WEBVTT

00:00:00.200 --> 00:00:01.016
Question 60.

00:00:01.016 --> 00:00:04.282
Was medical or functional necessity
independently reviewed before

00:00:04.282 --> 00:00:05.915
affiliated services were authorized?

00:00:05.915 --> 00:00:09.180
The 2023 report raises
a concern, not a

00:00:09.180 --> 00:00:09.589
finding.

00:00:09.589 --> 00:00:10.405
People served:

00:00:10.405 --> 00:00:13.262
Person-centered planning requires
informed options and conflict

00:00:13.262 --> 00:00:13.671
safeguards;

00:00:13.671 --> 00:00:16.120
disability law may protect
meaningful participation.

00:00:16.120 --> 00:00:16.936
David Medeiros:

00:00:16.936 --> 00:00:20.202
Reporting possible conflicts
may be protected under speech

00:00:20.202 --> 00:00:23.468
or retaliation rules only
when coverage and proof

00:00:23.468 --> 00:00:23.876
align.

00:00:23.876 --> 00:00:24.692
ABI Resources:

00:00:24.692 --> 00:00:27.958
ABI may challenge unequal
governmental treatment or contract

00:00:27.958 --> 00:00:31.223
action, but competition
alone is not a constitutional

00:00:31.223 --> 00:00:31.632
violation.

00:00:31.632 --> 00:00:33.673
Constitutional claims
need state action;

00:00:33.673 --> 00:00:36.938
beneficiary choice does not
guarantee ABI referrals or

00:00:36.938 --> 00:00:37.755
a contract.

00:00:37.755 --> 00:00:40.612
Classify the issue
before choosing a remedy.

00:00:40.612 --> 00:00:43.061
Preserve ownership, employment,
referrals, alternatives, disclosures,

00:00:43.061 --> 00:00:45.510
clinical need, authorizations,
claims, and outcomes.

00:00:45.510 --> 00:00:48.368
Apply Constitution, statute,
regulation, contract, then record.