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The Latest Wrinkle May 11, 2018
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  To all of the mothers being served by LeadingAge members and our members celebrating the day, we wish you all well and thank you for your love and devotion.  

Michigan Long Term Supports and Services- Where are We Going?


We have literally been watching the evolution of long term services and supports (LTSS) in Michigan and elsewhere – with some concerns about how frail seniors will really be served in the next decade. Just one of the opportunities (or challenges) to senior care is the strong push in Michigan to move to managed long term services and supports for all Medicaid beneficiaries. Last year’s (FY2018) Budget Boilerplate included a requirement to explore implementation of a managed care system for LTSS.

As part of that process, MDHHS (through a third party) has surveyed stakeholders as a preliminary step to move to managed care. They have sought information about quality, access, and service delivery. The Department plans to continue its analysis through mid-2018.

LeadingAge Michigan continues to monitor and evaluate trends in Michigan and elsewhere – particularly in terms of quality and access to LTSS. Michigan at last report, maintains its status at number 40 among states and D.C in the proportion of Medicaid dollars to home and community based services. A larger proportion of spending goes to nursing homes, but many states outrank us in the overall proportion of our frail seniors residing in those settings. At this time there is virtually little or no funding for any levels of care in between.

Managed care could solve some of those problems, if designed well. But how will we know it will be designed well when we have yet to see the results of the last managed care iteration – MI Health Link – Michigan’s Demonstration to Integrate Care for Persons with Medicare and Medicaid? It is absolutely critical that we are thoughtful and deliberate if we are to develop such a program – and not take pilot programs statewide without understanding the consequences.

Things to think about:

  • Will care models continue to underfund home and community based services or limit access to those programs?
  • Will the ultimate system be another cost overlay on an already confused and complex system – between area agencies on aging, aging and disability resource centers, MI Choice Waiver Providers, limits to home and community based funding in residential settings, MI Health Link, PACE, nursing homes, etcetera?
  • Will we fully engage consumers and families in their care?
  • Will this be another managed long term care program that won’t really be evaluated?
  • Will the program actually integrate care – especially medical and behavioral health – or will we just simply put all the same barriers under the one roof?

Recently the University of Michigan Center for Healthcare Research & Transformation (CHRT) published a report for the Michigan Department of Health and Human Services. The report was in response to legislative boilerplate reviewing the current status of LTCSS in Michigan, as well as other states that have already implemented Managed Long-term Care Supports and Services.

In preparation for this publication LeadingAge Michigan was asked to participate as a Key Informant and our written comments can be found here. We will keep you informed as the process moves forward.


Advocacy


A Town Hall Conversation – You’re invited


  We hope you’ll make plans to join us on Monday, May 21 at 12:30 pm in the Diamond Center Ballroom of The Suburban Collection Showplace in Novi, for our first annual LeadingAge MI Town Hall Conversation. This is your opportunity to provide input about ways national public policy is affecting you, the older adults you serve, and how policy could be changed for the better.
LeadingAge national has established a new public-policy setting process. This process includes the role of a convener from each state association and an annual Town Hall Conversation. The LeadingAge Michigan Board of Directors has chosen Steve Kastner to serve as Michigan’s convener who will lead the discussion at our Town Hall meeting.

LeadingAge state and national staff, and a member of the LeadingAge national Board of Directors, will participate on-site in Novi to hear directly from you. Results of the conversation will be shared with LeadingAge’s Public Policy Committee, Board of Directors and staff, and will be used to help set public priorities to better represent your interests and the interests of older adults in Washington, DC.

All LeadingAge Michigan members are invited to attend and we would encourage you to extend this invitation to your board of directors and staff. The feedback from our Town Hall Conversation – and each state town hall across the nation – will be aggregated so we can identify the most pressing issues across states, themes and emerging issues.

In preparation for this event please review the 2018 Advocacy Policy Priorities provided by LeadingAge national. Ultimately, the Association wants to know what you believe to be are the three most important issues for our advocacy priorities.

