NY’s TBI Waiver: A New Beginning? Maybe

In an intense forthright discussion with me today, three New York State Department officials, all  part of an impressive new-leadership for the state’s TBI Waiver, made it clear that Timothy J. Feeney will not have the contractual authority he did in the past nor the ability to exceed any contractual authority as survivors (including this writer), family members and providers witnessed in the past.

It was also made clear that the “training” provided by Feeney’s company will not be the only option for providers when it comes to being approved for being PBIS (Behavioral) Directors.

Equally important to understand is that the state’s contract is with the Southern Tier Independence Center (STIC) in Binghamton, not Feeney’s company, and STIC is on the hook to make sure the neurobehavioral contract’s deliverables are provided as called for in the contract. All indications are STIC will be giving the work to Feeney and his people.

I like, and was genuinely impressed, with the three folks I met with today: Deputy Commissioner Mark Kissinger, Carla Williams, Deputy Director Office of Long Term Care and Mary Ann Anglin, Director of the Division of Home & Community Based Care Services. Kissinger is wonderfully straight forward and direct, Ms. Williams, who will never be accused of being shy or understated, is refreshingly intense and forceful, and Ms. Anglin is  a marvelously clear and creative thinker. All three made their loyalty to the best possible waiver clear to me, and I have no reason to disbelieve them. If I did (or ever do), I’ll tell you.

It is important to note too that these three were not at the helm back in the days when Feeney was able to run roughshod over people and providers, inflicting admission holds at will and, as many of us know, acting on his penchant for reminding providers that if they didn’t do what he told them to do, he’d shut off their admissions straight away. Feeney and his crew would at times direct who should be fired and who should or should not be promoted. I can even recall instances where he directed that cognitive therapy is not an option because it doesn’t work; about as absurd a claim as one can make in the world of brain injury. Kind of like telling someone summiting Everest that oxygen is irrelevant.

I was also reassured that survivors, families and providers should not hesitate to file complaints if they have them. I explained that in the past there was a reality-based fear in filing complaints against Feeney and his crew because the response was often punitive. Fear can be a helluva manager. I was assured in no uncertain terms that those days are in the past.

And so we will see. I can tell you that if you have complaints or concerns of any kind, you can file them with the Kahrmann Advocacy Coalition (kahrma1@gmail.com) as well as with the Brain Injury Association of New York State.

One thought on “NY’s TBI Waiver: A New Beginning? Maybe

  1. In reading your post I cant help but to wonder: are there no other professionals that STIC can hire to run this contract? what do they accomplish by sticking with Feeney? STIC can hire who ever they want to run this contract as long as the person has real credentials and is a true professional. Speaking of professional, certainly who ever has heard of Feeney lecture or deal with providers and/or participants knows that professional is not a good description. DOH has the auhority to pressure STIC to move in a different direction and despite their rhetoric they need to do the right thing in this situation. One more thing: has anyone evaluated Feeney and his work? DOH should know. They had the contract for years and surely someone should have evaluated him and his crew. The operational word here is ..should. Let Feeney and his crew explain their evaluations and reports they did based on one visit and meeting with the person for an hour. Let them explain how clinically sound that practice was and how relevant their reports were. Thre were many regional offices who did not want to use them to assess participants because their work was questionnnable if not relevant or useful and they never provided written reports. Has DOH looked into that? That is easy to do if tehy want to. Of course these regional offices and providers were reluctant to talk because of fear of Feeny and his connections in DOH. However now DOH is run by different people, with no questionnable connections or relatonships with Feeney, and they must do the right thing. If any other potential contractor or provider had such a history with the state DOH would never allow such a contractor to hire them.


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