1
00:00:00,139 --> 00:00:01,917
Medicaid choice starts before services begin.

2
00:00:02,596 --> 00:00:03,789
A directory must be more than a file

3
00:00:03,835 --> 00:00:05,731
hidden somewhere. Build a six-field choice receipt:

4
00:00:06,127 --> 00:00:07,320
the complete current provider list;

5
00:00:07,741 --> 00:00:10,876
date delivered; accessible format; providers qualified and willing;

6
00:00:11,296 --> 00:00:13,588
the person's selection; written reasons for limits.

7
00:00:13,847 --> 00:00:16,186
Federal Medicaid rules generally protect a beneficiary's choice

8
00:00:16,208 --> 00:00:18,477
among qualified providers willing to furnish covered services,

9
00:00:18,851 --> 00:00:22,127
subject to exceptions. HCBS person-centered planning must reflect

10
00:00:22,196 --> 00:00:24,091
the individual's preferences and informed choices.

11
00:00:24,815 --> 00:00:28,254
Disability communication duties can require effective, usable information.

12
00:00:28,581 --> 00:00:31,107
But a missing name, referral pattern, delay, or

13
00:00:31,177 --> 00:00:33,727
incomplete list does not by itself prove steering,

14
00:00:33,774 --> 00:00:37,610
discrimination, retaliation, fraud, or an Olmstead violation.

15
00:00:37,658 --> 00:00:42,125
Compare the official directory, qualification records, availability, plan,

16
00:00:42,592 --> 00:00:46,008
notices, and grievance response. Read the claim-safe checklist

17
00:00:46,077 --> 00:00:49,071
at david-medeiros.com/provider-directory.