Health and Human Services Cost Saving Ideas

Welcome to the “Cost Savings Ideas” website of Governor Paul LePage. Here, you are invited to share your ideas for promoting cost savings in the Department off Health and Human Services, Dirigo Health, Disability Rights Center, Foundation for Blood Research, Maine Children’s Trust, Inc. (Board), Maine Health Data Organization, Maine Hospice Council, Maine Veteran’s Home (Board of Trustees), and other related agencies.

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Please keep in mind this is a public forum. For security reasons, please do not include any personal information. All submissions are to be civil and appropriate for a public forum; any submission containing profanity or personal attacks will not be posted. Thank you

Please share your government cost saving ideas in the area of health and human services here.

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  1. take a healthy portion of tax return funds from those that are receiving state help and return these funds back into the programs they use.

    take a healthy portion of tax return funds from those that are receiving state help and return these funds back into the programs they use. Cap their available returns to a small amount instead of giving them several thousand of dollars to spend on useless products(I know this does not apply to all who receive these tax credits),if funds were returned back into these programs than maybe more people could get a little extra help or the programs could stay in existence.

    7 votes
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      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
    • Impose a Zero Tolerance of Abuse by staff for residents in nursing home.

      Currently, it is difficult to justify an abuse complaint as the resident is viewed as a liar. I would like to see data collected for abuse complaints made to the Nursing Board by MaineCare residents or their families in their behalf which were found "no abuse founded after investigation" and compare them to the complaints made by residents and family memebers of those with insurance. Maybe just how many complaints are made in general per year in Maine? I feel there is a need to stay on top of this. A Zero Tolerance may also increase our standard of care…

      4 votes
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        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
      • get people off welfare

        Social services should review and investigate receiptants. Too many are soaking the state for being lazy. Most should be working because they really can.

        11 votes
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          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
        • telecommute for state employees -or work 4 --10 hour days

          allow state employees to telecommute and work from home so many days per month
          less time in the offices or go to 4 -- 10 hour days and shut the office down 1 day per month or 1 day per week

          8 votes
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            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
          • Health and Human services should make spot home visits.

            It should be expected that a team of workers are assigned to go to the addresses of people receiving benefits and see 'what's happening' through home visits. This may be beneficial for some people as they may need more help than what they are requesting and the workers can help them, while others may have new cars, large screen TVs or working "under the table" and the workers can intervene with that too. I think direct observation of recipients situation is far more accurate than depending on a recipients voluntary information.

            5 votes
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              1 comment  ·  Flag idea as inappropriate…  ·  Admin →
            • Welfare fraud in state government

              Gov. League should be going after 50 percent of welfare fraud to state employees that fraud the welfare system. The fraud started there! Many employees of state gov. Fraud the welfare tanif/ system that goes way back! Claiming children that weren't supporting the fathers was/ embezzling money/ food/heating assistance. Ect.

              1 vote
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                0 comments  ·  Flag idea as inappropriate…  ·  Admin →
              • Increase funding for western blot test for Lyme disease

                The CDC's official estimate in the number of cases of Lyme disease in the US has increased from 30,000 to 300,000 in the past year alone. Lyme is a disease that, when not treated promptly and aggressively, can result in far more serious implications than the initial flu-like symptoms. The condition known as "Chronic" or "post" Lyme disease syndrome has been a source of a good amount of both attention and controversy in the news lately. I'm close with somebody who's dealing with it, and I know exactly how debilitating and frustrating it can be for a person. Victims are…

                1 vote
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                  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                • Reduce the cost of opioid abuse by capturing/verifying ALL prescriptions before filling: http://slidesha.re/1nNb9OL

                  Technology captures each prescription as it is written, checks to see if doctor shopping is possible. Tech. also checks prescription when being filled, checks to see if recently filled elsewhere. Stopped fraud pays for the system and then some: http://slidesha.re/1nNb9OL

                  2 votes
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                    0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                  • Distribute food boxes with necessary staples only instead of handing out food stamps.

                    My family and I had to rely on assistance with food when we first moved back to Maine four yrs. ago. We were given so much in food stamps, far more than what we needed. We only used that as a stepping stone, however, I think far too many people rely on it. As a working Mainer, I can only afford to purchase no name brands, as I watch food stamp recipients in front of me in line buying the best of everything. Not fair. Sends a wrong message. I think that boxes filled with staple, like rice, peanut butter,…

                    16 votes
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                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                    • Clarify State MaineCare eligibility Rules for the identification of assets as countable or as "unavailable" in ACES--

                      There is typically a $2,000 asset limit for MaineCare eligibility. However, this limit is disregarded when assets over these limits are identified by DHHS-OFI personnel as "unavailable" as they enter it into ACES during the eligibility or application process.

