CPST proposes less service coverage for greater costs.  In order to meet staffing structure requirements, more LMHP staff will be needed to provide services.  

Currently an individual receiving psychosocial rehab, skill building, and therapy (2x month) at most receives 162 hours of support a month.  By new unit maximums the most acute individual will receive just 28 hours a month.  The reduction in resources equates to a loss of nearly 87% or 134 hours of care.  Such a drastic cut in services will create undue hardships and significantly increase risks for hospitalizations.  Current services divert individuals from hospitalization and incarceration.  We anticipate an uptick in psychiatric crises.  But based on CPST guidelines, individuals will be discouraged from accessing local crisis supports.

What supports will be available to individuals who need support to manage daily living needs, experience severe and persistent- (daily) symptoms?  Is the assumption that the service providers will provide 24/7 supports but only be paid for 28 hours a month?  Or will more individuals meet hospitalization criteria due to lack of intensive community based services?  What other Medicaid services will be offered to provide more hours of coverage/support?  (ACT has very narrow criteria for admission if the program is following evidence based, fidelity model for the program)