NOTE: At the end of the meeting we will be asking each person in attendance to rank the top three areas of advocacy for our national Board. We will also be using an electronic polling application so please bring along your device of choice. While this is being held in conjunction with our annual conference, it is open to those who are not attending the conference.


Medicaid Update


The MDHHS Medicaid Administration on May 1 released MSA 18-08 to identify rules for State Veteran’s Homes Medicaid Reimbursement. Veterans’ Homes that are state-owned and operated are defined as Class VII facilities for reimbursement purposes. According to the bulletin, Medicaid customary billing, provider enrollment type (PET), and covered services apply to Veterans’ Homes except as detailed in the policy.

Reimbursement to Veterans’ Homes will be prospective per patient day, and based on the RUG classification of each resident. The reimbursement rate for each RUG category will be set as a percent of the Medicare SNF prospective payment system rate. The Veterans’ Homes will be notified of the percentage and payment rates at the beginning of each state fiscal year.

Veterans’ Homes are excluded from the nursing facility Quality Assurance Assessment Program (QAAP) and all Quality Assurance Supplement (QAS) payments funded by the QAAP. Veterans’ Homes will submit a Medicare SNF cost report, but will not submit a Medicaid cost report to the department’s Reimbursement and Rate Setting Section (RARSS).


Not-for-Profits in an Election Year: Guiding Principles


As the nation prepares for mid-term congressional elections this year, many not-for-profit aging services providers are concerned about staying within Internal Revenue Service rules for allowable politically-related activity. LeadingAge has prepared a set of guidelines to help members stay in compliance.

  • Can individuals who work for a not-for-profit organization contribute to political campaigns or participate in candidate fundraising?
  • What kind of help can be provided to residents to learn about candidates who are running for office or getting to the polls to vote?
  • Can your organization hold candidate forums?
  • What if an elected official who is running for reelection wants to visit your community to talk to your residents?

All of these questions are discussed in a new publication, Lobbying and Election Activity: Guiding Principles for Nonprofit Providers. As the campaign season heats up, we hope these guidelines will help you balance your and your residents' rights as citizens with the IRS restrictions on political activity by nonprofits.


Across the Continuum


Small Businesses May Be Able to Keep Existing Health Coverage Through 2019


A previously extended transitional policy that permits health insurance issuers to continue group coverage that would otherwise be terminated or cancelled related to changes in the Affordable Care Act (ACA) has been further extended to policy years beginning on or before October 1, 2019, provided that all policies end by December 31, 2019. Health insurance issuers that renew coverage under the extended transitional policy are required to provide standard notices to affected small businesses for each policy year.

Policies subject to the transitional relief will not be considered to be out of compliance with key ACA provisions, including:

  • The requirement to cover a core package of items and services known as essential health benefits;
  • The requirement that any variations in premiums be limited with regard to a particular plan or coverage to age, tobacco use, family size, and geography; and
  • The requirements regarding guaranteed availability and renewability of coverage.

Click here to review the extended transitional policy.


Cybersecurity Risk Management Oversight: A Tool for Board Members


As more and more companies suffer data breaches, scrutiny and legislative obligations increase for management and board members in their oversight roles regarding cybersecurity risk management. On April 12, 2018, the Center for Audit Quality (CAQ) released the publication, Cybersecurity Risk Management Oversight: A Tool for Board Members,” to help guide board members in discussions of cybersecurity risks and to ensure organizations establish and maintain sound processes and controls for identifying and responding to breaches. For the full article click here.


Home and Community Based Services


New Opportunities for HCBS Providers under Medicare Advantage Plans


In early April, CMS issues its FY2019 Medicare Advantage Plan and Part D Final Rate notice which (along with the Bipartisan Budget Act (CHRONIC Care Act) expands supplemental benefits for these Medicare managed care entities. Currently, supplemental benefits include those items that are health related, and limited to anything that prevents, cures, or diminishes illness or injury. Services or products that assist with daily maintenance are outside of that coverage definition.

