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DTE Assistance

From Catrina:

Below is some updated information regarding DTE assistance for individuals that are having difficulty with their account.
DTE has a new program that will start October 1, 2012.  The program is Low Income Self-Sufficiency Program (LSP). The program is done according to income and each person’s payment would be calculated on an individualized basis.  The payments are supposed to be very low, BUT unfortunately we cannot tell any client about the program because they feel they will have an overwhelming amount of calls.  They will be identifying customers for the program. The number is 800-317-9073.
Only agencies may contact this number 866-200-0386 8:00 am-4:30pm to clarify a client’s account and request a 10 day hold on the account. An email can be sent to agencies_info@dteenergy.com to request a “HOLD”.  The client is responsible for contacting billing to discuss payment arrangements. If the agency is making a request provide the following:  Clients, name, address, account number.
Note:  A client may contact their doctor and request a letter for a 21 day Medical Hold letter which should outline the nature of their medical condition, why they need their utilities, name, address, city, state, zip code and telephone number and submit to DTE.
If any questions please feel free to let me know,
Respectively,
Catrina Social Work Intern

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Guardianship Pamphlet

From Brad Geller:

 

 

 

Your Rights in the Guardianship Process

 

 

 

 

 

 

Information presented by the Michigan State Court Administrative Office and the Michigan Office of Services to the Aging

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction

 

Why am I receiving this pamphlet?

You are being provided this information because someone has asked the probate court to appoint a guardian for you, or because you already have a guardian.

You have a number of rights to help ensure you only have a guardian if you need one.

 

What is a guardian?

A guardian is a person or company appointed by a probate court to make decisions for you if there is convincing evidence you are unable to make informed decisions for yourself.

A guardian can only be appointed if necessary to provide for your care.

 

 

What decisions can a guardian make for me?

A judge can give a guardian power to decide where you live, to make medical treatment decisions for you, to arrange services and to decide how your money is spent.

 

Do I lose rights if a guardian is appointed?

Yes.  For instance, if a guardian is given power to decide where you live, you lose the right to make that decision for yourself.

 

Do all guardians have the same powers?

No.  For example, a judge could grant a guardian power to make medical decisions for you, but not the power to decide where you live or to handle your money.

 

 

 

What are some responsibilities of a guardian if one is appointed for me?

Your guardian is required to visit you at least every three months, and to talk with you before making major decisions.

Your guardian is required to make decisions in your best interests, and to arrange appropriate medical, housing and social services so you can regain as much self-care as is possible.

 

The Guardianship Petition

 

How is a guardian appointed?

          The first step is that someone interested in your welfare files a petition in probate court.

At the same time you are receiving this pamphlet, you are being given a copy of the petition.

 

What is the purpose of the petition?

          The petition sets forth information why the petitioner believes you need a guardian.

 

What happens upon a petition for guardianship being filed with the court?

Court staff set a date for a court hearing.  The hearing may be very soon or a few weeks away.

The judge cannot appoint a guardian for you without a hearing.

 

The Guardian Ad Litem

 

What else happens upon a petition being filed?

Court staff will send a person to your home to talk with you before the hearing date.   This person, known as a guardian ad litem, is the person who handed you this pamphlet.

The guardian ad litem has no power to make decisions for you, only to collect information.

 

What will the guardian ad litem talk to me about?

The guardian ad litem will explain guardianship and your rights in the process.

If you do not object to guardianship, the guardian ad litem will provide information to the judge whether guardianship is appropriate and about who should serve as guardian.

 

Your Rights

 

Can I choose the person to be my guardian?

Yes, you have this right.  Tell the guardian ad litem of your choice.

 

Do I have the right to attend the court hearing?

Yes, you always have the right to be at the hearing.

Tell the guardian ad litem if you want to attend the court hearing.   Tell the guardian ad litem if you need transportation to get to the hearing, and if you need any help such as a wheelchair, a special hearing device or an interpreter in the courtroom.

 

What if I have signed a durable power of attorney for health care in the past?

Make sure you make the guardian ad litem aware of the document.  Give him or a copy of the document if you have one.

 

If I do not want a guardian, what do I do?

It is very important you tell the guardian ad litem if you do not want a guardian, or if you do not want a particular person to serve as guardian, or if you want the guardian’s powers limited in any way.

