AHCA - Agency for Hallucinations , Carelessness and Apathy

January 10, 2013

Is anyone really minding the store? As soon as the newspapers and other media report independent studies show Medicaid expansion will cost less, all of a sudden AHCA adjusts their numbers to about 10% of the cost of what they were espousing only a couple of days ago. Does anyone see what is going on here? The Governor wants to scare the heck out of everybody with false information to justify not serving the poor, elderly and disabled. I can't wait to hear the reason for this one. I understand being off a little, but being off by 90%? AHCA should learn how to use a calculator. I thought that it was a requirement to take math in school? Bottom line is Florida cannot justify not expanding Medicaid when it will cost only $300 million a year (not $3 billion as they previously stated) over the next 10 years to serve millions of people that don't have healthcare.

With Gov. Rick facing accusations of using inflated numbers, the Florida Agency for Health Care Administration late Wednesday released a report that slashes the state's estimated costs for carrying out key parts of the federal Affordable Care Act.

The report indicates Florida's costs could be as low as $3 billion over 10 years --- a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. , a longtime critic of the federal law better known as Obamacare, has repeatedly used the $26 billion figure to express concerns about the state moving forward with an expansion of Medicaid eligibility.

The revisions came after state budget analysts, including the top staff member on the House Health Care Appropriations Subcommittee, raised questions about the assumptions that AHCA had used in the earlier report.

-- Regards,Ven Sequenzia, Jr.

NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or, (ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the Health Insurance Portability and Accountability Act ( " HIPAA " ). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. If you have received this email in error, please delete it immediately. Thank you in advance for your compliance with this notice.

January 10, 2013

Schmucks, all if them! Our children continue to go without while they doidle in incompetency. My child has been wait listed for years with no hope for ever receiving help. Looks like our wait will continue ad nauseam while the Gov. and his staff play number games with our children's lives. I am so disgusted with this state. Fl screws everything up from education to healthcare to elections. Sent from my iPhone

Is anyone really minding the store? As soon as the newspapers and other media report independent studies show Medicaid expansion will cost less, all of a sudden AHCA adjusts their numbers to about 10% of the cost of what they were espousing only a couple of days ago. Does anyone see what is going on here? The Governor wants to scare the heck out of everybody with false information to justify not serving the poor, elderly and disabled. I can't wait to hear the reason for this one. I understand being off a little, but being off by 90%? AHCA should learn how to use a calculator. I thought that it was a requirement to take math in school? Bottom line is Florida cannot justify not expanding Medicaid when it will cost only $300 million a year (not $3 billion as they previously stated) over the next 10 years to serve millions of people that don't have healthcare.

With Gov. Rick facing accusations of using inflated numbers, the Florida Agency for Health Care Administration late Wednesday released a report that slashes the state's estimated costs for carrying out key parts of the federal Affordable Care Act.

The report indicates Florida's costs could be as low as $3 billion over 10 years --- a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. , a longtime critic of the federal law better known as Obamacare, has repeatedly used the $26 billion figure to express concerns about the state moving forward with an expansion of Medicaid eligibility.

The revisions came after state budget analysts, including the top staff member on the House Health Care Appropriations Subcommittee, raised questions about the assumptions that AHCA had used in the earlier report.

-- Regards,Ven Sequenzia, Jr.

NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or, (ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the Health Insurance Portability and Accountability Act ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. If you have received this email in error, please delete it immediately. Thank you in advance for your compliance with this notice.

January 10, 2013

I agree. My two moderate and profoundly affected ASD sons have been on the wait list for 6 1/2 years, with no sign they will ever receive help. APD told me my 'respite' was there being in school!!! No one cares, and no one helps us.

Is anyone really minding the store? As soon as the newspapers and other media report independent studies show Medicaid expansion will cost less, all of a sudden AHCA adjusts their numbers to about 10% of the cost of what they were espousing only a couple of days ago. Does anyone see what is going on here? The Governor wants to scare the heck out of everybody with false information to justify not serving the poor, elderly and disabled. I can't wait to hear the reason for this one. I understand being off a little, but being off by 90%? AHCA should learn how to use a calculator. I thought that it was a requirement to take math in school? Bottom line is Florida cannot justify not expanding Medicaid when it will cost only $300 million a year (not $3 billion as they previously stated) over the next 10 years to serve millions of people that don't have healthcare.

