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Senior Medicare Patrol Programs: Help Prevent Health Care Fraud

By on October 17, 2012 in Health and Medical, Medicare, Resources

The SMP programs, also known as Senior Medicare Patrol  programs, help Medicare and Medicaid beneficiaries avoid, detect, and  prevent health care fraud. In doing so, they not only protect older  persons, they also help preserve the integrity of the Medicare and  Medicaid programs. Because this work often requires face-to-face contact  to be most effective, SMPs nationwide recruit and teach nearly  5,700 volunteers every year to help in this effort. Most SMP volunteers  are both retired and Medicare beneficiaries and thus well-positioned to  assist their peers.

Please see the link below for additional information:

http://www.smpresource.org//AM/Template.cfm?Section=Home

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ITN Metro Detroit Starts Service in Oakland County

By on October 17, 2012 in Resources, Transportation

Mission

To provide a community-based, community-supported, economically viable and consumer-oriented, quality transportation service for seniors and adults with visual impairment.

Ride With ITN

Join, open an account and ride! Let the Independent Transportation Network® help you continue living an independent, connected life on your own terms.

Download an application to print or submit electronically.
Click here for membership application instructions and rates.
If you need the Adobe Acrobat reader you can download it by clicking here.

There’s a pick up charge and a mileage charge. The minimum charge is approximately $7. No tipping allowed.

You can try the service while you still own and operate a car.

The road to mobility begins with an annual membership fee of $50 and a prepaid Personal Transportation Account™ based on estimated usage. Since you don’t pay cash and we only use private automobiles, riding with ITN is more like riding with a friend than taking a taxi.

Customer service and consumer choice are paramount. You can plan in advance or ride on demand; ride alone or share a ride; ride by the hour or by the mile.

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Medicaid Spend Down

By on October 16, 2012 in Health and Medical, Medicaid, Resources

Answer:

My understanding of the process is that all receipts (paid & unpaid) should be turned in to DHS monthly. DHS will decide when their deductible/spend down is met.  Also, it is up to the medical facility to bill the members insurance and once that is done, hopefully Medicaid will pay that bill. Lindsey, always feel free to contact the DHS Specialist if you have’nt done that. I hope this helps!

Take care,

Adrienne E. Smith

Question:

I remember in one of our meetings it was mentioned that as soon as a person has a medical expense(even unpaid) that meets their deductible they should provide the information to DHS. Does this mean that DHS will cover the medical expense or does the person still need to pay it? Ex. Member is billed for a surgery which meets the deductible and contacts DHS. Now does the member have to pay that bill or will DHS cover it?

Thanks,

Lindsay Kohler

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MMAP Counsellors at Flat Rock Towers

By on October 10, 2012 in Resources

 On Monday, November 26, six MMAP counsellors will be on site at Flat Rock Towers to help members change their Medicare coverage. See the attached flyer, titled Enrollment  for more information. This flyer was provided by MMAP.

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City of Detroit Home Repair Application

By on October 8, 2012 in Household, Resources

City of Detroit Home Repair Grant Applications Available Online

The City of Detroit is now accepting applications for home repair grants online. Residents may apply directly to the City.

Reginald Alexander
Community Liaison
Office of Councilman James Tate
Detroit City Council
Coleman A. Young Municipal Center
2 Woodward Avenue, Suite 1340
Detroit, MI 48226
Phone: 313-224-1786
Fax: 224-0372
Email: alexanderr@detroitmi.gov

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Medical Supplies

By on October 5, 2012 in Health and Medical, Rehabilitation, Resources

Paralyzed Veterans of Michigan has a medical supply closet available to the community. There are no eligibility requirements and a Veteran status is not required. Call 248-476-9000 for information regarding available items.

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Monitoring Residents/Members – Helpful Hints

By on September 26, 2012 in Case Management, Resources

Based on questions and feedback from SCs and audit staff, here are some helpful hints for monitoring clients:

1. The SC should monitor frail and at risk clients a minimum of every 30 days (note that this is more specific than “monthly”).

2. The SC should monitor all other clients a minimum of every 90 days (note that this is more specific than “quarterly”).

3. Monitoring must include direct, individualized contact. Hence, a group service log and progress note indicating that the client attended an educational workshop hosted by the SC is not sufficient. However, the SC can talk with the client individually at the event and note that direct contact in the PN, which could be considered a form of monitoring (as long a the client didn’t have follow-up needs that constituted more intensive monitoring).

4. I recommend that if you follow up with a client one month at an event (such as an educational workshop or Focus Hope delivery) or via phone, that the next month be an in-home or in-office visit.

5. Monitoring must indicate progress towards goals the client’s Initial or Updated Service Plan.

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WSU Interprofessional Team Older Adult Visit Program.

By on September 25, 2012 in Health and Medical, Resources

Thank you again for your past support of our Interprofessional Team Older Adult Visit Program.

 

Our deadline is October 1 for adding older adults to be visited by the interprofessional students’ team.  If you know of any other older adults who might be interested, could you please forward this message to them?  THANK YOU

 

  1. Our students will be in touch towards the end of November for visits to be completed by Dec 5
  2. If not contact for the November visits contact will be made in early January for visits to be completed by mid Feb

 

Let me know if you have questions.  Thank you again

 

Jenny

 

Jennifer Mendez, Ph.D.

Assistant Professor and Director, Co-Curricular Programs

Wayne State University

School of Medicine

320 East Canfield #203 Mazurek Education Commons

Detroit, MI 48201

313-577-2125

313-577-1457 FAX

 

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Covenant Dental Week 2012

By on September 25, 2012 in Dentists, Health and Medical, Resources

Free Dental Services for Medicaid recipients provided by Covenant Dental at AIHFS October 1-5, 2012. See attached flier.

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Veterans Aid and Attendance How-to Website

By on September 20, 2012 in Public Services, Resources, Veterans

A great Aid and Attendance website for Veterans reviewed in a NYT blog:

A Department of Veterans Affairs benefit called the Aid and Attendance and Housebound Improved Pensionbenefit, known as A&A, can cover the costs of caregivers in the home (including sons and daughters who are paid to be caregivers, though not spouses) or be used for assisted living or a nursing home.

The benefit is not insignificant: up to $2,019 monthly for a veteran and spouse, and up to $1,094 for the widow of a veteran.

….Ms. Burak introduced VeteranAid.org, a Web site and a 501(c)(3) charity, in 2005, to provide information about A&A eligibility and how to apply.

Source:  http://newoldage.blogs.nytimes.com/2012/09/19/few-know-of-benefit-to-help-aging-veterans/

I’ve reviewed the website, and it is extraordinarily thorough with excellent information and detailed steps for navigating the application process.

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