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AIDS groups coping as contractor stops paying Medicaid claims

Mayor taking steps to restore payments for patients

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Vince Gray, LGBT Town Hall, Wilson Building, Mayors Office for GLBT Affairs, Gay News, Washington Blade
Vince Gray, Washington D.C., Gay News, Washington Blade

ā€˜In light of the financial problems of Chartered, I will be taking steps to protect the Districtā€™s health care provider network,ā€™ said Mayor Vincent Gray in a statement. (Washington Blade photo by Michael Key)

Whitman-Walker Health and several other D.C. health care organizations say they are continuing to provide services to Medicaid clients with HIV/AIDS following the announcement in April that a city contractor had stopped paying Medicaid claims.

Whitman-Walker and several other local providers serving HIV/AIDS patientsĀ told the BladeĀ they have so far managed to get by without getting paid for patients on Medicaid following the financial collapse of a city contractor thatĀ has operatedĀ D.C.’sĀ Medicaid program.

A Washington Post story on Sunday reported that many small health care providers, including doctorsā€™ offices and small clinics serving low-income clients, were struggling to keep their doors open since the Medicaid payments stopped last month.

The Medicaid problem began earlier this year when Chartered Health Plan, the company that arranged for Medicaid payments to doctors, hospitals, and other health care providers entered into voluntary receivership after encountering severeĀ financial problems.

Under its contract with the city, Chartered managed Medicaid related issues for more than 100,000 low-income D.C. residents, according to a statement released in April by the D.C. Department of Health Care Finance.

The Post reported that Chartered Health Plan, once a multimillion dollar company, faced near financial collapse this year as an apparent result of revelations in late 2010 that its owner, Jeffrey E. Thompson, allegedly financed a ā€œshadow campaignā€ in support of Vincent Grayā€™s 2010 mayoral election.

The United States Attorneyā€™s office continues to investigate issues surrounding the campaign, which the cityā€™s Office of Campaign Finance has said violated the cityā€™s campaign finance law. Gray has said he had no knowledge of the so-called shadow campaign and has cooperated with investigators looking into the matter.

Whitman-Walker spokesperson Chip Lewis said Chartered owes Whitman-Walker just over $40,000 in back Medicaid payments for patient services.

ā€œWhitman-Walker Health is absorbing the delay in payments from Chartered Health Plan within our current operations,ā€ Lewis told the Blade. ā€œGoing forward, we do not anticipate this outstanding balance will create a major financial burden as it is a relatively small amount of funds compared to our monthly operating budget of $2.2 million.ā€

Ron Simmons, executive director of Us Helping Us, and Lloyd Buckner, executive director of MetroHealth, formerly known as the Carl Vogel Center, said the cityā€™s Medicaid payment delays havenā€™t adversely impacted their respective organizations at this time.

Both organizations provide services for people with HIV/AIDS and both accept patients on Medicaid, the two said.

Michael Weinstein, director of the Los Angeles-based AIDS Healthcare Foundation, which operates an AIDS clinic and pharmacy in D.C., said, “Medicaid is not a big funder to our clinic” and the interruption of Medicaid payments in D.C. “is not significant to us.”

An official with La Clinica del Pueblo, a D.C. clinic that provides AIDS-relatedĀ medical services for the Latino community,Ā couldnā€™t immediately be reached for comment.

ā€œIn light of the financial problems of Chartered, I will be taking steps to protect the Districtā€™s health care provider network that has taken years for us to develop,ā€ Mayor Gray said in a statement in April.

ā€œMy primary goalĀ is to protect the stability of the community-based providers that will be at risk of closing their doors and turning away patients if there is a significant delay in being paid,ā€ Gray said.

Gray said that he directed his Deputy Mayor for Health and Human Services, BB Otero, and the Department of Health Care Finance to develop a plan to provide relief for providers hit the hardest by the Medicaid payment cutoff.

The Post reported that since the time of the mayorā€™s announcement last month the city has retained a new company, AmeriHealth Caritas of Philadelphia, to replace Chartered Health as the cityā€™s lead contractor for Medicaid services.