In the 2019 Final Rate Notice, the definition has been expanded to include anything that

  • Diagnoses, prevents, or treats
  • Compensates for physical impairments
  • Lessens the impact of functional or psychological impact of health conditions
  • Reduces avoidable use of services

All benefits must be considered medically appropriate and ordered or provider as part of a care plan, be targeted or time limited, enhance quality of life, and improve health outcomes. These new options are only available to those enrolled in a Medicare Advantage Plan that chooses to include the services as supplemental benefits. Plans will identify what supplemental benefits they will offer when they submit their bids for CY2019. CMS is expected to provide more detailed information to health plans prior to bid submission. Each health plan will be able to negotiate payment for these services.


MI Choice Waiver Renewal Document Posted for Public Comment


The Michigan Department of Health and Human Services has posted on its website waiver renewal applications for two Home and Community Based Services programs for public comment. This includes both the 1915 (c) MI Choice Program Waiver, as well as the 1915 (b) waiver for services within the MI Health Link Demonstration.

Seven major changes are identified at the beginning of the 1915 (c) application, including:

  • Combining medical and non-medical transportation into one service
  • Requiring the InterRAI Home Care Assessment at 90 days following the initial assessment and then annually.
  • Including nursing facilities as a site for out-of-home respite
  • Updates to the Quality Improvement Strategy
  • Frequency of planned communications between participant and supports coordinator must be documented with the service plan
  • Utilizing a Community Health Worker that uses unlicensed supports brokers to ensure needs are met and resources located and arranged
  • Adding care for ventilator dependent participants within the Private Duty Nursing service that can include respiratory therapists

Both renewal applications must be submitted to CMS by July 1, 2018 in order for review and approval, with an effective date of October 1, 2018. The documents posted by the department for review and comment are in draft form and will be updated from time to time as necessary until the final version is posted on July 1. Comments on the waivers are due to the department by June 1, 2018.


Skilled Nursing


SNF PPS Final Rule/PDPM Slated for October 1, 2019


CMS has refined and reissued its plan for a revised prospective payment system within its FY2019 SNF PPS proposed rule made public in April. This new reimbursement methodology, (the Patient-Driven Payment Model – PDPM) replaces the proposed Resident Classification System (RCS-I) first identified last May. The new classification system is slated to begin October 1, 2019.

The new system is expected to better account for individual needs by using a larger set of resident characteristics with less focus on therapy, including:

  • Separating the therapy components into PT, OT, and SLP components and eliminating therapy thresholds.
  • Separating the nursing component into nursing case-mix and non-therapy ancillary components.
  • Categorizing residents based on clinical reasons before assigning therapy groups.
  • Introducing a variable adjustment factor based on the day of stay.

Other proposals include the adoption of an interrupted stay policy and the use of the 5-day assessment for the entire stay, except in the case of a significant change in status such that the resident's classification group would result in a change in payment. CMS is inviting comments on this proposed rule through June 26, 2018.

Skilled nursing facilities will receive a 2.4% increase on average which is an increase over last year’s 1% raise. Additionally, CMS is planning to review which quality measures provide the most benefit, with a goal to eliminate those which are less meaningful.


Proposed Changes to SNF VBP & QRP


Along with the proposed PDPM payment system (defined above, CMS updated its SNF Value-Based Purchasing (VBP) Program and the Quality Reporting Program (QRP).

Proposed changes to VPB include:

  • Changes to scoring for skilled nursing facilities with low volumes or insufficient baseline performance data
  • Confirmation of baseline and performance measurement periods for FY 2021 and beyond
  • Establishment of an extraordinary circumstances exception policy

An analysis from LeadingAge provides key information on this program change, as well as an overview of the changes to the Quality Reporting program. Members are encouraged to review this analysis, and to stay tuned for additional educational programs that will help prepare for this change.

In the meantime, please contact Laura Funsch with questions.


BCHS Relaxes Lock-out Period


The Bureau of Community and Health Systems (BCHS) recently relaxed some limitations for nursing facilities under a two-year lock-out period for nursing aide training. A nursing home may request a waiver of the 2-year lock-out period. BCHS posted the following guidance when considering a request for a waiver of the 2-year "lock-out" prohibition.

