The Webinar presented today by Lindsay Felsing provides some good information on how to maximize Medical Deductions for applications to DHS for Food and Medical Assistance as well as how the Recertification process will work through the MiCAFE Partner Channel. Also included in the presentation are program updates.
Archive | 2014
What is Chap and What is Medicare Certified
I thought this information might be helpful to understand these two categories that are part of our vetting terminology.
What is CHAP?
CHAP is an independent and non-profit accrediting body created in 1965. CHAPS’s goal is for home care to not only prosper, but gain strength in the overall health care industry. To become CHAP certified an agency must undergo four steps. During the Application process the agency undergoes an evaluation to determine eligibility for accreditation. Following this process, the agency applying undergoes a Self-Study. The study is a comprehensive internal evaluation and review of the organization’s operations in preparation for the site visit. The Site Visit team is comprised of health care professionals, highly experienced in their respective fields. The site visit provides assistance to the organization, while ensuring compliance with the CHAP Standards of Excellence and other regulatory requirements. The complete accreditation consists of strict evaluations over a period of three years and is completed with a Review by the board of professionals.
What is Medicare Certified?
A Medicare-certified home health agency is one that has met the federal minimum requirements for patient care and management, and therefore can provide Medicare and Medicaid home health services. Individuals requiring skilled home care services usually receive their care from a home health agency. Due to regulatory requirements, services provided by these agencies are highly supervised and controlled.
Information provided by Comprehensive Home Health Care’s website.
More on Michigan Multi Asset Managers
To follow up on an old post by Karen Baker regarding the Michigan Multi Asset Manager (http://www.mmam.net/) … I spoke with a staff member there about referring members there for questions and complaints and received the following information:
1. MMAM can only enforce HUD rules. If there is no regulation on the HUD books, MMAM cannot help. They also do not get involved in tenant-to-tenant disputes.
2. If a member has a complaint that is not enforceable by HUD, MMAM encourages them to go to their management company for resolution.
3. For MMAM to get involved, the tenant needs to have proof that they have gone to management (copies of incident reports would work, the staff person said), followed management’s protocol for complaints, and given management two weeks to respond.
If any SCs have questions or need more clarification, I would encourage you to call MMAM. I had to leave a voice mail, but my call was returned within 2 hours and the staff person I spoke to was very helpful.
Karen Baker’s SC Bio
“Look for the good in the bad, the happy in your sad, the gain in your pain, and what makes you grateful not hateful.”
This favorite quote of Service Coordinator, Karen Baker, speaks of her optimistic and grateful attitude. After interviewing Karen, I learned what motivates and encourages her both on and off the job to notice the best in any situation.
Karen Baker was welcomed to Hannan’s Service Coordination Team in April 2012 and was appointed to serve at Washington Square Co-op in Kalamazoo, MI. A large building of over 200 residents, Washington Square distinguishes itself from other buildings due to its younger population. About half of the members are under 60 and experience some kind of disability that impairs their mobility. Karen and her partner, Matt Hamburg, share the coverage of this high rise building, with each assigned half of the alphabet.
As we begin our conversation, I ask Karen how she likes being at Washington Square Co-op. With a broad smile, Karen states, “I had a good sense from the start about this place.” She continues, sharing “what a difference it makes to finally have a job you enjoy doing.”
Prior to joining Hannan, Karen had a lengthy, rich career in human service. After graduating from Michigan State University, Karen embarked on a path that included: working in a domestic violence shelter in Detroit, where she received training in domestic violence prevention; advocating for neglected and abused girls; and serving as a Child Protective Services worker for the state of Michigan in the foster care system for eleven years.
While Karen found each of these positions rewarding in their challenges, there is a big difference between her job satisfaction then and now. Karen appreciates that her present clients are seeking, rather than being forced to receive, help. As their advocate for resources, Karen enjoys the connections she makes with her members who freely choose her services. Believing that she is getting paid to live her mission, Karen states “Everything I have done in my career so far has prepared me really well for this job.”
When asked about the gifts she brings as a Service Coordinator, Karen recalls the words of a member who affirmed her ability to “honor others’ dignity.” She also notes her non-judgmental approach. As an observer, Karen’s gentleness and kindness are additional gifts that I would imagine would be comforting and supportive for her members.
Karen credits two people as well as her faith as playing important roles in influencing her career path in human service. Her Aunt Bernie fostered about 50 children over the years. Her passion for helping people inspired Karen to also commit to a life of service. Another guide was a Sunday school teacher who was also a judge who worked with delinquent youth. Both his faith and his work instructed and encouraged Karen to become a CPS worker. Karen’s United Methodist religious tradition has a strong commitment to social justice. The teachings and her own worshipping community have helped Karen practice the values and share the spirit in the world around her.
To know Karen is to know her son, Trent (14). A big part of who Karen is, Trent was only a toddler when his father, Art, Karen’s husband of over 20 years, died after a short bout with end-stage kidney cancer. Karen sees the best of her husband’s personality in her son with whom she spends a good deal of her time. The two like to play Kinect together and with Trent’s friends who enjoy spending time at Karen’s home.