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District of Columbia

Weekend brings two shootings in U Street, Dupont Circle areas

Man dies after incident at Desperados

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Two shooting incidents marred the weekend.

A man was shot to death shortly after 1 a.m. on Saturday, April 27, inside the Desperados Burgers & Bar at 1342 U St., N.W., which is located on the same block a short distance away from the LGBTQ nightclub Bunker D.C. and around the corner less than a block away from the recently opened LGBTQ bar Crush on 14th Street, N.W.

The incident prompted Bunker to post on its Facebook page a message saying its security team quickly ushered patrons standing outside to enter the club and as a precautionary measure prevented patrons from leaving until it was deemed safe to do so.

A D.C. police statement identifies the shooting victim as Kenneth Goins, 43, of Salisbury, Md. The statement says officers on patrol in the 1300 block of U Street, N.W. heard gunshots at about 1:12 a.m. and immediately arrived at Desperados to investigate the incident.

ā€œOfficers located a man inside with multiple gunshot wounds,ā€ the statement says. ā€œDespite all life saving efforts, the victim was pronounced dead on the scene,ā€ it says. Neither the statement nor a police incident report pertaining to the shooting provides a description of the person who committed the shooting nor discloses whether any of the customers inside the restaurant and bar witnessed the shooting.

The statement says the police Homicide Branch is investigating the shooting and urges anyone with knowledge of the incident to call police at 202-272-9099. Like all homicide cases, it says the D.C. Metropolitan Police Department offers a reward of up to $25,000 to anyone who provides information that leads to the arrest and conviction of the person or persons responsible for a homicide committed in the District.  

 ā€œThere was a shooting incident on U ST. N.W., just 4 doors down from BUNKER,ā€ the Bunker Facebook post says. ā€œOur security team promptly responded, ensuring the safety of everyone by ushering them inside for cover,ā€ it says. ā€œCurrently, the courageous police officers are outside, handling the situation and working diligently to maintain a secure environment for our guests,ā€ the message continues.

ā€œAs a responsible establishment, we strongly prioritize your safety, and as a precautionary measure, we will not permit anyone to exit the building until we deem it safe to do so,ā€ the posting says. ā€œRest assured, we, as the owners, take this matter very seriously, and your safety remains our highest priority.ā€ 

The U Street shooting at Desperados Burgers & Bar took place a little over two hours after six people were shot and wounded outside the Decades nightclub at 1219 Connecticut Ave., N.W. near Dupont Circle and near several gay bars on P Street and 17th Street in the Dupont Circle area. Police said none of those who were shot suffered life-threatening injuries

A separate police statement says with the help of several witnesses, police identified and arrested Rennwel Mantock, 29, of Hyattsville, Md., in connection with the shooting on charges of Assault with Intent to Kill, Possession of Unregistered Ammunition, and Possession of an Unregistered Firearm. The statement says a gun belonging to Mantock was recovered on the scene. Court records show a judge has ordered him to be held without bond until a May 7 preliminary hearing.

ā€œThe detectivesā€™ investigation determined Mantock opened fire after employees removed him from a nightclub following a dispute,ā€ according to the statement.

A police arrest affidavit filed in D.C. Superior Court says Mantock told police at the time he was apprehended on the scene that he was dancing with a woman at the club when a security guard ordered him to leave and then ā€œgrabbed him by the neck and punched him in the face right before dragging him down the steps.ā€ The Decades club states on its website that it has several floors with multiple bars.

According to the arrest affidavit, Mantock told police that one of the security officials punched him in the face again and threw him to the ground after dragging him out the door. It says Mantock ā€œstated that he then pulled out his gun and started shootingā€ because ā€œhe was very upset about the security punching him in the face,ā€ adding that he ā€œbegan firing at the Decadesā€™ security.ā€

The affidavit says five of the six people shot were Decades employees.

Gay former Dupont Circle Advisory Neighborhood Commissioner Mike Silverstein, who lives near where the shooting took place, said Decades is not known as a place that LGBTQ people patronize but said the surrounding neighborhood is home to many LGBTQ residents and draws many LGBTQ visitors. 

