1 2 3 4 5

THE VOICE

Volume 5, Issue 2

Page 2

MEDICAID WAIVER APPROVED!

LESSONS FROM GOD AND A LITTLE BOY

{Press Democrat Editorial, Santa Rosa, California.  August 6, 2000, by Leonard Pitts, Jr.}

An old joke:  "If you want to give God a really good laugh, tell Him your plans."  The way I figure it, I must have the Almighty rolling on the floor by now.  See, I've never been short of plans.  I planned to have my last child off to college in a few short years.  After which, I planned to travel, planned to play, planned to walk around the house in boxer shorts whenever the mood struck.

I didn't plan to be raising a little boy with autism.

He's not even my child.  Rather, he's the four-going-on-five-year-old son of my 23-year-old stepdaughter.  She, in turn, is my life's great heartbreak, an unstable young woman financially and emotionally incapable of raising her child.  And since she won't identify the father, guess who has custody?  Then, about a year ago, the other shoe falls - we learn that our grandson is autistic.  I've been struggling with it ever since.

Whining, really.  It's not fair, I moan.  Don't I have a say in what happens in my own life?  I had plans, God!  Stop it, laughs God, hammering the floor, you're killing me!  I've gradually come to believe there must be a larger point to this.  Lessons to be learned.  In struggling with God and autism, I struggle with myself.  My selfishness.  My lack of faith.

On September 1, the Maryland State Department of Education and the Maryland Department of Health and Mental Hygiene received written notice that the federal Health Care Financing Administration had finally approved its application for a Home and Community Based Medicaid Waiver for children with autism ages 1 to 21.
There are 267 slots available in the first year, with approximately 350 slots available by the third year.
If the waiver is successful in its first three years, it will be approved again.  Under the waiver, students with autism and their families could be eligible for Medicaid (case management, screening, eas

ily accessible therapies, etc.).  The waiver is meant for children at risk of institutionalization.  A parent's income would be waived; the child would be considered a household of one and income requirements for Medicaid would be based only on the child's assets. 
Although HCFA has approved the waiver to begin on January 1, 2001, MSDE is applying for an extension for the program to begin on July 1, 2001.  They need to hire a program administrator and train psychologists and others, as well as get providers on board.
Should you have an opportunity to run into, or meet, Stuart Spielman, please give

1 2 3 4 5