top of page

"Transparency and Accountability Concerns in CT's Federally Funded Programs for Brain Injury Care"

The Connecticut Community Care (CCC) is a vital resource for many individuals and families in the state, providing a range of services and supports to help people live independently and with dignity. However, recent reports have raised concerns about the lack of transparency and accessibility in the answers and responses provided by CCC to the questions and concerns of the community it serves.

This lack of transparency and accessibility is a cause for concern, as it undermines the trust and confidence that individuals and families have in CCC and its services. Without clear and accessible answers to their questions and concerns, individuals may feel frustrated, ignored, or even helpless and may be less likely to seek out the help and support they need.

Furthermore, the lack of transparency and accessibility in CCC's responses also raises questions about accountability and governance. If CCC is not providing clear and accessible answers to questions and concerns, how can individuals and families be assured that their needs and interests are being taken into account in the decision-making processes of the organization?

In order to address these concerns, it is essential that CCC take steps to improve the transparency and accessibility of its answers and responses to community questions and concerns. This may involve providing more detailed and comprehensive information, using clear and concise language, and making information more readily available through multiple channels, including online and in-person.

By taking these steps, CCC can demonstrate its commitment to accountability, transparency, and accessibility and help ensure that individuals and families in Connecticut have the information and support they need to live independently and with dignity.

ABI Resources contacted,

Erin Kane Head of Quality and Performance Improvement for CCC Connecticut Community Care.

Dear Erin,

Thank you for your prompt and informative response to my inquiry about Connecticut Community Care's referral process. I appreciate the detailed explanation you provided and the clarification on the provider selection criteria.

I understand that Amy Dumont from DSS will be able to address my questions regarding documentation and eligibility. I look forward to her input on these matters.

In the meantime, I have some additional questions for you. Can you please elaborate on the electronic randomization process used for provider selection when a client does not indicate a preference? I am curious to learn more about how the system works to ensure a fair distribution of referrals. I have a few additional questions to help me better understand the referral system:

Provider List:

a. Approximately how many agency providers are currently in the Connecticut Community Care referral system? Understanding the number of providers in the system will give me a better idea of the diversity and range of options available to clients.

b. Who provides Connecticut Community Care with the list of agency providers included in the referral system? Is there a specific department or organization responsible for maintaining and updating the list of providers?

c. How often is the list of agency providers updated? Is there a regular schedule or is it updated on an as-needed basis?

d. How may we ensure that ABI Resources is listed within the system for all areas and services? May I see how ABI Resources is listed within your system?

Electronic System:

a. What is the name of the electronic system used for randomizing provider selection when a client does not indicate a preference?

b. Can you please elaborate on the electronic randomization process used for provider selection to ensure a fair distribution of referrals?

c. Who is responsible for managing the referral system and ensuring its smooth operation? Is there a specific department or organization responsible for maintaining and updating the list of providers?

d. Could you please elaborate on how the selected provider is presented to the care manager? Additionally, how is this selection subsequently presented to the client? Are there specific steps or protocols followed to ensure clients are fully informed and understand their options?

Regarding the role of care managers in the process:

a. What is the care manager's role in presenting agency providers, such as ABI Resources, to clients during the referral process?

b. How do they ensure that clients are well-informed and make the best choice based on their needs and preferences?

c. Do all care managers have access to the electronic system used for provider selection? If so, are they able to operate the system independently, or is there a specific protocol they must follow? Could you please elaborate on the level of involvement and autonomy care managers have when utilizing CCC the electronic system during the referral process?

I want to take a moment to emphasize how much we value the information you have provided and will continue to provide about Connecticut Community Care's referral process. This knowledge not only helps ABI Resources better navigate and understand the system, but it also enables us to more effectively serve the brain injury population.

By comprehending the intricacies of the referral process, we can work closely with care managers, adapt our services to meet clients' specific needs, and ensure that clients are presented with the most accurate and relevant information about ABI Resources. This collaborative approach is essential in empowering clients to make informed decisions about their care, which ultimately contributes to better outcomes for those affected by brain injuries.

Once again, thank you for your ongoing assistance and dedication to helping us serve the brain injury community more effectively.

Understanding the involvement of care managers in the process will help us better collaborate with them and support clients effectively. Your insights are greatly appreciated, I look forward to your response and any additional insights you can provide on this topic.