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Maryland

Md. governor signs Freedom to Read Act

Law seeks to combat book bans

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Maryland Gov. Wes Moore (Public domain photo/Twitter)

Maryland Gov. Wes Moore on Thursday signed a bill that seeks to combat efforts to ban books from state libraries.

House Bill 785, also known as the Freedom to Read Act, would establish a state policy ā€œthat local school systems operate their school library media programs consistent with certain standards; requiring each local school system to develop a policy and procedures to review objections to materials in a school library media program; prohibiting a county board of education from dismissing, demoting, suspending, disciplining, reassigning, transferring, or otherwise retaliating against certain school library media program personnel for performing their job duties consistent with certain standards.ā€

Moore on Thursday also signed House Bill 1386, which GLSEN notes will ā€œdevelop guidelines for an anti-bias training program for school employees.ā€

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District of Columbia

Catching up with the asexuals and aromantics of D.C.

Exploring identity and finding community

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Local asexuals and aromantics met recently on the National Mall.

There was enough commotion in the sky at the Blossom Kite Festival that bees might have been pollinating the Washington Monument. I despaired of quickly finding the Asexuals and Aromantics of the Mid-Atlanticā€”I couldnā€™t make out a single asexual flag among the kites up above. I thought to myself that if it had been the Homosexuals of the Mid-Atlantic I wouldā€™ve had my gaydar to rely on. Was there even such a thing as ace-dar?

As it turned out, the asexual kite the group had meant to fly was a little too pesky to pilot. ā€œHave you ever used a stunt kite?ā€ Bonnie, the event organizer asked me. ā€œI bought one. It looked really cool. But I canā€™t make it work.ā€ She sighed. ā€œI canā€™t get the thing six feet off the ground.ā€ The group hardly seemed to care. There was caramel popcorn and cookies, board games and head massages, a game of charades with more than its fair share of PokĆ©mon. The kites up above might as well have been a coincidental sideshow. Nearly two dozen folks filtered in and out of the picnic throughout the course of the day.

But I counted myself lucky that Bonnie picked me out of the crowd. If thereā€™s such a thing as ace-dar, it eludes asexuals too. The online forum for all matters asexual, AVEN, or the Asexual Visibility and Education Network, is filled with laments: ā€œI donā€™t think itā€™s possible.ā€ ā€œDude, I wish I had an ace-dar.ā€ ā€œIf it exists, I donā€™t have it.ā€ ā€œI think this is just like a broken clock is right twice a day type thing.ā€ What seems to be a more common experience is meeting someone you just click withā€”only to find out later that theyā€™re asexual. A few of the folks I met described how close childhood friends of theirs likewise came out in adulthood, a phenomenon that will be familiar to many queer people. But it is all the more astounding for asexuals to find each other this way, given that asexual people constitute 1.7% of sexual minorities in America, and so merely .1% of the population at large. 

To help other asexuals identify you out in the world, some folks wear a black ring on their middle finger, much as an earring on the right ear used to signify homosexuality in a less welcoming era. The only problem? The swinger communityā€”with its definite non-asexualityā€”has also adopted the signal. ā€œItā€™s still a thing,ā€ said Emily Karp. ā€œSo some people wear their ace rings just to the ace meet-ups.ā€ Karp has been the primary coordinator for the Asexuals and Aromantics of the Mid-Atlantic (AAMA) since 2021, and a member of the meet-up for a decade. She clicked with the group immediately. After showing up for a Fourth of July potluck in the mid-afternoon, she ended up staying past midnight. ā€œWe played Cards against Humanity, which was a very, very fun thing to do. It’s funny in a way thatā€™s different than if we were playing with people that weren’t ace. Some of the cards are implying, like, the person would be motivated by sex in a way that’s absurd, because we know they aren’t.ā€ 

Where so many social organizations withered during the pandemic, the AAMA flourished. Today, it boasts almost 2,000 members on meetup.com. Karp hypothesized that all the social isolation gave people copious time to reflect on themselves, and that the ease of meeting up online made it convenient as a way for people to explore their sexual identity and find community. Online events continue to make up about a third of the groupā€™s meet-ups. The format allows people to participate who live farther out from D.C. And it allows people to participate at their preferred level of comfort: while many people participate much as they would at an in-person event, some prefer to watch anonymously, video feed off. Others prefer to participate in the chat box, though not in spoken conversation.

