An advocacy group claims that despite efforts byGov. Matt Bevin's administration to fix widespread problems with Kentucky's new public benefit system, massive disruption continues for "tens of thousands of Kentuckians"in vital services such as Medicaidhealth coverage and food stamps.
"Our fellow Kentuckians now find themselves in desperate, life-altering situations," said the five-page statement from Keep Kentucky Covered, a coalition of advocacy and public interest organizations. It says more than 50,000 Kentuckians have been affected so far under the Feb. 29 launch of the new system known as Benefind.
The statementcomes as people continue to report infuriatingproblems such as abrupt cancellation of benefits, hours-long waits on the phone or at state benefit offices, and repeated rejections from the computerized system supposed to provide a one-stop shop for public benefits.
Elderly and disabled people, sick children and even refugee survivors of torture havebeen cut off essential benefits, according toreports from individuals and advocates.
"I don't mean tobe greedy," said Gayle Downs, 69, a retiree from Jeffersontown who said she's been trying for more than two months to get food stamps to which she's entitled."It just seems an affront to those of us who are trying to make it."
Doug Hogan, spokesman for the Cabinet for Health and Family Services, did not respond to several requests for comment Thursday. On Friday afternoon, he provided a brief statement saying "we certainly acknowledge there have been issues with Benefind" but added that it is "simply untrue"to claimthatmore than 50,000 people have lost benefits.
Some 51,000 cases are under review because of "data integrity issues" but that does not mean all of those individuals lost benefits, Hogan'sstatement said.
"Disseminating inaccurate information causes additional confusion," the statement said.
Bevin and top cabinetofficialsheld a news conference last week to try to explain problems with the Benefind system started under the administration of former Gov. Steve Beshear. They said they are working to fixthe system, which Bevin said "has not worked as anticipated."
Officials said at the newsconference they don't know how many people may have lost benefits.
Benefit cuts hitting adults with disabilties
An official with Deloitte Consulting, which developed the $101 million system for the state, said it was thoroughly tested but unexpected problems arose after it waslaunched.
People who work with Benefind on a daily basis said the problems continue, with new ones arising even as old ones are fixed.
"It has been a total disaster," said Jennifer Jackson, who works in Clay County in Eastern Kentucky helping people sign up for health coverage.
One client with a brain tumor had Medicaid coverage canceled, she said. An impoverished and disabledgrandmother raising young grandchildren has been cut off assistance, including food stamps and Medicaid for the pastmonth.
"She's been to the food stamp office every day, on oxygen, crying and begging them to help her, " Jackson said.
Security flaws on kynect health website
State workers, bewildered by the complicated new Benefind system, find themselves obstructedfrom helping many clients by errors, glitches and programming flaws, said Jackson, who has gone to the Clay County state benefit office with some clients seeking help.
"It was packed, with people standing at the door," she said. "People were cussing and hollering. I'venever seen anything like it."
Refugees in Kentucky, who are legal residents and entitled to public benefits while they get settled and find jobs, have been cut off or find applications blockeddespite hours of efforts by case workers, said Rebecca Jordan, a Kentucky state refugee coordinator.
Letter to Bevin
Jordan sent an eight-page letter to Bevin on Tuesday detailing the problems that have "jeopardized the health and stability of an already vulnerable population." Itprompted a quick response from state human service officials who said they are working to fixthe problems, Jordan said.
"Hopefully, we will start to see some improvements," she said.
The affected refugees include survivors of torture who get services through a nonprofit treatment program in Louisville, said Dr. Sarah Acland, a psychiatrist who works with them. Since Feb. 29, a steady procession of clients have shown up, bewildered by the sudden loss of benefits,she said.
Many need regular health care and medication for physical or psychological damage.
"These people have survived unimaginable horrors," Acland said. "This is just a system they find difficult to navigate."
Kendel Arthur, who works in Eastern Kentucky helping people get health coverage, said she has spent "outrageously long hours" on hold with the state, trying to help families who've been cut off coverage.
"It's really frustrating to tell parents with sick kids that the system has errors in it, just be patient," she said.
Meanwhile, complaints and calls for help from panicked Kentuckians continue to grow, said Emily Beauregard, executive director of Kentucky Voices for Health, a coalition of health advocacy organizations that launched the Keep Kentucky Covered campaign.
While the state claims that many of the thousands of letters notifying people of loss of coverage are in error, Beauregard said that doesn't help people who have been cut off or fear being cut off because of new demands, such as providing proof of income or citizenship the state already has.
Some people havereceived letters telling them they owe the state money for benefits that have been cut off,demanding payment, she said.
"Imagine the stress that is causing low-income individuals, the elderly and the disabled," she said. "They've lost their benefits and now owe money back to the state they don't have."
Kynect and Benefind
Beauregard's group says one of its chief concerns is Bevin's plans to dismantle kynect,Kentucky's nationally recognized health insurance exchange, by the end of this year in the midst of widespread disruption caused by Benefind.
Benefind was designed to work with kynect, launched by Beshear under the Affordable Care Act for Kentuckians to shop for private health coverage or enroll in Medicaid if they qualify as low-income.
But Bevinplans to transition Kentuckians to the federal healthcare.gov site to shop for private insurance plans and use Benefind as the primary means for people to enroll in Medicaid.
But given the startup problems with Benefind, the group questions whether the state can meet federal mandates to continue coveragefor Kentuckians and provide a "seamless transition," the group said.
Already, some 500 "kynectors" around the state, trained to help people access health coverage through kynect, have been largely shut out of the new system, unable to help clients, the group said.
"The bottom line is that Benefind was never built to replace kynect," the statement said.
While Bevin administration officials claim kynectors should have access to the benefit system, in reality they don't, the group's statement said. Meanwhile, people have disappeared from the kynect system and workers can't locate any record of their health coverage,it said.
Jackson, the Clay County worker, said she was trained as a kynector but has been helpless to aid clients who need coverage through kynect or had already obtained it but have been canceled. She was even unable to help one client trying to buy a private health plan through the exchange, she said.
"The system wouldn't let me submit an application," she said.
Beauregard said she doesn't know how the state will correct the seemingly massive number of problems with peoples' benefits.
"I think it will take a very long time to deal with a backlog of cases," she said. "The repercussions are causing harm now."
Contact reporter Deborah Yetter at (502)582-4228 or at dyetter@courier-journal.com.
