Helping Families With Needed Care: Medicaid’s Role for Americans With Disabilities

January 16, 2008 ResCare, Inc., President and Chief Executive Officer Ralph G. Gronefeld, presented testimony for the federal Subcommittee on Health Hearing. He spoke about ResCare's services and challenges facing social service organizations. He noted that ResCare and other organizations face future challenges in providing high-quality home-and community-based services due to the following: State reimbursement models that favor institutional services by providing greater reimbursements for services in institutional settings and lower reimbursements for those provided in home or community settings  Difficulties retaining staff due to low wages and lack of a career path He urged Congress . . .