Video & Transcript Research : 'integrated settings'
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OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 27 Mar 23rd, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Cherry has extensive experience in supervising psychology trainees across training levels in integrated
- Members, what this does is in when we have the sick of the sick and they have an integrated specialty
- So this would raise that and set that in statute at 350.
- There are some we believe that this is a federal program and so some of that is still being set through
- We're just simply setting up the funds and setting up the revolving fund and setting up the guidelines
Bills:
HB2059, HB3920, HB2992, HB3267, HB4457, HB3800, HB3818, HB4425, HB4427, HB4430, HB4431, HB4333, HB4340, HB4343, HB4344, HB4363, HB4229, HB4230, HB4236, HB4246, HB1979, HB3431, HB3052, HB3047, HB3048, HB4092, HB4302, HB3261, HB3704, HB3312, HB3546, HB3849, HCR1021, HB4105, HB4159, HB4304, HB3835, HB3619, HB4490, HB3710, HB4201, HB3907, HB3748
Keywords:
health care, medication, inmates, Oklahoma Health Care Authority, reimbursement, county jails, medical expenses, sales tax exemption, nonprofit organizations, procurement, transplant research, Oklahoma Tax Code, HB2992, Data Center Customer Ratepayer Protection Act of 2026, Corporation Commission, Oklahoma utilities, ratepayer protection, data centers, artificial intelligence computing, AI data centers
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 19 Mar 4th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- That's why we're setting up this framework for them because right now they don't have that ability.
- my concern for animal welfare, but for the purpose of local control in the precedent that this bill sets
Bills:
HB4358, HB2398, HB3557, HB3129, HB3312, HB2210, HB1937, HB3021, HB4246, HB4230, HB3617, HB3657, HB2976, HB3391, HB4459, HB4128, HB3989, HB2989, HB4060, HB3145, HB2992, HB3464, HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457, HB2947, HB2951, HB2980, HB3082, HB3519, HB3644, HB3882, HB3661, HB3996, HB4335
Keywords:
screen time, education, public schools, child development, digital learning, youth health, academic performance, credential of value, workforce development, labor market, government reporting, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, free expression, colleges, security fees, public forums
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 20th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- the Lincoln Christian Bulldogs established its wrestling program in 2020, Coach Sttoes has been an integral
Bills:
HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056
Keywords:
emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan
HI
Hawaii 2026 Regular Session
House Chamber - Tue Feb 17, 2026, 12:00PM HST - Day 16
Hawaii House Floor Meeting
Bills:
HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692
Keywords:
HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency
HI
Hawaii 2026 Regular Session
JHA Info Briefing - Tue Feb 17, 2026 @ 2:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- >> Okay, let me just make sure I am all set up here. Share my screen.
- >> Okay, let me just make sure I am all set >> Okay, let me just make sure I am all
- set up<00:36:06.320>
here. - Uh, let me just set up my slideshow here. A little bit about myself: my name is Tai Chang.
- Uh let me just set up my slideshow here. Uh let me just set up my slideshow here.
Bills:
HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692
Keywords:
HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 4/13/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- Governor Walz has put forward a strong set of program integrity proposals that tighten oversight across
- proposals<00:02:42.680>
that set of program integrity proposals that set of program integrity - , settings, settings, and<00:08:10.920>
enhancements <00:08:11.800>to <00:08:11.920> - <00:27:23.679>
reports, the annual program integrity reports, the annual program integrity - <00:29:23.280>
staff, 42 dedicated program integrity staff, 42 dedicated program integrity
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jan 12th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- What we want to do is work with you all to help live out a more integrated vision.
- of bureaucrats rather than getting conflicting information from two sets.
- And the same thing goes with, you know, systems integration and data sharing.
- And the same thing goes with, you know, systems integration and data sharing.
- Integrated decision tree.
Summary:
The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces.
Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning.
The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/25/26
Health and Human Services
Transcript Highlights:
- It will also update the curriculum to focus on program integrity. program integrity work. program integrity
- integrity approaches. integrity approaches.