With Gov. Rick facing accusations of using inflated numbers, the Florida Agency for Health Care Administration late Wednesday released a report that slashes the state's estimated costs for carrying out key parts of the federal Affordable Care Act.The report indicates Florida's costs could be as low as $3 billion over 10 years --- a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. , a longtime critic of the federal law better known as Obamacare, has repeatedly used the $26 billion figure to express concerns about the state moving forward

with an expansion of Medicaid eligibility.The revisions came after state budget analysts, including the top staff member on the House Health Care Appropriations Subcommittee, raised questions about the assumptions that AHCA had used in the earlier report.

-- Regards,

Ven Sequenzia, Jr.

NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or, (ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the Health Insurance Portability and Accountability Act ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. If you have received this email in error, please delete it immediately. Thank you in advance for your compliance with this notice.

January 10, 2013

Not only that but the Federal government will pay up to 100% for the first few years and then cut back to 90% so what is Floriduh's problem? Answer: Rick From:

To: "sList " <sList > Sent: Thursday, January 10, 2013 12:24 PM Subject: Re: AHCA - Agency for Hallucinations , Carelessness and Apathy

Schmucks, all if them! Our children continue to go without while they doidle in incompetency. My child has been wait listed for years with no hope for ever receiving help. Looks like our wait will continue ad nauseam while the Gov. and his staff play number games with our children's lives. I am so disgusted with this state. Fl screws everything up from education to healthcare to elections. Sent from my iPhone

Is anyone really minding the store? As soon as the newspapers and other media report independent studies show Medicaid expansion will cost less, all of a sudden AHCA adjusts their numbers to about 10% of the cost of what they were espousing only a couple of days ago. Does anyone see what is going on here? The Governor wants to scare the heck out of everybody with false information to justify not serving the poor, elderly and disabled. I can't wait to hear the reason for this one. I understand being off a little, but being off by 90%? AHCA should learn how to use a calculator. I thought that it was a requirement to take math in school?

Bottom line is Florida cannot justify not expanding Medicaid when it will cost only $300 million a year (not $3 billion as they previously stated) over the next 10 years to serve millions of people that don't have healthcare.

With Gov. Rick facing accusations of using inflated numbers, the Florida Agency for Health Care Administration late Wednesday released a report that slashes the state's estimated costs for carrying out key parts of the federal Affordable Care Act.

The report indicates Florida's costs could be as low as $3 billion over 10 years --- a huge drop from the nearly $26 billion figure that AHCA produced in a report last month. , a longtime critic of the federal law better known as Obamacare, has repeatedly used the $26 billion figure to express concerns about the state moving forward with an expansion of Medicaid eligibility.

The revisions came after state budget analysts, including the top staff member on the House Health Care Appropriations Subcommittee, raised questions about the assumptions that AHCA had used in the earlier report.

-- Regards,Ven Sequenzia, Jr.

NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or, (ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the Health Insurance Portability and Accountability Act ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. If you have received this email in error, please delete it immediately. Thank you in advance for your

compliance with this notice.

