MCO SBS/CBHS Update and
Call to Action

Throughout June, AFHC participated in three settlement bargaining sessions with DSHS, OFM, and the Health Care Authority (HCA) regarding ongoing payment issues tied to Managed Care Organizations (MCOs), SBS, and CBHS residents.

At each session, we presented detailed proposals outlining what providers need. While the state provided a rebuttal, they maintain that the payment issues are resolved and don’t have money in the budget to make necessary changes.

Although we made some minor progress, the state has not moved on key funding concerns. Because we strongly disagree with their position, AFHC will continue to demand formal bargaining and is actively pursuing an Unfair Labor Practice (ULP). A formal hearing is scheduled for mid-November if no agreement or settlement is reached before then.

We Need to Hear from You

If you are a provider caring for residents funded through MCOs, SBS, or CBHS, we need to hear from you right away.

Many providers have reported:

• Delayed payments of 5 to 8 months or more

• Denied claims and unresolved billing errors

• Tens of thousands in unpaid reimbursements

• Taking out personal loans just to pay staff

This is unacceptable. No provider should be expected to operate without timely payment for services already rendered. We are committed to holding the state and MCOs accountable—but we need your help.

How You Can Help

We have a dedicated staff member at AFHC whose sole focus is gathering data from impacted homes. This information will strengthen our case and allow us to advocate more effectively on your behalf. You will be contacted soon to participate in our MCO Impact Survey. In the meantime, please reach out directly to Suaad Laari by calling or emailing:

360-706-2602

suaad@adultfamilyhomecouncil.org

We know these are challenging times, but we are here for you. We’re working hard to ensure your voices are heard, your rights are protected, and your homes remain financially stable.

Thank you for all that you do.