A recent online event was organized for a discussion of Rhaina Cohenā€™s book, ā€œThe Other Significant Others,ā€ published in February. Cohenā€™s book discusses friendship as an alternative model for ā€œsignificant others,ā€ apart from the romantic model that is presupposed to be both the center and goal of peopleā€™s lives. The AAMA group received the book with enthusiasm. ā€œIt literally re-wired my brain,ā€ as one person put it. People discussed the importance of friendship to their lives, and their difficulties in a world that de-prioritized friendship. ā€œI can break up with a friend over text, and we donā€™t owe each other a conversation,ā€ one said. But there was some disagreement when it came to the bookā€™s discussion of romantic relationships. ā€œIt relegates ace relationships to the ā€˜friendā€™ or ā€˜platonicā€™ category, to the normie-reader,ā€ one person wrote in the chat. ā€œOur whole ace point is that we can have equivalent life relationships to allo people, simply without sex.ā€ (ā€œAlloā€ is shorthand for allosexual or alloromantic, people who do experience sexual or romantic attraction.)

The folks of the AAMA do not share a consensus on the importance of romantic relationships to their lives. Some asexuals identify as aromantic, some donā€™t. And some aromantics donā€™t identify as asexual, either. The ā€œAromanticā€ in the title of the group is a relatively recent addition. In 2017, the group underwent a number of big changes. The group was marching for the first time in D.C. Pride, participating in the LGBTQ Creating Change conference, and developing a separate advocacy and activism arm. Moreover, the group had become large enough that discussions were opened up into forming separate chapters for D.C., Central Virginia, and Baltimore. During those discussions, the group leadership realized that aromantic people who also identified as allosexual didnā€™t really have a space to call their own. ā€œWe were thinking it would be good to probably change the name of the Meetup group,ā€ Emily said. ā€œBut we were not 100% sure. Because [there were] like 1,000 people in the group, and theyā€™re all aces, and itā€™s like, ā€˜Do you really want to add a non-ace person?ā€™ā€ The group leadership decided to err on the side of inclusion. ā€œYou know, being less gatekeep-y was better. It gave them a place to go ā€” because there was nowhere else to go.ā€

The DC LGBT Center now sponsors a support group for both asexuals and aromantics, but it was formed just a short while ago, in 2022. The founder of the group originally sought out the centerā€™s bisexual support group, since they didnā€™t have any resources for ace folks. ā€œThe organizer said, you know what, why donā€™t we just start an ace/aro group? Like, why donā€™t we just do it?ā€ He laughed. ā€œI was impressed with the turnout, the first call. Itā€™s almost like we tapped into, like, a dam. You poke a hole in the dam, and the water just rushes out.ā€ The group has a great deal of overlap with the AAMA, but it is often a personā€™s first point of contact with the asexual and aromantic community in D.C., especially since the group focuses on exploring what it means to be asexual. Someone new shows up at almost every meeting. ā€œAnd Iā€™m so grateful that I did,ā€ one member said. ā€œI kind of showed up and just trauma dumped, and everyone was really supportive.ā€

Since the ace and aro community is so small, even within the broader queer community, ace and aro folks often go unrecognized. To the chagrin of many, the White House will write up fact sheets about the LGBTQI+ community, which is odd, given that when the ā€œIā€ is added to the acronym, the ā€œAā€ is usually added too. OKCupid has 22 genders and 12 orientations on its dating website, but ā€œaromanticā€ is not one of them ā€” presumably because aromantic people donā€™t want anything out of dating. And since asexuality and aromanticism are defined by the absence of things, it can seem to others like ace and aro people are ā€˜missing something.ā€™ One member of the LGBT center support group had an interesting response. ā€œThe space is filled byā€¦ whatever else!ā€ they said.  ā€œWeā€™re not doing a relationship ā€˜without that thing.ā€™ Weā€™re doing a full scale relationship ā€” as it makes sense to us.ā€

CJ Higgins is a postdoctoral fellow with the Alexander Grass Humanities Institute at Johns Hopkins University.

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