January 10, 2013

While the wait list for waiver services is a huge issue that needs to be addressed with priority, there are services and funding for children in our communitythat you should be able to access now (despite the wait list for the waiver services).APD does fund respite care for APD clients who are on the med waiver wait list. If you are interested in these services, ARC Broward provides them (fully fundedby APD with no cost to families). We provide respite care in family homes and/or at our main campus in Sunrise on scheduled days (mostly Saturdays and days when schools are closed). There are very specific contract requirements for this (parents cannot remainhome, etc. as it is respite as opposed to companion or Behavior Assistant services) and we have to coordinate days/times with staff so we canâ€™t always guarantee the hours (although we are usually able to accommodate all or most requests). Please contact AlanMontero, Respite Team Leader at or amontero@... to enroll. For those who are not on the wait list/APD clients, Broward County funds ARC Broward, BCC, Ann Storck Center and UCP to provide respite to eligible children and families.ARC Broward also has funding for ABA services through Broward County. The county funding provides up to 25 hours of behavioral services (assessment, plan developmentand parent training in the implementation of the behavior plan). There are eligibility requirements with regards to family income levels and childrenâ€™s diagnoses. If interested contact Patty Eberhardt at orpeberhardt@... .Also available are many services funded by the Childrenâ€™s Services Council of Broward (CSC) including our Parents as Teachers (PAT) program which offers inhome parent education and support to promote child development (for children through age 5 or up to age 10 if they are developmentally functioning below age equivalent of 5). If interested, contact Tonya Ricker at ortricker@... .CSC also funds afterschool and summer programs and a variety of other services which are all posted on their website (www.cscbroward.org). Also 211 Broward has a list of community providers/resources that many families on the med waiver wait list are eligible for.Please also feel free to contact me directly and I will be happy to provide any assistance that I can. Preston, MSDirector of Children's ServicesARC Broward10250 NW 53rd StreetSunrise, FL 33351

January 10, 2013

This is not the case in Volusia county. We have nothing available here. APD only offers respite, if the parent is no longer able to care for their child (or children), or are homeless. ARC of Volusia county offers no services for children under 18.

Subject: RE: AHCA - Agency for Hallucinations , Carelessness and ApathyTo: "sList " <sList >Date: Thursday, January 10, 2013, 3:04 PM

While the wait list for waiver services is a huge issue that needs to be addressed with priority, there are services and funding for children in our community that you should be able to access now (despite the wait list for the waiver services).

APD does fund respite care for APD clients who are on the med waiver wait list. If you are interested in these services, ARC Broward provides them (fully funded by APD with no cost to families). We provide respite care in family homes and/or at our main campus in Sunrise on scheduled days (mostly Saturdays and days when schools are closed). There are very specific contract requirements for this (parents cannot remain home, etc. as it is respite as opposed to companion or Behavior Assistant services) and we have to coordinate days/times with staff so we canâ€™t always guarantee the hours (although we are usually able to accommodate all or most requests). Please contact Alan Montero, Respite Team Leader at or amontero@... to enroll. For those who are not on the wait list/APD clients, Broward County funds ARC Broward, BCC, Ann Storck Center and UCP to provide respite to eligible children and families.

ARC Broward also has funding for ABA services through Broward County. The county funding provides up to 25 hours of behavioral services (assessment, plan development and parent training in the implementation of the behavior plan). There are eligibility requirements with regards to family income levels and childrenâ€™s diagnoses. If interested contact Patty Eberhardt at or peberhardt@... .

Also available are many services funded by the Childrenâ€™s Services Council of Broward (CSC) including our Parents as Teachers (PAT) program which offers in home parent education and support to promote child development (for children through age 5 or up to age 10 if they are developmentally functioning below age equivalent of 5). If interested, contact Tonya Ricker at or tricker@... .

CSC also funds afterschool and summer programs and a variety of other services which are all posted on their website (www.cscbroward.org ).

Also 211 Broward has a list of community providers/resources that many families on the med waiver wait list are eligible for.

Please also feel free to contact me directly and I will be happy to provide any assistance that I can.

Preston, MS Director of Children's Services ARC Broward 10250 NW 53rd Street Sunrise, FL 33351

January 11, 2013

Try contacting Easter Seals in Volusia countyâ€¦on their website it says that they provide services for children with Autism including respite care. http://fl-vf.easterseals.com/site/PageServer?pagename=FLVF_RespiteCare Preston, MSDirector of Children's ServicesARC Broward10250 NW 53rd StreetSunrise, FL 33351

January 11, 2013

Curious as to why such a difference from county to county with respite. As if the stress of raising our children is different Sent from my iPadThis is not the case in Volusia county. We have nothing available here. APD only offers respite, if the parent is no longer able to care for their child (or children), or are homeless. ARC of Volusia county offers no services for children under 18.