  • The waiver must be for a nurse aide training program offered in, not by the facility.
  • The facility is allowed to choose a non-facility affiliated contractor to train the facilities nurse aide candidates.
  • Any training program not offered by or in a facility, but using a facility for clinicals does not need a waiver.
  • Use the following link to learn more about these revisions.

BCHS’ Environmental Health Section has also recently begun conducting baseline surveys. In the distant past, BCHS’ Engineering Section had conducted this type of consultative survey. Members can expect that these baseline surveys will be prescheduled with the facility and during the tour, the surveyor from Environmental Health Section will be able to assist with and provide consultative guidance regarding the water plan requirement.

BCHS currently is supporting a draft bill which would allow the use of a “Medication Aide” in Nursing Homes. Since 2004, LeadingAge Michigan continues to support this concept as a means to mitigate the current nursing shortage, particularly in the long-term care setting. Initial provisions in the draft bill includes requiring a medication aide training program provided by state-approved trainers and competency examination of a certified nurse aide who has a minimum experience of six month’s practice in a nursing home.

The practice of a “Medication Aide” would include administering regularly scheduled routine medication other than controlled substances or medications in injectable forms. BCHS would be required to promulgate and enforce rules to implement the provisions of this draft bill when it becomes enacted into law. Members interested in sharing thoughts or comments may contact Laura or Dalton.


CMS Provides Guidance for F606 and F607


CMS recently provided guidance regarding abuse prevention policy requirements related to the screening of nursing home volunteers and contractors. The regulations differentiate between volunteers who provide care and services to residents and volunteers who socialize with residents. In the case of volunteers and contractors who provide care and services, e.g., conducting laboratory/radiology services, transporting residents, assisting with eating/dining, and therefore, act as agents of the facility, the facility cannot engage those with adverse actions related to abuse, neglect, exploitation, misappropriation of property, or mistreatment as described in Ftag 606.

Also, the facility’s policies and procedures must address how pre-screening occurs for prospective volunteers and contractors as described in Ftag 607. The facility should require these individuals to be subject to the same scrutiny prior to placement in the facility, whether screened by the facility itself or a third-party agency. The facility should maintain documentation of the screening that has occurred.

CMS further added that local organizations and entities which intermittently help enhance the quality of life in a nursing home through volunteer activities such as a religious organization are considered to be “visitors” to the nursing home. CMS does not expect a nursing home to develop and implement policies and procedures to screen these individuals, or generally, any visitor who does not provide direct care to residents. However, it is expected that the facility’s policies related to visitor access include safety restrictions such as denying access or providing limited and supervised access to a visitor who has been found to be abusing, exploiting, or coercing a resident or who is suspected of abusing, exploiting, or coercing a resident until an investigation into the allegation has been completed.


OSHA Corrects Error in Submitting Form 300A


Following a review of the requirements put in place in 2016 regarding the “Improve Tracking of Workplace Injuries and Illnesses” regulation, the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) has taken action to correct an error that was made with regard to implementing the final rule. OSHA determined the regulations pertaining to State Plans require all affected employers to submit injury and illness data in the Injury Tracking Application (ITA) online portal, even if the employer is covered by a state plan that has not completed adoption of its own state rule.

OSHA has notified State Plans that for Calendar Year 2017, all employers covered by State Plans will be expected to comply. An employer covered by a State Plan that has not completed adoption of a state rule must provide Form 300A data for Calendar Year 2017. Employers are required to submit their data by July 1, 2018. There will be no retroactive requirement for employers covered by State Plans that have not adopted a state rule to submit data for Calendar Year 2016. A notice has been posted on the ITA website and related OSHA webpages informing stakeholders of the corrective action.


Assisted Living


Variation in Resident Characteristics in Care Communities


In February, the CDC issued it biennial report on residential characteristics in long term care. For residents of care communities (those who cannot live independently but do not require the nursing home level of care), an estimate 811,500 residents on any given day were reported to be in such a community during 2016.

Overall, the majority of residents were aged 85 and older (52%). More residents in smaller communities were receiving Medicaid than those in larger facilities of 26-50 + beds. Over 71% of residents were female.