All the best,

David Medeiros

Following Up on Unacknowledged Requests from CCC Connecticut Community Care, ABI Resources followed up with this email.

Dear Erin,

I am writing to express our deepening concerns over the lack of response to ABI Resources' inquiry regarding Connecticut Community Care's referral process. As a provider of services to the brain injury population, we are committed to ensuring that individuals with disabilities have full access and receive the care and services they need to thrive.

We recognize that you and your team may be facing many challenges, and we urge you to prioritize ABI Resources' inquiry. The lack of communication is raising serious doubts about the reliability of information and responsiveness of your organization, and this is creating significant new concerns.

We cannot overemphasize the importance of ensuring that Medicaid consumers of the above programs have full and complete access to ABI Resources services.

We are committed to working together with you and your organization to improve the lives of individuals with disabilities. We urge you to respond to our inquiries and to work with ABI Resources to address any concerns or issues that may arise.

Thank you for your attention to this matter, and we look forward to hearing from you soon.


David Medeiros

Following Up on Unacknowledged Requests from CCC Connecticut Community Care, ABI Resources followed up with this email to,

Julia Evans Starr, President, of CCC Connecticut Community Care.


Julia Evans Starr, President,

I hope this email finds you well. I am writing to express our concern regarding a series of unanswered inquiries and concerns that we at ABI Resources have raised with Connecticut Community Care pertaining to Medicaid federally funded waivers. As we both strive to serve the same community, it is vital that our questions be addressed promptly to ensure the best possible support for the individuals who rely on our services.

Below is a list of unacknowledged email inquiries sent to Connecticut Community Care, Head of Quality and Performance Improvement detailing inquiries and concerns which have yet to receive a response:

Subject: Comprehensive Inquiry: Referral Process, Provider List, and Care Manager's Role.

a. Sent: Fri 3/17/2023 5:43 AM

b. Sent: Wed 3/22/2023 5:01 PM

Subject: Inquiry Regarding Client's Option to Change Agency Service or Care Management Provider. MFP, ABI and PCA Waivers.

a. Sent: Fri 3/17/ 2023 7:30 AM

b. Sent: Wed 3/22/2023 5:00 PM

Subject: Care Management Referral Process Inquiry for MFP Program and Waivers.

a. Sent: Sat 3/11/2023 7:17 AM

Subject: To the attention of David Medeiros CBIS.

a. Sent: Wed 3/22/2023 5:02 PM

b. Pertaining to the received communication from

Thu 9/1/2022 12:16 PM

We kindly request that these concerns be brought to the attention of the Board of Directors at the earliest opportunity, as they directly affect our mutual mission to serve the community. We believe that addressing these questions and concerns will not only strengthen our collaboration but also ensure that the individuals we serve receive the highest quality of care and support.

The lack of response to our inquiries is causing growing concerns for numerous reasons, particularly in relation to the well-being of Medicaid consumers and providers. This situation not only impairs our capacity to offer optimal care to our clients, but it also casts doubt on the effectiveness of communication and collaboration between our organizations, as well as the ability of care managers to effectively provide for the Medicaid waiver brain injured population while ensuring the rights of the person served are adhered to. It is vital to address these concerns swiftly to preserve trust and nurture a positive working relationship moving forward. At ABI Resources, we are committed to partnering with your organization to develop practical solutions to the challenges faced by Medicaid consumers. By working together, we can make a meaningful difference and enhance the quality of care provided to these individuals, ultimately improving their well-being and overall experience.

Please provide a timeline for when we can expect a response to the aforementioned inquiries. We appreciate your attention to this matter and look forward to a productive dialogue.

Thank you for your cooperation.


David Medeiros

ABI Resources has taken steps to address these concerns by reaching out to the federal government for assistance. Specifically, the organization has requested an investigation into management practices and has requested more detailed information about the programs, including the total number of program-approved agency providers, the entity responsible for managing and updating the approved provider directory list, information about public access to this list and Care Management referral practices of federal program agency providers. ABI Resources' requests for information have been made in accordance with the Freedom of Information Act (FOIA).

