So, I have 2 kids with special needs – Arabella, who is 8 years old, and Darin, who is 4 years old.
And they both receive services from the government through a program called a Medicaid waiver.
This is amazing. First, it gives them Medicaid health insurance even if we are not poor. Second, it provides attendant care and therapy to help our home life work better.
So, within the parameters of each program, we can receive services.
But outside the parameters, we don’t have much freedom to access the money. If we want the services they recommend, we can spend the money. If we want other items not planned for by the original program, we can’t use the money.
This is where the Microboard comes in:
Within each program, profit for the agency that delivers the services is built in – to cover the overhead of running the business.
For example, if an hour of attendant care costs the program $15/hour:
- $8.50 may go to attendant wages
- $1.00 may go to Employer-related taxes
- $5.50 may be for profit/overhead
For example, if an hour of therapy costs the program $70:
- $45.00 may go to therapist wages
- $5.00 may go to Employer-related taxes
- $20.00 may be for profit/overhead
The State doesn’t control how the profit/overhead is spent.
A Microboard becomes the agency for 1 person.
- One client doesn’t require much overhead.
- By using a volunteer board, no personnel costs.
- “Profit” can be used for services not included in the program!