About 40% of residents were diagnosed with Alzheimer’s disease or other dementias, 30% diagnosed with heart disease and almost 20% with diabetes. A larger percentage of residents with Alzheimer’s disease were noted to be residing in smaller communities. The percentage of residents who had fallen in the previous 90 days increased with larger facilities and 14% of residents visited a hospital emergency department within the past 90 days as well.


Housing


HUD Rent Reform Proposal


HUD’s fiscal year 2019 budget request to Congress presumes Congress will enact HUD’s rent reform proposals, which raise rents on residents and would allow owners and public housing authorities to impose work requirements on non-elderly and non-disabled households. Without the revenue raised by enacting the rent reform proposal, HUD’s fiscal year 2019 budget request will be insufficient to renew rental assistance contracts for existing federally-assisted homes.

The impact of HUD’s Rent Reform, “Make Affordable Housing Work Again,” on seniors includes provisions such as:

  1. Moving rent structure to 30% of gross income (or a $50 minimum rent, whichever is greater).
  2. Eliminating all deductions, including deductions for high medical expenses and for being a senior.
  3. Redefining “elderly” to bring 62 – 65-year-olds into the even higher rent schemes.
  4. Establishing work requirements for non-seniors and non-persons with disabilities.
  5. Redefinition of “elderly household” which would mean that everyone in the household (except a caregiver) would have to be at least 65. The redefinition of elderly is for rent setting, interim income recertifications, and work requirement purposes, not for program eligibility.

As part of a broader effort to oppose this and the rent reform draft bill from Representative Dennis Ross (R-FL) that is circulating, LeadingAge released this quote:


“We were shocked to see rent increases targeting HUD’s lowest income senior residents in a draft proposal from the department charged with creating ‘quality affordable homes for all’ as well as in a draft bill circulating from a member of Congress. More than 1.5 million seniors rely on HUD’s programs to provide stable, quality housing. Increasing rents, including rents for the very lowest income seniors, will do much more harm than good. LeadingAge is hopeful that Congress will see fit to keep the federal housing safety net intact,” said Katie Smith Sloan, president and CEO of LeadingAge.


Member Value

Exciting Updates on LeadingAge Michigan Business Alliance!


The Business Alliance, formed more than two decades ago, was created in response to the need for members to find efficiencies and cost savings in their procurement and vendor relationships. These programs not only save members money, but also help to support the Association in the form of grants and sponsorships as a significant contributor to the Education Foundation.

As the program continues to be enhanced, we wanted to share some exciting announcements:

 Omnicare
We are pleased to have Dan Haron, the Executive Vice President of CVS and President of Omnicare, attend our upcoming Spring Conference. His presence in attending shows the CVS/Omnicare commitment to the association and the strength of our partnership with them as they continue to innovate pharmacy and the delivery of healthcare.

Maureen McGee has also been recently hired at Omnicare as an Account Executive. She will serve as the primary point of contact for LeadingAge Michigan and our members serviced by Omnicare.
Maureen has over 20 years of long term care nursing home industry experience in various leadership roles.

Maureen, is a veteran healthcare professional and has led nursing homes in roles including: Administrator, Regional Administrator, Quality Assurance and Vice President of HealthCare Services. Maureen’s strong nursing home leadership background, Lean Six Sigma Green Belt certification coupled with a collaborative customer centric approach will be an asset to our partnership.

We are excited about her addition to the Omnicare team as a familiar face to many members; her direct experience in the industry will be invaluable as they continue to enhance their service offerings.

 Therapy Management, Inc.
The Business Alliance underwent an extensive review process for a new therapy/rehab provider and selected Therapy Management, Inc. as its preferred therapy vendor. Beyond being price competitive and providing great service they have been engaged in the association and eager to help drive innovation for our members
 Therapy Management, Inc. works with skilled nursing homes and senior communities to provide the full spectrum of rehabilitation services including occupational, physical, and speech therapy, as well as functional maintenance programs to transform lives and promote independence. Therapy Management empowers its clients with innovative programs, outcomes reports, competitive data, and marketing support, so providers can stand out in their marketplace.
 Interstate Restoration
Interstate Restoration was recently added as a Business Partner that can assist our members in understanding and mitigating their facility risks. As we know, it is a great responsibility to maintain and manage our properties. Interstate Restoration offers a walk-through property assessment and helps members develop a disaster recovery checklist and procedures; then, if there is a problem they are there to minimize disruption in service.

