Thank you!
Your support is sustaining the future of local news in our communities.

State awards community health centers $80 million Medicaid funding boost

State awards community health centers $80 million Medicaid funding boost
Joanne Borduas, CEO of Community Health and Wellness Center, State Senator Paul Honig (D-8) and Shawn K. Frick, CEO of the nonprofit Community Health Center Association of Connecticut, during a recent legislative reception in Hartford.
Provided
“The fact that we have reached an agreement with the state’s Department of Social Services is a step in the right direction.” — Joanne Borduas, CEO, Community Health and Wellness Center

NORTH CANAAN — A network of 17 Federally Qualified Health Centers (FQHC) in Connecticut, including three in the Northwest Corner towns of North Canaan, Winsted and Torrington, will receive a long-awaited funding boost in Medicaid reimbursement rates to the tune of $80 million over the next three years.

In making the July 16 announcement, Governor Ned Lamont (D) and Connecticut Department of Social Services Commissioner Andrea Barton Reeves unveiled a three-year plan to boost rates for the centers that service 440,000 people across the state each year.

The decision follows more than 18 months of unsuccessful negotiations between an advocacy group representing Federally Qualified Health Centers and the state Department of Social Services (DSS) to boost reimbursement rates.

As a result of the long-standing stalemate, the not-for-profit Community Health Center Association of Connecticut, on behalf of the state’s 17 federally qualified health centers, had filed a Declaratory Ruling Request with DSS in March over its failure to comply with federal law to compensate the health centers appropriately.

That filing has since been withdrawn, reported Joanne Borduas, CEO of Community Health and Wellness Center, which operates facilities in Torrington, Winsted and North Canaan.

“The fact that we have reached an agreement with the state’s Department of Social Services is a step in the right direction,” said Borduas, who also chairs the Connecticut Health Center Association of Connecticut’s board of directors.

The state had a timeline of 90 days to respond to the Declaratory Ruling Request. “The next step could have led to a lawsuit,” noted Borduas. However, since an agreement was reached, the request, she said, was pulled on July 10 and is no longer in effect.

Borduas said the FQHCs serve the largest number of Medicaid patients in the state and Connecticut has had some of the lowest Medicaid rates compared to other states. “The bottom third nationally,” she noted.

“It has been difficult to maintain services and access for our community. Many of us have faced scaling back or eliminating services and have dealt with workforce reductions in an effort to keep our doors open and maintain our commitment to our patients and the communities we serve.”

As a result of the low Medicaid reimbursement rates, CHWC had to make the difficult decision to suspend dental services, said its CEO.

“Now that we understand what the new rates will be, we are able to go back and re-evaluate getting dental services back up and running, though on a smaller scale.”

Dental services, Borduas explained, are one of the highest cost services to run and to recruit for. “We will continue to evaluate business models that will contribute to appropriately addressing patient needs while ensuring financial sustainability.”

The agreement, she said, increases Medicaid rates over the next three years and “gets us to 2023 costs. It begins to close our payment gaps, which will contribute to our long-term financial stability and help us keep our doors open serving nearly 60 percent of the state’s Medicaid patients.”

The deal clarifies the process for these centers to request rate adjustments based on the scope of services they offer and authorizes collaboration between the state and the centers to develop alternative payment models.

“While Republicans in Congress are defunding Medicaid and raising health care costs for all Americans, here in Connecticut we are making key investments in primary care, dental and behavioral health,” said Lamont in making the announcement.

DSS Commissioner Reeves referred to the state’s FQHCs as “essential partners” in delivering high quality, affordable health care to all residents.

The plan, said Borduas, envisions a more systemic approach to future rate hikes to prevent stagnation of reimbursements as has happened in the past.

“Medicaid rates have not been rebased since 2007 for all core services of medical, dental and behavioral health, with the exception of those FQHCs who have submitted rate requests to DSS over the years for adding services that meet the state’s requirements for a rate increase,” she noted.

The new agreement, she said, “will certainly help close our payment gaps and make providing care to our most vulnerable populations, those that are insured by Medicaid in particular, more affordable,” said Borduas.

“We are hopeful that we can continue to work with DSS to ensure our Connecticut FQHCs are able to carry out their missions to create healthier communities for a long time to come,” added Borduas.

The agreement also changes the appeals process for FQHCs to align with other Medicaid providers beginning Jan. 1, 2027.