When Art was alive, he encouraged Karen to take up stained glass making, following Karen’s gift to him of a class series. Karen pursued stained glass for about 15 years. She hopes to return to some unfinished projects when time allows. Karen and Art also enjoyed fishing trips together.
Today, Karen’s ideas of fun include dancing with her friends and trying out new recipes on them. Karen considers her friends her “guinea pigs” for her cooking experiments.
When asked about what she would like to accomplish or share as a Service Coordinator, Karen hopes to attend in person the once-a-month professional development trainings in Detroit and be able to meet with her colleagues. She also hopes to continue to avail of educational workshops like the one she attended to receive training in Excel. Karen enjoys making flyers and is open to sharing her ideas with her colleagues. Recently, Karen hosted a service dog workshop which she described as “the most fun” of all she has planned so far. More details about this event can be found in the January 2014 edition of SCoop.
Describing Washington Square as her “favorite place,” Karen clearly declares, “I’m staying!” This kind of clarity reminds me of the quote from Howard Thurman that states “Don’t ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.”
After spending some time with Karen, I had a sense that being a Service Coordinator brings her much life and that the community Karen serves benefits greatly from her enthusiasm.
Written by Deirdre Manning
Repairing mobility devices
I attended a webinar today on using and maintaining mobility equipment, and I asked what former Scooter Store clients could do with their scooters and chairs that need repairs. The answer: Since the Scooter Store is out of business, clients should contact the ombudsman through whoever paid for their equipment (i.e. Medicare).
Healthy Michigan Plan
Cheryl Bukoff shared the following email:
Good Afternoon,
Healthy Michigan Plan implementation is well underway and I wanted to take a moment to share several pertinent updates with partners!
- We are sponsoring an additional webinar opportunity for partners across to Michigan to learn more about the Healthy Michigan Plan and ask questions. The webinar will be held March 4th from 3pm-4:30pm and will be focused on the structure and benefits of Healthy Michigan. You can register for the webinar online at https://www2.gotomeeting.com/register/887728282.
- MDCH has released the Healthy Michigan Plan handbook which is a consumer-facing resource providing information on plan benefits and more. The handbook is attached and is also available online atwww.michigan.gov/healthymichiganplan.
- MDCH has finalized the Healthy Michigan Plan logo and two versions (one color and one black and white) are attached. MDCH welcomes partner organizations to use this logo on outreach and promotional materials. Your organization does not need to seek specific permission to the use the logos, however we do ask that you follow some basic usage guidelines:
- The logo should be at least 1.5 inches wide so that is it legible.
- The logo should be at least 1/8 of an inch inside the edge of any piece of material so that it does not bleed off the edge.
- The logo should be surrounding by clear space so that nearby text or graphics do not interfere with the logo itself. As a minimum the clear space allotment should be ¼ the height of the logo on all sides.
- The aspect ratio of the logo should not be distorted. For example, the logo’s width should not be altered without also altering the height so that the appearance is consistent.
- There has been a significant amount of discussion recently about when Healthy Michigan Plan enrollment will begin. Previously, the educated assumption had been that while coverage would begin on or around April 1st, Michigan residents would have the opportunity to apply before that date. Recent comments from MDCH have solidified a timeline which focuses on enrollment beginning close toApril 1 (either late March or early April); however, a specific date has not been provided.
- There has also been a significant amount of discussion regarding which online application system will be used for the Healthy Michigan Plan. It is our understanding that the MI Bridges system (www.michigan.gov/mibridges) will be the primary application portal for the Healthy Michigan Plan. The MI Bridges system has and continues to undergo updates to accommodate MAGI eligibility and the new application for Healthy Michigan. If you are unfamiliar with the MI Bridges system and would like to learn more please visitwww.mibenefitsaccess.org/partners.
- The www.healthcare4mi.com application system has also recently completed updates, including a new application process for presumptive eligibility (currently available for children and pregnant women) and a new training program for Qualified Agencies. This system can be used to apply for the Healthy Michigan Plan as well, however it does not offer the breadth of access to benefit programs that MI Bridges does.
- MDCH has begun transitioning ABW (sometimes referred to as County Health Plan Part A) recipients to the Healthy Michigan Plan. Current ABW beneficiaries are receiving notification by mail (an example of the letter is attached) which asks them to select a Medicaid Health Plan and your organization may receive questions from ABW beneficiaries about this process. As a reminder, the listing of Medicaid health plans available by county along with consumer survey and plan quality information are available athttp://1.usa.gov/OeD8M5.
- MDCH will be releasing an updated list of frequently asked questions in relation to the Healthy Michigan Plan, many of which are a result of our original partner webinar. I will be sending the FAQs in a separate emails soon as they have been finalized.
- Finally, MPCA recently posted an article detailing the most recent enrollment data report. You can read the article athttp://bit.ly/1gPf8s8 for an update on Michigan’s progress.
I look forward to participating in the webinar with many of you in March.
On behalf of MPCA, MHA, Enroll Michigan, MAUW and MALPH, thanks again for your continued collaboration!
P.S. As always, please feel free to share the webinar opportunity with all of you colleagues and partners.