Interstate Restoration is an emergency restoration and general contractor company specializing in restoring hospitals, medical facilities, and senior care properties nationwide. They make coping with a disaster more manageable by providing one place for all emergency restoration and reconstruction needs.

Working with Interstate, members can expect turnkey restoration and reconstruction services that will help minimize business interruption and reduce operational risk as quickly as possible. They have one of the industry’s most advanced safety programs to protect the health and safety of patients, residents and staff.

Interstate Restoration is a licensed and certified team, including ASHE and IICRC certifications, with an average of more than 20 years’ industry experience, a trusted provider who believes in exceptional customer service, communication, and 100% satisfaction. They are available 24/7 nationwide – day or night, weekends or holidays.

 Value First
Sherwin Williams Group Buy – Get Ready for Spring with a Fresh Coat of Paint!
Check out the latest deals from Sherwin Williams in their May/June flyer.
 If you have any questions on these programs or want to compare prices, please feel free to contact Rob Ervin.

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The Quest for a Life of Quality

Practices, Perceptions and Interactions that Make or Break Resident/Patient/Client Satisfaction
June 14 ~ Lansing

Quality of Life is an individual's sense of well-being, level of satisfaction with life and feeling of self-worth and self-esteem. For every older adult, satisfaction is paramount to the way in which they experience their lives. Satisfaction for each of our residents/clients is defined uniquely and individually. A deeper understanding of satisfaction allows us to meet the needs and desires of the older adults we care for.

Under the revised nursing home regulations, the requirement for Quality of Life can be cited if a facility is found to have a significant deficiency to the degree that constitutes immediate jeopardy. In the senior living industry, providing an exceptional quality of life experience can be the difference between a great environment where every older adult wants to live or struggling to make ends meet because your residents or clients are unhappy. As leaders, our responsibility across all levels and departments is to purposefully know and develop relationships with every person in our care and assist our staff in understanding the importance of meaningful relationships. 

This full-day, interactive workshop focuses on enriching the essential connections with older adults, strengthening the rapport among employees to foster a more integrated organization community and developing collaborative communication partnerships between seniors you care for, their families and your staff.

Click Here for more information and to register.


Behavioral Health Trends in Long Term Care
7-Part Live Webinar Series
All webinars will begin at 1 p.m. EST

The new SNF Mega Rules brought many changes to behavioral health services. This 7-part live webinar series will provide an overview of the history of, and recent changes to, the CMS regulatory guidelines governing the use of psychotropic medications in nursing home settings. We will share strategies providers can implement to enhance documentation and compliance. You will gain knowledge of behavior and non-pharmacological management principles with a focus on dealing with difficult behaviors. We will also address pharmacological management of common psychiatric conditions and appropriate approaches to treatment.

Mark your calendars and plan to join us for one or all of the following live webinars:

  • June 20: Regulatory Trends in Long Term Care
  • July 11: Non-Pharmacological Approaches to Care in LTC
  • August 15: Pharmacological Management
  • September 12: Understanding Dementia
  • October 10: Dementia Behaviors
  • November 14: Common Psychological Conditions of Aging
  • December 12: The Role of Testing in LTC Settings

Our expert presenters for the series will be Anthony E. Bunin, Vice President and Michael Goldsmith, Regional Coordinator both with Behavioral Care Solutions and Dr. Robert Lacoste, Medical Director, Ascension Crittenton Hospital.

Thank you to Behavioral Care Solutions, a LeadingAge Michigan Business Partner, for generously supporting the webinar series.

Save the Dates! More information and registration coming soon.


MDS 3.0 Coding & Regulatory Updates
June 21 ~Okemos

CMS has implemented many changes in the MDS process, added new items to the MDS 3.0 data set and more changes are coming in October 2018. This interactive session will identify the new items and the manual instruction to collect and report the data. Our expert presenter, Leah Klush, Executive Director of The Alliance Training Center, will share her knowledge of the reimbursement models and connect the dots between.

