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Corporations with Orwellian names like Greensprings and Value Behavioral have made deep inroads in other states and could move into Michigan's mar- ket as the state looks for bidders to provide services to some 1 mil- lion Medicaid beneficiaries. A request for proposal, or RFP, went out late last year that asks managed care organizations to bid for the privilege of serving Michigan's Medicaid population. The deadline is early March. But Mr. Stein said his sense is that managed care organizations may not want to get into the business of residential service programs. `They may be more interested in potentially competing with CMH agencies for state funding or be more involved in hospital and outpatient-type programs. It remains to be seen whether their interest will be to directly operate residential services pro- grams," he said. The good news is that clients may get waivers from the state to continue to receive services from their provider of choice, but the provider would have to make up the difference in cost between its services and the services of- fered by the winning bidder. But social service agencies know that once they are sharing the arena with for-profit providers like HMOs, they must not only compete by bringing their own costs down, but will have to get a lot busier raising funds on their own, Ms. Keller and Ms. Jacobs agreed. JARC raises money in a vari- ety of ways, including selling used cars, but it relies heavily on one annual fund-raiser for a third of its $5.2 million annual oper- ating budget. The remainder of its funds come from state and federal sources. The cost of supporting clients — 150 of them in group homes and apartments, and another 250 who are on the waiting list and require assistance — ranges from $20,000 to $50,000 per per- son yearly. Even if CMH boards are ulti- mately cut out as the middle man or begin choosing companies who offer the cheapest services, Mr. Stein doesn't believe JARC will ever go out of business. `The more realistic possibility is, as the system becomes more competitive and state funding becomes more limited, JARC will have more pressure to find fund- ing from other sources." ❑