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Health Providers Scramble to Keep Remaining Staff Amid Medicaid Rate Debate

The ranks of community-based behavioral health providers in Montana have diminished amid rising costs, greater need, and stagnant Medicaid reimbursement rates. Now, as state lawmakers debate solutions, providers are hoping just to cover their costs

Andrew Johnson lets his clients choose what music to play in the car.

As an employee of Family Outreach in Helena, Montana - an organization that assists developmentally disabled people - part of his workday involves driving around, picking up clients, and taking them to work or to run errands.

"What's up, gangsta?" Johnson said as a client got in the car one day in March.

The pair fist-bumped and...


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