                      PROBLEM: Current methods used to determine whether assets are countable toward this $2,000 limit are far too subjective, and open to judgment error. State personnel are forced to place too much reliance upon the good word of MaineCare applicants. Since most OFI personnel have expertise in other areas, they do not have adequate knowledge of the different types of financial instruments…

                      1 vote
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                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                      • No work=no pay

                        1. Put all welfare recipients to work at schools, hospitals, nursing homes, day cares, soup kitchens. No free ride, they're getting paid, how about earning it?
                        2. Drug testing for all recipients.
                        3. Outlaw prehumous estate planning and asset transfers; it exists to get the free ride in many cases.
                        4. Limit foods accessible to food stamp/EBT to healthy foods; align with WIC guidelines, not t-bones & doritos
                        5. Eliminate unemployment hearing officers and hire former business managers that have a clue.
                        6. Require minimum citizenship durations before eligibility for programs is allowed.
                        7. Demand proof that attempts to garner…

                        45 votes
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                          1 comment  ·  Flag idea as inappropriate…  ·  Admin →

                          There are many ideas here, which makes it difficult to address. See below for responses to a few.
                          1. The ASPIRE program is to encourage more people to participate in work and work-related activities.
                          2. Maine will began drug testing of convicted felons within the next few months.
                          3. Under review
                          4. The federal government has not allowed Maine to ban junk food.
                          5. Unemployment is a different department.
                          6. Residential residency requirements are not allowed per Federal law.
                          7.The Legislature rejected the Governor’s proposal to require proof of applying for three jobs before receiving benefits.
                          8 & 9. These are under other departments.

                        • Food stamp Fraud: DHHS has no system in place to stop food stamps from parents when there childern are taken away from them! DHHS depends on

                          Have a computer program that informs the other departments of this change. Now it would be automatic.

                          8 votes
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                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                          • Nursing home physician waste

                            I thought I'd mention an area of waste I'm painfully aware of. Nursing homes. And it's not because the residents are getting too many pieces of bologna, or their beds are held too many days while they are in the hospital. There is a facility that has 62 residents. The doctor comes by once a week on Wednesdays. He gets there at 11am and is gone by 2pm. The nurses tell him how it is, and he agrees. I know of someone who waited 5 years for physical therapy that she never received. Yet the facility gets money for also…

                            4 votes
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                              under review  ·  1 comment  ·  Flag idea as inappropriate…  ·  Admin →
                            • No bottle deposits on Food Stamps

                              Botlle deposits are not edible and sholud not be paid for by food stamps. If there is a sin tax, it should not be purchased with food stamps. Seems simple enough, food stamps use to be that way. If it's taxable, why should our tax money( via SNAP) be used to pay the sin tax, that money should be spent on healthy foods.
                              I have watched Snap participants by several cases of soda at a time. Then the bottles are returned for cash, to by ciggaretts and alcohol.
                              Many SNAP participants are also given a $10. stipen that I believe…

                              3 votes
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                                under review  ·  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                              • Non-Citizens/Green Card Holders should not be allowed access to Government State Funding/Welfare/EBT

                                Non American Citizens or Green Card Holders should not be allowed access to TANF (WELFARE)/ Foodstamps, or any other state help. I am tired of seeing American citizens barely making it and suffering; while non citizens/green card holders are getting full rent paid, cars, and extra stuff. I find it insulting; and upsetting. As a single mother who is barely making; and not even making it, suffers while they live off our taxes. This is not a refugee this is a Country of Citizens.

                                38 votes
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                                  started  ·  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                • Screen every person arrested and found guilty of theft for food stamps/mainecare/ssi. If the person has these things then the welfare should

                                  People who have a lifestyle of theft often also have many of the welfare programs going. They should be screened at the jail and the state should stop the welfare and charge the person for fraud because they have had unreported incomes.

                                  5 votes
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                                    under review  ·  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                  • Revise MaineCare reimbursements

                                    I work in a medical setting and cannot believe the number of MaineCare patients who have preventable diseases or conditions that could be remedied by less drugs, more exercise and better eating habits. The number of medications that many patients are on is astounding. And, of course, many MaineCare patients feel their opportunities to work and contribute are limited by their medical issues. Why doesn't the state give a monetary incentive to physicians/medical offices who actively encourage diet education/changes, exercise, etc.? Pay them at a higher reimbursement rate than the doctors who add another prescription to the list. Reimburse for…

                                    12 votes
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                                      under review  ·  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                    • Welfare supplement instead of full welfare

                                      Give welfare recipients who want to work (but don't bother looking for a job because they know they won't be able to make ends meet better than on welfare), a supplement to help them so that getting a job makes sense. There is a chasm that exists between the amount of money one earns and what living costs that makes it difficult to work and make ends meet. So, once a person is receiving money for housing, food, etc., why should they work? Wouldn't it make more sense to encourage those who want to work by offering them an amount…

                                      15 votes
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                                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →

                                        The challenge that many States face is that the Federal government establishes program rules and eligibility for services and they are all income based.DHHS is looking at ways to encourage work and help people return to independent living.

                                      • MaineCare Benefits should be scaled back!!

                                        Kids on MaineCare should NOT be able to get orthodonist braces 100% free!! Seriously, most insurances do not cover them let alone pay 100%. I'm paying $6,000 for braces out of pocket with dental insurance...and in no way should I have to help pay for someone on MaineCare to get them so they can have straight teeth. I'm so sick of hearing of kids at the school that I teach at that are getting free braces because they have MaineCare! Urgh!!!!

                                        10 votes
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                                          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                        • LETS LOOK AT THE DESERVING PERSONS WHO NEED A TEMPORARY HELPING HAND

                                          A young girl and guy have a baby, they are wonderful parents with the girl staying home as a full time Mom. They live in a third story apartment, the only one they could afford, but not really. The guy works 40 hrs a week and brings home $294.00 a week, over time is not an option. This young couple does not have cable TV or dish, they do not have the internet, they can't afford these things, but they are getting food stamps, and fuel assistance. They think things over about how their life is going and the young…

                                          16 votes
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                                            under review  ·  4 comments  ·  Flag idea as inappropriate…  ·  Admin →
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