  • The value of an accurately completed MDS in the face of the potential RCS1 reimbursement model;
  • Michigan’s Quality Measure Initiative (Medicaid) that will incentivize providers, from the Provider Tax pool, to increase their QM scores; and
  • How to accomplish this through some of the areas with new coding instructions in Sections G, GG, H, I, J, M, N, O and P.

Click Here for more information and to register.


Medicare University
July 31-August 2 ~Okemos

Become the Medicare leader in your facility with this comprehensive three day workshop. This in-depth program will help you manage the reimbursement system, navigate audits, avoid risky practices, and stop drowning in confusing and ever-changing regulations.

Authored by the foremost experts in Medicare, this workshop will:

  • Increase your understanding the Medicare benefits, eligibility, and the difference between Part A, B, C and D;
  • Share the concepts of SNF skilled services, payment structures, and consolidated billing;
  • Define the qualifications and requirements for both Part A and B therapy;
  • Explain the Medicare claim review and provider appeal processes;
  • Allow you to gain confidence in the documentation process;
  • Assist you complying with billing requirements; and
  • Provide an understanding of the principles of the Beneficiary Notification Initiative.

Click Here for more information and to register.


MDS RAC Certification Workshops 2018
September 18-20 ~ Mt. Pleasant
November 6-8 ~ Grand Rapids

Did you know you can become RAC Certified in just three days?

LeadingAge Michigan, in partnership with the American Association of Nurse Assessment Coordination (AANAC), is pleased to offer the highly esteemed Resident Assessment Coordinator-Certified (RAC-CT) a certification program for long-term care professionals. This workshop is designed to increase knowledge of clinical assessment and care planning, completion of the MDS, and the regulations surrounding the RAI/MDS process. Earning the RAC-CT designation gives you the credentials to prove your assessment expertise; making you an invaluable asset for your facility, your residents, and the long-term care profession.

Click Here for more information and to register


Nurse Aide Train-the-Trainer
August 9, September 13 and November 15

The workshops will be held in Lansing.

LeadingAge Michigan is now offering a full day Nurse Aide Train-The-Trainer workshop that meets the State of Michigan's new requirements. This workshop is not required but will meet one of the State of Michigan's criteria to become a qualified instructor.

If you are a registered nurse who would like to become a qualified nurse aide instructor, we strongly suggest you review the Nurse Aide Trainer Application before attending the workshop to make sure you meet the State of Michigan's trainer requirements.

NOTE: Completing the LeadingAge Michigan Nurse Aide Train-The-Trainer workshop does not guarantee a participant will meet all of the requirements as a Qualified Instructor of a Nurse Aide Training Program with the State of Michigan.

Click Here for more information and to register.


Director of Nursing Services-Certified (DNS-CT) Prep Workshop
October 16-18 ~Okemos

Take your leadership and management talents to the next level with a preparatory workshop for AADNS’s Director of Nursing Services—Certified (DNS-CT) certification. Earning this credential validates your expertise, gives you the advantage among your peers, and helps you improve quality, communication, and resident care throughout your facility.

The DNS-CT credential from AADNS shows that you have the leadership and management skills and knowledge to excel as a DON. Certification indicates that you have met nationally recognized standards of expertise for directors of nursing services in long-term care, that you are up-to-date with the rules and regulations, and that you can lead and nurture your team.

This three-day workshop will complement your nursing expertise with leadership and management skills. Workshops are taught by individuals who go through rigorous requirements to become Master Teachers and who are experts in the field.

Click Here for more information and to register.


Mark Your Calendars!

2018 Annual Leadership Institute
August 22-24, 2018 ~ Mission Point Resort, Mackinac Island


Thank You to Content Contributors Baker Tilly and Voss Financial Group!


201 N Washington Square, Suite 920
Lansing, MI 48933
Phone: 517-323-3687
Fax: 517-323-4569

Our Mission: To advance the mission of our members to enhance the lives of seniors.
Our Vision: To become the voice of aging services in Michigan.

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