- program integrity integrity controls. program integrity integrity controls.
- They're setting their own prior authorization and billing requirements and their own program integrity
- setting their own provider network. setting their own provider network.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jan 12th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- But what we want to do is work with you all to help live out a more integrated vision.
- of bureaucrats rather than getting conflicting information from two sets.
- of bureaucrats rather than getting conflicting information from two sets.
- And so on WIOA state plans, you know, information from two sets.
- And same thing goes with systems integration and data sharing.
Summary:
The committee heard testimony from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, on efforts to better align workforce, education, and human services programs. Moore argued that WIOA, Perkins, and ESSA were designed to function as an integrated talent system, but that federal and state bureaucracy has kept them siloed. He said the Department of Labor and OCTAE are working on more integrated state plan guidance, including a 2026 plan modification timeline, combined Perkins/WIOA plans, and greater use of labor market information to align training with in-demand jobs and Workforce Pell.
Moore emphasized reducing overhead, cross-training staff, using common intake and integrated case management, and focusing on the “shadow labor force” of people facing benefit cliffs, child care barriers, or other obstacles to work. He repeatedly urged states to use waivers and flexibility where possible, to consolidate or streamline local workforce structures, and to hold programs accountable through measures such as labor force participation, training-related employment, retention, and cost per successful outcome. Members asked about the balance between flexibility and accountability, the role of employers versus postsecondary institutions, rural “training deserts,” state waivers, and data systems such as Mississippi Spark and Arkansas Launch. Moore said states should use technology and integrated intake to co-enroll eligible participants in multiple programs and better match people to jobs.
In response to questions, Moore said some federal rules cannot be waived, but many reporting and administrative requirements can be streamlined, and he encouraged Arkansas to propose ideas for waivers or state-level integration. He also discussed the need for enhanced wage records and state longitudinal data systems to improve workforce planning and economic development. After Moore’s presentation, DHS Secretary Janet Mann and Director Jay Hill gave a brief update on reimbursement rates, saying the department had compiled more than 100 public comments, recommended holding the current rate, and was awaiting executive review; they estimated the process could take 30 to 60 days. The committee then adjourned, noting a later audit presentation scheduled for the afternoon.
MN
Transcript Highlights:
- Friday is the budget, no integrity. Friday is the budget, no integrity.
- and setting moratoria for ICS. and setting moratoria for ICS.
- First, program integrity. concern. First, program integrity.
- . settings. settings.
- major program integrity efforts. major program integrity efforts.
FL
Florida 2025 Regular Session
February 11, 2025 - 09:00 AM
Transcript Highlights:
- I am familiar with the data cataloging and the integration.
- I am familiar with the data cataloging and the integration.
- We procured a system integrator and independent...
- We shifted some of our development and integrations.
- Mentioned several integrations.
Summary:
The subcommittee heard updates on several state technology modernization efforts, beginning with the Florida Division of Emergency Management’s Enterprise Business Solution (DEMS). FDEM said DEMS is about 50% complete, with some grants and finance functions already live, and is intended to replace manual disaster and grants processing with a cloud-based system. Officials described faster reimbursement timelines after recent storms, major return-on-investment claims, and a planned final phase focused on design, testing, communications, data governance, and additional functionality. Members asked about the total cost, the role of Florida Digital Service, deliverables-based contracting, and how much of the system is live; FDEM said the project is expected to cost about $16 million to $16.8 million and finish by June 2027, with some follow-up information to be provided.
The Department of Legal Affairs presented its Office of Attorney General Modernization Program, a follow-up to an earlier effort that failed after spending about $26 million. Acting Attorney General John Gard said the department has now moved to an off-the-shelf case management product, LawBase, and is in development and testing, with the Office of Statewide Prosecution already live and full implementation expected by the end of the fiscal year. The request includes funding for staff augmentation, cloud storage, the LawBase license, redundancy through a backup site in Orlando, and OnBase support. Members questioned the prior failure, the use of Florida Digital Service standards, data location and cloud migration, and the redundancy plan; Gard said lessons learned included better scoping and that the current effort is on track.
