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February 13, Alaska Department of Health and Social Services Kanaweb  Form

February 13, Alaska Department of Health and Social Services Kanaweb Form

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you a lot of states have been doing reform for a long long time and states who have really transformed their entire Medicaid programs have really done so over a period of about a decade or some even longer I think you know whether there are a lot of folks who will say well why haven't you done this why haven't you done that and the truth is we've been here since December first and we're interested in moving forward but we recognize that we don't have all of the answers we have to work with the stakeholders we have to work with tribes tribal organizations to be able to move forward and I think that everybody when you say reform everybody has their own idea in their head about what that means but all of those definitions are either wildly different or slightly different but enough different in ways that people have disagreement about where those lines are drawn so that's what's happening right now with the reform process is getting people in the room to be able to have those really tough

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