to operate strictly with private pay dollars. While this can work for some, others find it to be no more than a road to financial stress, reduced earnings and lagging behind competitors in key categories of service.

Some will lament: “well I do not want to deal with the many additional regulations associated with working with a Medicaid waiver agent or community mental health agency” who may contract with providers of care. While it is true that there may be additional documentation involved and an extra monitoring mechanism for care businesses, the reality is those who choose not to pursue and make usage of such funding really only fall into a couple of categories:

You do not really want to do the work associated with being a responsible provider of care, so you’re lazy, and/or,
You are a non-conformist and lack the maturity to understand any additional requirements are simply a part of doing business

A Lazy Approach Never Works Long-Term

The real problem with this approach is that you also lessen how much of your community you can be of service to. As a result, your focus is more on you and your phobias and lack of commitment than to those who may need you the most. Since the very thought of having to replace that floor, more efficiently document medication administration, arrange for and validate consistent staff training makes you cringe, the real problem should be easy to identify.

Perhaps its just a matter of Just Calling it What it Is.

Penny for your thoughts.

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