The Department of Highway Safety and Motor Vehicles then updated the committee on Motorist Modernization, including the Orion system and the MyDMV portal. Officials said Phase 1 and Phase 2 have modernized driver license and motor vehicle services, with Phase 2 statewide rollout scheduled to begin in April 2025 and Phase 3 proposed at $16.5 million for dealer services, data warehouse improvements, and call center modernization. Members asked about payment options, organ donor questions, staffing, cybersecurity, cloud strategy, and the digital driver license program. The agency said the portal already allows some sanctions to be cleared online, an ACH option is being developed, the digital driver license vendor has changed with a fall go-live anticipated, and the department is using security testing and a managed security service provider. Officials also said the system is currently on an on-prem private cloud, with future workloads expected to move to public cloud where appropriate.
Finally, Florida Commerce presented on the Reemployment Assistance modernization system, Reconnect, and the FLWINS workforce system. Commerce said Reconnect is hosted in the Azure Government Cloud, has reduced claim filing time, improved fraud detection, and increased appeals capacity, and now needs $4.9 million in recurring funding to cover ongoing operations, cloud hosting, licenses, and staff augmentation. Members asked about adjudication issues, wait times, fraud prevention, and whether the system stores caller identifiers; Commerce said the average wait to speak to a representative is about 18 minutes and claims are generally processed in four to six weeks. The committee then began hearing about FLWINS, which is intended to create a “no wrong door” workforce portal under the REACH Act, but the transcript cuts off before that presentation concluded.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Mar 26th, 2025
MN
Minnesota 2025-2026 Regular Session
Casting provisional ballot requirement 3/9/26
Minnesota House Floor Meeting
Transcript Highlights:
- But the integrity, which is a component of integrity, is again where 98% of the people live in the United
- But the integrity they could vote.
- >
to <00:09:03.839>our this brings more integrity to our this brings more integrity to - Um, overlooking voter integrity is a huge thing and the cost.
- Um, overlooking voter integrity is a huge thing and the cost.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/7/26
Human Services Finance and Policy
Transcript Highlights:
- And so, what we're really looking at thinking about is how can we create one set of rules, one set of
- MCOs set their own rates, they set their own provider networks, they set their own prior authorization
- the rates, set the prior authorization requirements, set the network.
- So, again, setting the network, setting the rates, setting the prior authorization requirements, setting
- Moving on to program integrity.
FL
Florida 2025 Regular Session
February 5, 2025 - 09:00 AM
Transcript Highlights:
- So what do we do to integrate those systems?
- You've built the integration on your side. We built the integration on our side.
- You now have two sets of books of record for the state of Florida that don't integrate.
- Florida PALM is a new set of language.
- And that was the integration services and integration platform, what we referred to as the ISIP vendor
Summary:
The subcommittee heard updates on several major technology modernization efforts, beginning with the Department of Financial Services’ Florida PALM project, which is replacing the state’s decades-old FLAIR accounting system. DFS described PALM as a statewide effort affecting all three branches of government, with cash management already live and the remaining financial management, payroll, and data warehouse components still in development. Officials said the project began in 2014, was restructured after a 2022 legislative pause, and is now being recommended for a go-live delay from January 2026 to July 2026. Members asked about governance, staffing, contract structure, cost growth, and maintenance costs; DFS said the contract is deliverable-based, the current amendment would add a net $2.2 million, and post-go-live maintenance is expected to be about $13 million annually under the current contract through July 2027.
The Agency for Health Care Administration then updated the committee on the FX Medicaid enterprise modernization program. AHCA explained that federal CMS directed states to move from monolithic Medicaid systems to a modular approach, leading Florida to procure separate vendors for integration services, data warehouse, unified operations, provider services, and claims processing, with pharmacy benefits still to be procured. Officials said the project has spent about $334 million to date, with most costs federally matched, and requested $189.95 million for the upcoming year. They also highlighted a 2024 special assessment that produced 81 recommendations, most tied to staffing shortages, and said the Legislature added 47 FTEs, with 17 currently filled or being filled. Members asked about governance changes, production status, data access, and future technology maintenance; AHCA said some components are operational, the data warehouse is nearing certification, and the agency is working to keep the system adaptable and nonproprietary.