Phillip J. Bergquist, CHCEF
Director of Health Center Operations, CHIPRA Project Director
Michigan Primary Care Association
517.827.0473 (office)
517.258.2546 (cell)
pbergquist@mpca.net | @pbergquist
Matt Hamburg’s SC Bio
Matthew Hamburg’s journey back to the city of his alma mater, Kalamazoo, where he is serving as the co-Service Coordinator (with Karen Baker) for Washington Square Co-op¸ has been marked with interesting twists, turns, adventure, and synchronicity. Believing that all things work out in the end and that life leads up to what one is doing now, Matt has a story replete with examples of this happening.
The seeds of his calling to social work were planted during Matt’s career experience prior to his enrollment in the BSW program at Western Michigan University. Among his employment endeavors included almost a decade in the restaurant industry as a professionally trained bar tender and floor manager of a restaurant. Both positions afforded Matt plenty of opportunity to interact with and learn about people, equipping him with insight and building on his interpersonal skills that he would eventually use as a social worker. Matt also received training in Electrocardiograph Technology (EKG) and worked as a door-to-door fundraiser for a non-profit organization.
Not satisfied with the lifestyle of the restaurant and wanting more, Matt enrolled in his local community college. It was a career counselor at the college who both educated and inspired Matt in the direction of social work. This man suggested that Matt enroll in an “introduction to social work” class. Matt’s curiosity about the counselor’s education path to his role informed Matt of the career options with a MSW. One thing led to another, and Matt decided to apply and was accepted into the BSW program at Western Michigan University.
Following graduation, Matt and his girl friend, Kate, embarked on a “6-7 month jaunt” to South America. Having planned and saved for this adventure for over a year and a half, the two covered the continent, visiting Ecuador, Peru, Bolivia, Chile, Patagonia, and Argentina. While overseas, Matt applied and learned of his acceptance as an advanced standing student to U-M’s Social Work program. While still overseas, Matt was in communication with Rachel Jacobsen (who held Brenda’s position as Director of Social Work at the time). He interviewed and was accepted as an intern to work with Rachel on special projects and as a case manager under Cheryl Bukoff’s direction at the Zena Baum Center.
Here’s where Matt’s story takes a key turn. One of the projects Matt was assigned was to help create the CSI Service Coordination program! From the ground up, Matt assisted with the planning, investigating, and the hiring process for the initial CSI Service Coordination Team. Little did Matt know that two weeks after graduating from U-M in August 2012, he would be offered a position as a Service Coordinator, working at Belleville Co-op, where he served for a year and a half.
Though only one month into his position at Washington Square, the easy, comfortable manner I observe in Matt in his office space and in the interactions with other residents speaks of this being the right fit, both professionally and personally. In addition to settling into this new building, Matt also participates in the monthly licensing group with fellow SC’s, with aspirations of sitting for (and passing) the exam this summer.
When not at work, Matt has many and varied interests. A self-professed “foodie,” Matt loves everything about food – its smell, touch, taste. From his homegrown vegetable garden and open air farmer’s markets, Matt lives and appreciates his value of understanding the person in environment approach of social work. An aspiration of Matt’s is to receive formal training in cooking. When not pursuing his passion for all things food, Matt is an avid music lover of many kinds (especially Motown and Folk) and a listener of NPR. His aspirations include continuing to pursue proficiency in Spanish and to travel the world. Self-care practices for Matt include physical exercise, being in nature, and traveling. Matt identifies his favorite movie as The Intouchables, describing it as a “sweet story.”
At the close of our interview, Matt professed what might be a summation of his life philosophy: “I don’t worry too much about too much.” From all the evidence so far in his life, there seems to be no need for worry but much more cause for marvel!
Written by Deirdre Manning
Easy date calculations
The Web site that calculates dates with the click of a mouse is www.timeanddate.com. It makes tracking much, much easier.
Guidelines for FAP, MSP and LIS
This information was shared with us by Lindsay Felsing at MiCAFE. Good reference guide.
SSI, Poverty Rates, and THAW Eligibility Rates
SSI INCOME UPDATES for 2014
SSI monthly payments increase to $721.
Married couples who both receive SSI
Will see their joint benefits increase to $1082.
POVERTY RATES for 2014
Household Size 100% 133% 150%
1 11,490 15,282 17,235
2 15,510 20,628 23,265
3 19,530 29,575 29,295
4 23,550 31,222 35,325
THAW ELIGIBILITY
- The balance on the account can’t
Exceed $5000 for combined accounts or
$2000 for a single account
- Household income must be at or
Below 150% of the poverty level
- Applicant must have a valid ID
- Account has a past due balance, shut
off notice, disconnected service or immediate
need for deliverable fuel
- Applicant must have paid $225 on a
single account or $450 on combined accounts
within the past 6 months
- The account must be in the applicant’s
name who must live at the service address
- Account must be residential, not commercial
- Applicant must pay unauthorized usage charges
- A bill or invoice is required for deliverable fuel
vendors
Information source for all articles:
Oakland County Welfare Rights Org/Ann Kraemer
-By Ann Kraemer
