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Unlike the last time, Greensboro officials alerted downstream water utilities of a high-level discharge of 1,4 dioxane that was detected at its wastewater treatment plant on June 30, gregbar reports. May 8, by Rose Hoban. The reform that PBH ushered in took root in the mind of a single individual more than a decade ago. It was received in North Carolina as some catastrophic, chaotic set of notions.

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In New York, Coughlin learned that states could ask the federal government for permission to experiment with ways to save money by applying to be exempt from some Medicaid rules. All 50 states use the waivers in one form or another. Most states use them in targeted areas, acting as small managed care organizations for discrete purposes, like child psychiatry.

The waivers also give states the ability to pay for additional services Medicaid would not authorize otherwise. Coughlin tried in New York to implement the Medicaid waivers in New York, but he said the attempt failed for political reasons. In JulyCoughlin was in charge of Piedmont Behavioral Health and had new ground in which to plant his long-germinating ideas about Medicaid reform. Coughlin started shaking powerful hands. Verla Insko, D-Chapel Hill. Coughlin said Secretary Odom loved the idea of Piedmont Behavioral Health piloting Medicaid waivers in North Carolina and, bythe agency was testing the waters of change.

That struggle is just one reason that Coughlin said he thinks so few other states have used the Medicaid waivers well. It is so complex and demanding and such a culture change for everybody. If the sweeping changes were hard for Piedmont Behavioral Health to handle, it was also hard for people outside the agency whose lives were affected, including consumers, families, and service providers. There was a lot of input to be given at the beginning, said substance abuse services provider Angie Banther from Winston-Salem. Six years ago, she said, providers were scared about the changes required for them to keep working with Piedmont Behavioral Health.

Banther said the most successful providers are those who chose to work together with PBH. But Piedmont Behavioral Health was allowed to increase rates for those providers. Not all providers were thrilled with the actions of Piedmont Behavioral Health, however. The group home lost its case. PBH now takes full advantage of that opportunity through the b waiver to limit the of providers with which it contracts. InPBH served twice as many publicly funded consumers as another LME in the state, yet it contracted with half the of providers.

The thought of not being able to see any provider initially scared a lot of consumers, Coughlin acknowledged. In fiscal yearPBH spent one-third less on services to its consumers than the Adult want sex tonight Kannapolis average. Within two years, the state legislature passed a bill requiring all Local Management Entities in the state to implement the PBH model.

Beverly Purdue ed the mandate to implement the Medicaid waiver model statewide. So I just needed some respite from that. Department of Health and Human Services.

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She said that the legislature thought it was important to commit to the model and move forward promptly. The title image is adapted from a portrait of Dorothea Dix, a 19th century crusader for better mental health care, that hangs at the National Portrait Gallery.

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Rose Hoban is the founder and editor of NC Health News, as well as being the state government reporter. Hoban has been a registered nurse sincebut transitioned to journalism after earning degrees in public health policy and journalism. She's reported on science, health, policy and research in NC since Contact: editor at northcarolinahealthnews.

One week hospital stay did nothing. The mother lifts the pillow child steals all the time and finds facebook on and the knife, was tonight her night to die? What I see is a system that has flaws and lots of holes. Is it less costly for the child to be in prison in 5 years after he has killed someone? Do you know how hard it is to find a specialist willing to help this child? Do you even know a person that is severely mentally ill? Read our Coronavirus Coverage Here.

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Lessons from Abroad: How Europeans have tackled opioid addiction and what the U. Additional Thanks. Pat McCrory Gov. Department of Environmental Quality N. Department of Health and Human Services N. Carla Cunningham Rep. David Lewis Rep. Donna White Rep. Greg Murphy Rep. Jean Farmer-Butterfield Rep. Jim Fulghum Rep. Jimmy Dixon Rep. Josh Dobson Rep. Justin Burr Rep.

Marilyn Avila Rep. Nelson Dollar Rep. Pricey Harrison Rep. Mandy Cohen Sec. Joyce Krawiec Sen. Louis Pate Sen. Mike Woodard Sen. Phil Berger Sen. Richard Burr Sen. Tamara Barringer Sen. Thom Tillis Sen. Drug Enforcement Agency U. Environmental Protection Agency U. The idea for North Carolina's 'model' program for managing the publicly funded mental health system came largely from the mind of one person, who's stepped away just as his ideas are going statewide. Second in a five-part series on changes in North Carolina's mental health system.

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Groundbreaking for the PBH corporate office in A long-germinating seed The reform that PBH ushered in took root in the mind of a single individual more than a decade ago. Read Part 1 of this series here. Facebook Twitter LinkedIn. Support quality journalism that matters!

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