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

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

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 "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

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

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

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

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

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

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

The committee is reviewing follow up information provided by KDADS #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 asking for a survey to be sent about TCM services. #ksleg #tcm

The committee is discussing options and next steps. #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

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

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

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