ABI Resources remains committed to steadfast advocacy for the rights of individuals with disabilities. We are dedicated to staying informed and up-to-date on the latest developments, and we pledge to keep you informed as we receive new information.

This article sheds light on the concerns surrounding the lack of transparency and accountability in Connecticut's federally funded programs.

Connecticut, brain-injured individuals, transparency, accountability, Approved Provider Directory, care management referral processes, Medicaid agency providers, lack of access, concerns, confusion, investigation, advocacy, Freedom of Information Act. Trending


Acquired Brain Injury (ABI) Resources: Empowering Individuals with Brain Injuries to Achieve Optimal Living

Acquired Brain Injury (ABI) is a debilitating condition that affects individuals physically, cognitively, and emotionally. ABI survivors often face a lengthy and arduous recovery process, which can result in feelings of isolation and uncertainty about the future. Fortunately, ABI Resources is here to assist.

ABI Resources is an organization committed to offering support and resources to individuals with ABI, as well as their families and caregivers. Their mission is to empower ABI survivors to achieve optimal living, and they accomplish this by providing a variety of programs and services tailored to each individual's unique needs.

A key component of ABI Resources' assistance is their community-based programs. These programs offer survivors the opportunity to engage with others who have similar experiences and to participate in activities that promote physical, cognitive, and emotional wellness. From art therapy to yoga classes to support groups, ABI Resources provides a wide range of programs that help survivors build confidence, improve their skills, and connect with others.

In addition to their community-based programs, ABI Resources also offers individualized support services. These services are designed to help survivors navigate the challenges they may face in their daily lives, such as managing finances, finding employment, or accessing medical care. The organization's team of trained professionals works closely with each individual to create a personalized plan that addresses their specific needs and goals.

One of the most inspiring aspects of ABI Resources is their commitment to education and awareness. They understand that many people are unfamiliar with ABI and its impact on individuals and families, and they work tirelessly to increase public awareness and understanding of the condition. Through their outreach programs and educational resources, ABI Resources helps to break down the stigma surrounding ABI and to promote understanding and compassion.

At the heart of ABI Resources is a deep commitment to the individuals they serve. They understand that each person's journey is unique, and they are dedicated to providing personalized support and resources to help survivors of ABI live fulfilling and meaningful lives. Whether it's through community-based programs, individualized support services, or education and awareness initiatives, ABI Resources is making a real difference in the lives of individuals and families impacted by ABI.

In conclusion, ABI Resources is an organization that inspires hope and empowerment for individuals with ABI. Their commitment to community, education, and individualized support services helps to ensure that survivors of ABI have the tools and resources they need to live their best lives. By raising awareness and breaking down stigmas surrounding ABI, ABI Resources is making a meaningful impact in the lives of those affected by this condition.

ABI Resources is a reputable organization that provides exceptional support to individuals and families in collaboration with various government agencies and community service providers, including the Connecticut Department of Social Services DSS, COU Community Options, the Connecticut Department of Mental Health and Addiction Services DMHAS, Connecticut Community Care CCC CCCI Southwestern Connecticut Area on Aging SWCAA, Western Connecticut Area on Aging WCAAA, Allied Community Resources ACR, Access Health, and United Services. ABI Resources collaborates care with renowned institutions such as UCONN, Yale, and Hartford. As a community care and supported living provider, ABI Resources is dedicated to offering high-quality and personalized care to enhance the lives of those it serves. Medicaid MFP Money Follows the person program / ABI Waiver Program / PCA waiver.

The information provided is for educational and informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this platform.

ABI Resources does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this platform. Reliance on any information provided is solely at your own risk.

The use of this platform does not create a doctor-patient relationship or any other type of healthcare provider-patient relationship. If you think you may have a medical emergency, call your doctor, a medical professional, or your local emergency number immediately.


In summary, ABI Resources is a reliable and dedicated organization that helps individuals with acquired brain injuries to achieve optimal living. By providing community-based programs, individualized support services, and educational resources, ABI Resources is making a significant impact on the lives of those affected by this condition. Their unwavering commitment to raising awareness and breaking down stigmas surrounding ABI ensures that survivors have the necessary tools and resources to live their best lives. Through collaboration with various government agencies, community service providers, and esteemed institutions, ABI Resources continues to enhance the lives of the individuals and families they serve.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 


bottom of page