The Department of Children and Families presented its Access modernization project, which is replacing a mainframe-based eligibility system used for SNAP, TANF, Medicaid assistance, and related programs. DCF said the six-year, $205 million project is in its third year and has already delivered a new customer portal with mobile access, multi-factor authentication, and fraud protections, while also building a worker portal, document management, community partner tools, and workload management functions. The agency said it is requesting $36.625 million for the next fiscal year, the same as last year, and emphasized that the project has remained on schedule and on budget by breaking work into smaller modules and using strong vendor and staff support. Members praised the project’s progress and asked about cybersecurity testing and the long delay before modernization began; DCF said security requirements were built in from the outset and that the remaining work will focus on moving staff off the legacy mainframe and modernizing notices and back-end processes.
MN
Minnesota 2025-2026 Regular Session
House bill would halt changes to Minnesota DHS disability program billing 4/9/26
Minnesota House Floor Meeting
Transcript Highlights:
- underlying integrity issues. underlying integrity issues.
- What does real program integrity like?
- ><00:10:35.120>
rebuild <00:10:35.440>the sets up a It sets us up to rebuild the sets up - setting approval process currently. setting approval process currently.
- . settings. settings.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- So why modernization through integration?
- Number two is the integrated service.
- How do we create a set of workforce waivers and planning that allow us to start to integrate governance
- And in that 1996 bill, it set forward...
- Now, how will that be set up in a way that someone can...
Summary:
The committee met to hear consultants Mason Bishop and Cameron Christie discuss Arkansas’s “one door/no wrong door” workforce and social services modernization effort. Bishop argued that the current system is fragmented across multiple agencies, offices, and portals, making it hard for job seekers and employers to access services efficiently. He said the goal is to create a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and other economic disruptions.
Bishop repeatedly pointed to Utah as a model, describing how that state combined workforce and public assistance functions into a single agency, used statewide cost allocation to blend funding streams, and improved customer service and outcomes after reform. He said Arkansas should consider integrating governance, service delivery, and financing, including possible waivers, a statewide cost allocation plan, and a benefits-cliff pilot. He also said Arkansas’s current local workforce board structure creates duplication and weak coordination, and that Launch is a useful tool but not a full service-delivery system.
Committee members asked how the proposal would work in practice, including whether TANF could be used to cross-train DHS workers, how federal waivers might be obtained, how local boards would be affected, and how disabled clients would be handled. Bishop said TANF should be treated as part of a workforce strategy, that federal pilot authority for workforce reform nearly passed but did not, and that waivers are now the practical path. He also said Arkansas could either merge functions more fully or at minimum co-locate workforce staff in DHS offices statewide. No votes were taken; the meeting ended with plans to continue the discussion in August, including a focus on case management and whether the state is managing programs or people.
MO
Missouri 2026 Regular Session
Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026 at 01:00 pm
Substance Abuse Prevention and Treatment Task Force
Transcript Highlights:
- So integrating that and coordinating that is essential.
- So I love and completely agree about integration.
- So I love and completely agree about integration.
- He had already left many treatment settings in the past.
- He had already left many treatment settings in the past.
MO
Missouri 2026 Regular Session
Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026
Substance Abuse Prevention and Treatment Task Force
Transcript Highlights:
- So integrating that and coordinating that is essential.
- So I love and completely agree about integration.
- So I love and completely agree about integration.
- He had already left many treatment settings in the past.
- So I think there are these levels of integration.
Summary:
The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health.
Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present.
Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Care Management Committee May 13th Meeting May 13th, 2026
Transcript Highlights:
- Integrated care that by default includes dental, right?
- But how do we think about dental in a different way that can reach in other settings?
- Reach and other settings.
- It's not cheap by the care, because you don't set the rates.
- That may be under data integration and what our portal can and can't do.
Summary:
The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention.
The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support.
The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.