Product details

This case explores the balance for control over public programs between public officials and interest groups. The Montana PAS program was extremely informal and decentralized until requirements for Medicaid funds required much tighter controls of the institution. Disability advocacy groups strongly opposed the controls and the way in which they were implemented. However, other groups, such as the elderly, support the new procedures. The state''s contractor is caught in the middle. A long history of political battles has made each side suspicious of the others. The case ends with the state on the verge of authorizing a new program and deciding how to balance federal Medicaid requirements; their need for accountability; the logistical demands of serving a rural state with diverse populations including native Americans; and service recipients'' demand for autonomy.