WEBVTT

00:00:00.200 --> 00:00:03.627
In 2023, Medeiros asked
whether people were

00:00:03.627 --> 00:00:07.055
being denied meaningful
access to the ABI

00:00:07.055 --> 00:00:10.482
provider directory and steered
through unequal referral

00:00:10.482 --> 00:00:10.972
channels.

00:00:10.972 --> 00:00:14.399
Federal Medicaid law
generally lets a beneficiary

00:00:14.399 --> 00:00:17.826
choose a qualified, willing
provider, subject to

00:00:17.826 --> 00:00:20.274
lawful waiver or managed-care limits.

00:00:20.274 --> 00:00:23.702
HCBS planning must offer
informed choices about

00:00:23.702 --> 00:00:26.150
services and who provides them.

00:00:26.150 --> 00:00:29.577
That right belongs first to the person

00:00:29.577 --> 00:00:30.067
served.

00:00:30.067 --> 00:00:33.494
It does not guarantee
ABI Resources referrals,

00:00:33.494 --> 00:00:35.453
volume, or a contract.

00:00:35.453 --> 00:00:37.411
Medeiros's role is different:

00:00:37.411 --> 00:00:39.370
reporting and petitioning government.

00:00:39.370 --> 00:00:43.287
The decisive evidence is
simple—every provider list

00:00:43.287 --> 00:00:46.714
shown, every option offered,
every referral reason,

00:00:46.714 --> 00:00:48.673
and every exception invoked.

00:00:48.673 --> 00:00:51.610
A hidden option cannot be chosen.

00:00:51.610 --> 00:00:55.038
But only those records
can establish whether

00:00:55.038 --> 00:00:57.975
the concern became a legal violation.
