Motion Summary: Create a Kansas specific solution: -Continue to allow independent and agency TCMs to operate indefinitely. -Allowing all available flexibilities and create a firewall for agency providers. -State should provide robust oversight system. #ksleg #tcm

Rep. Carpenter: "Where is the clear guidance from CMS? All we have heard about today is a phone call, we do not even have a letter" #ksleg #tcm

Sen. Blasi "Our focus should be on the IDD population and their families, we should not feel bullied by the federal government" #ksleg #tcm

Sen. Blasi "a strong message should be sent about how we feel about the situation" #ksleg #tcm

Motion summary: KDADS should send a survey to those on the wait list and providers with a limited number of questions and report findings to the committee by Dec. 15. #ksleg #tcm

The committee is discussing options and next steps. #ksleg #tcm

The committee is asking for a survey to be sent about TCM services. #ksleg #tcm

Seth Kilber, Assistant Commissioner of Long Term Services and Supports, Kansas Department for Aging and Disability Services is answering follow up questions from the committee at this time. #ksleg #tcm

The committee is reviewing follow up information provided by KDADS #ksleg #tcm

More than 20 other written-only pieces of testimony were submitted for the committee to review today. #ksleg #tcm

Angie Reinking, Executive Director, Arc of Douglas County "I represent the only TCM-only provider here today" "We are in a difficult place in our state" #ksleg #tcm

Zoe Surprise-Murphy, Case Manager, Cottonwood Inc. "I want to connect with the people on my case load and make their lives better, and do that in the capacity I am now" "This needs to be deliberately handled" #ksleg #tcm

Zoe Surprise-Murphy, Case Manager, Cottonwood Inc. "I got into this career because I want to help people" "I won't be able to continue in my role if I were forced to start my own agency, and it would take away from the quality of services I can provide" #ksleg #tcm

Travis Chapman, Social Services Director, Lakemary Center "Despite underfunding, we (and other) providers have showed a strong commitment to TCM services" #ksleg #tcm

Travis Chapman, Social Services Director, Lakemary Center "Each year 300 individuals choose Lakemary for TCM services, and 40% select Lakemary for HCBS services" "One individual has received both services for 41 years" #ksleg #tcm

Sara Hart Weir, Executive Director, Kansas Council on Developmental Disabilities "We promote advocacy and self advocacy across the state. We are not a provider organization" #ksleg #tcm

Rachel Neumann "The standalone TCM agency I am aware of offers no benefits and only gets paid when they bill, as contractors, and I see a new TCM every few months at that organization, while we have had 0% turnover at our organization" #ksleg #tcm

Rachel Neumann, COO, COF Training Services "We have closed our TCM services more than once and asked by the CDDO to reopen due to the need" #ksleg #tcm

Rachel Neumann, COO, COF Training Services "Our organization attempted to mitigate COI without guidance from KDADS. As director of case management at that time I built a business plan which would barely break even and unable to offer any benefits" #ksleg #tcm

Matt Fletcher, Executive Director, InterHab "There are lots of options for states to address mitigation of conflict of interest concerns, CMS is not being prescriptive" "I encourage you to ask a lot of questions" #ksleg #tcm