VIEWPOINT | When South Dakota falls short, CSPs fill the gap — and foot the bill
Guest column by Dan Cross
The governor’s annual budget address officially kicks off the legislative session. It sets the tone for spending decisions and often includes mention of the “big three” — state employees, education and healthcare. The lesser known community support providers (CSPs), fit into healthcare services specific to people with intellectual and developmental disabilities (IDD) such as autism, Down syndrome, cerebral palsy or dually diagnosed with IDD and mental illness. Severity of disability ranges from mild to profound.
CSPs differ from standard healthcare providers because they rely entirely on Medicaid and offer broader services. CSPs do not have a payer mix and private insurance does not cover services. The scope of services also differs greatly from standard healthcare providers. Beyond basic healthcare, CSPs support the person’s entire life, including residential, vocational, day programs and community support.
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