State Medicaid administrator Leslie Clement is laying out a couple of possible scenarios for cutting $25 million from Idaho's Medicaid benefits. The first scenario: Eliminate all Developmental Disability Center services for adults, to save $8.4 million in state funds; and eliminate psycho-social rehabilitative services, to save $1.8 million. In addition, the scenario contemplates covering only urgent dental services, except for pregnant women; and charging co-pays. In total, that'd save $25.2 million in state funds, and cut $84 million in total funds from Medicaid services.

A second possible scenario would increase provider assessments, and rather than eliminate developmental disability center services, reduce them by 10 percent; cover only urgent dental care for adults; and reduce chiropractic, podiatry and vision services; charge co-pays; and trim other services and therapies. That scenario saves only $20.7 million in state funds, however, short of the target.