Shawn K. Frick, CEO of the Community Health Center Association of Connecticut, noted that “patients across the state will benefit from this investment in primary care.”

Latest News

“The Divine Sister” comes to Sharon Playhouse for one-night benefit
Playwright and performer Charles Busch is “The Divine Sister.”
Provided

Continuing a popular tradition, the Sharon Playhouse will present a one-performance-only staged reading of “The Divine Sister,” another riotous comic romp by the acclaimed playwright and performer Charles Busch, on Friday, Aug. 28 at 7 p.m.

The play is a wild and witty homage to Hollywood films that feature nuns — from “The Song of Bernadette” and “The Bells of St. Mary’s” to “The Singing Nun” and “The Sound of Music.” It is classic Charles Busch: wickedly funny, gloriously over-the-top and overflowing with theatrical joy.

Keep ReadingShow less

KK Kozik sees things differently

KK Kozik sees things differently

KK Kozik in her studio

Natalia Zukerman
Maybe it takes the ability to interpret what you’re looking at to really see.
— KK Kozik

KK Kozik has a theory about getting older.

“I don’t think you have eyes to see until you have eyes to see,” said the painter. “And maybe it takes the ability to interpret what you’re looking at to really see, and maybe that’s what comes with wisdom.”

Keep ReadingShow less
Lakeville Open Horse Show returns for 69th year

Jazzmine Bone and A Stitch in Tyme power through the Gambler’s Choice run during the 2024 Lakeville Open.

Caitlin Von Graf

For nearly seven decades, the Lakeville Open Horse Show has brought riders, horses and spectators together for a day of competition and community.

This year’s show takes place on Sunday, Aug. 30, at Riga Meadow at Coole Park, 1031 Bengal Amenia Road in Millbrook.

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

A new home for contemporary music in Connecticut

This year, the ARChive of Contemporary Music, or ARC, is moving its collection to a permanent home in Ridgefield, Connecticut.

ARC is somewhat hard to imagine. Comprised mainly of huge collections from musicians, archivists, and DJs, it has compiled more than three million sound recordings, consisting of over 90 million songs.

Keep ReadingShow less
A Vietnamese water puppet musical returns to the quarry where it began

“The Magnificent Ms. Pham” combines Vietnamese water puppetry, shadow theater, music and storytelling.

Provided

“The Magnificent Ms. Pham,” the first Vietnamese American water puppet show, is returning to the water where it was born. The perpetual motion puppet show will be at TurnPark Art Space in West Stockbridge, Mass., Aug. 28 and 29, following a sold-out New York City premiere earlier this year. The production was originally developed at TurnPark, where its puppets first danced across the surface of the quarry lake.

Created by Vietnamese American artist Tommy Nguyen and director and designer Doug Fitch, the production tells the story of Nguyen’s mother, Kim Pham, and her journey from Vietnam to the United States. The story moves between memory, Vietnamese history and mythology, and the realities of immigration, following Kim from her childhood in Vietnam through her escape as a “boat person” and eventual life in Houston, Texas.

Keep ReadingShow less
Barry Blitt draws for the Northwest Connecticut Arts Council

Cartoonist Barry Blitt created a design for a limited edition T-shirt for Northwest Connecticut Arts Council fundraiser.

Jennifer Almquist

A drawing by Barry Blitt is recognizable from a distance simply for his line quality and hint of watercolor. Known for his scathing political cartoons, this longtime cover illustrator for the New Yorker has leaned his shoulder in to support the NWCT Arts Council and its Aug. 29 fundraiser at Buck’s Rock Camp in New Milford. Blitt created a design for limited-edition T-shirts that will be available for sale at the event and online at artsnwct.org.

David Remnick, editor of the New Yorker since 1998, called Blitt “One of the greatest political cartoonists of our time.” A native of Canada, Blitt won a Pulitzer Prize for editorial cartooning and has created more than 100 covers for the New Yorker since 1992. Perhaps most memorable is his 2008 iconic fist bump between Barack Obama and Michelle Obama, “The Politics of Fear.” A quarter century of his sketches and drawings are collected in “Blitt: In One Eye and Out the Other,” published by Penguin Putnam. He has created books for children, including “George Washington’s Birthday” and “Once Upon a Time, the End, (Asleep in 60 Seconds).”

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.