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Like the Substance Abuse medical is the bridge to reform waiver as of 13 it is a demonstration waiver 1115 waiver called the organized Delivery System of medical waiver so the state amended the state plan and made a parole to cms approved this august to show it if they increased the Services Covered by drug medical that they could by organizing the system and having smooth trisz from levels of care and using evidence based practices they could improve the care and overall costs of medicaid would not go up you can opt in or not opt the community likes a demonstration waiver they should we we already do so were coming in and the bay area was chosen as phase one so there are several tasks for Substance Abuse services im in charge of one to have the implement plan with the timelines for everything and another one to set rates we negotiate with the state and make a new contract we want the rates to be realistic because if you compare grants the drug medal there is a huge increase in account

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