I am deeply disturbed by the tone of this article.
The Maine program experiencing this magnitude of cost overruns has nothing to do with quality of services as most families struggle to access basic services for children, it has to do with basic incompetency of administration.
Maine is notorious, as well as many other states, to shift the burden of child welfare services to child welfare services. Yes this is redundant so allow me to expound upon this.
The basic revenue-maximization scheme is to place the child under the auspices of the state to access more financially beneficial funding streams.
Simply put, Maine will put a kid in foster care for reimbursement of administrative costs to provide basic services that should have been provided in the first place if there was leadership who was in possession of rudimentary elements of public administration.
Then, as kids, particularly special needs children, are snatched and placed into foster care services, national statistics become skewed showing how horrible parents are in the state. In reality, this is how Maine thought it would get away with trying to balance it budget on the billable souls of kids.
Here, reactively, the state begins to cut services provided to the community.
MaineCare Medicaid Policy Revision
Due to woefully inadequate management, the state must take away from the community to make up for its budgetary shortfalls.
So why are there shortfalls to begin with? Well, when you have child abuse propaganda machines conditioning public opinion to justify placing a child in foster care, for billing purposes of Medicaid Targeted Case Management, of course, on the idea that the state is providing educational special needs services due to child abuse and neglect, you have the fundamental elements of fraud, waste and abuse of federal and state funding.
And, if you dope these special needs kids with psychotropic meds, the state thinks that the rate of administrative payment increases.
Mainecare, its Department of Education, Department of Health and Human Services and its contactual partnerships need to be publicly flogged. If no one wants to flog them, then, contractually debar them.
See, an official of the State of Maine (a fan) informed me that the legislature, with advice and consent of the child abuse propaganda machines, was to "ease the rules" a bit when it came to accessing certain educational services. It seems parents were challenging the liberal application of psychological diagnosis (ADHD, Bipolar), so the "easing of the rules" allowed for greater access to educational services for children at a higher rate of reimbursement.
HHS Appellate Decision on Maine Department of Health and Human Services 2009 Targeted Case Management