Scott and I were talking on our way home on Friday about some of the discussions we had around medicaid billing, vocational services etc. One thing that we talked about is that when we work with a client, we often work hard to find ways to make vocational services fit into our regular goals (i.e. - if we have a client who is agorphobic, and we take them to look for jobs or an interview, we will bill for that time stating that we were providing support to them in the community and working on coping skills.) As a result of billing this way, sometimes our vocational services are not being accurately reflected in our numbers, because we billed Medicaid. Do other programs do this as well? If so then the database information is not really reflective of the work we do and therefore we may in fact be providing 50% employment services, but our numbers don't show that.
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