 

What will the guardian ad litem do then?

By law, the guardian ad litem must report your wishes to the court, and court staff must appoint a lawyer to represent you.  This will not cost you any money.

 

Hiring a Lawyer 

 

Can I hire my own lawyer instead of having the court appoint a lawyer?

Yes.  You also always have the right to hire a lawyer.

 

What is the role of my lawyer?

Whether the lawyer is court appointed or chosen by you, your lawyer must strongly argue for your wishes, regardless of what anyone else thinks is best for you.

 

 

Do I have the right to get a professional evaluation of my ability to make decisions?

Yes.  You can choose a doctor, psychologist, nurse or social worker to do the evaluation.   If you cannot afford the cost of the evaluation, the court will pay for it.

 

 

The Court Hearing

 

What is the purpose of the court hearing?

The person who filed the petition must present evidence and prove that you cannot make informed decisions for yourself, and that guardianship is necessary to meet your needs.

 

 

 

What if I disagree with the evidence presented?

You or your lawyer have a right to dispute any evidence presented, and you or your lawyer has a right to present witnesses and other evidence on your behalf.

If you have asked for a professional evaluation, you can decide whether to present the results to the judge.

 

Who decides whether I need a guardian?

The judge will usually make the decision whether there is clear and convincing evidence you cannot make informed decisions over one or more areas of your life.  The judge will also determine whether guardianship is necessary to meet your needs.

If you have exercised your right to have a jury trial, the jury will decide those questions.

 

Who decides what powers the guardian will have?

The judge or jury will also determine what powers the guardian will have, based on your needs.

What if the judge or jury decides I need a guardian, but I disagree?

You have a right to appeal the decision to the Circuit Court.

 

How do I know what powers my guardian has?

The court order signed by the judge, and the letters of guardianship given to the guardian, must show the powers the guardian has.

You can ask court staff or the guardian for a copy of the letters of guardianship

 

After a Guardian is Appointed

 

If I have a guardian, do I lose all my rights?

No.  For example, generally you maintain the right to speak your mind, to practice your religion and to see family and friends of your choice.

If a guardian is given authority to make medical treatment decisions for me, are there limits in the types of decisions the guardian can make?

Yes.  For instance, a guardian does not have authority to hospitalize you for mental health treatment unless you assent.

A guardian can only authorize electroconvulsive therapy (ECT) if two psychiatrists agree it is appropriate.

 

Can a guardian have a do-not-resuscitate order put in my nursing home chart or hospital chart?

The law does not adequately address the powers of a guardian concerning end-of-life care.

Judges disagree whether a guardian has the power to agree to a DNR order, or to withhold or withdraw treatment that is keeping you alive.

 

 

 

How can I know whether my guardian has such power?

It is best to ask the judge to specify in the court order and letters of guardianship whether the guardian has this power, and in what circumstances.

 

If I object to a guardian’s decisions, what can I do?

You can write a letter to the probate judge, or you can file a petition with the court.  There is no cost. You can ask the judge to –

  • End the guardianship, or
  • Limit the guardian’s powers, or
  • Name another person as guardian.

 

Can I hire a lawyer to represent me?

Yes.  You do not lose that right just because you have a guardian.

If you do not hire a lawyer, request the judge appoint one for you.  The judge is required to do so.

Will there be another court hearing?

Yes.  You have all the same rights you had during the first hearing.

 

What if I have questions about guardianship?

You can telephone the probate court.

Court staff can provide information such as rights you have under the law, the name of your guardian ad litem or lawyer, and the date of your court hearing.

 

What if court staff are unable to answer my questions?

If staff are unable to answer a question, they may be able to refer you to a person or agency that can answer it.

 

What is the name and phone number of the probate court?

 

 

10/12                                                                                        MCL 700.5306a

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Changes to Case Management Procedures

Cheryl, Rachel and  Brenda had the opportunity to discuss some of the issues that we have heard the service coordinators are encountering that impact our case management procedures.  After discussion, we are going to revise our case management procedures as follows:
1)  When attempting to offer services to residents/members that are either new or annually, three separate documented attempts without response will constitute a “refusal” of services.  This means that you need to attempt three different types of direct contact with the resident/member and document each attempt.  Only after that third unsuccessful attempt is it considered a refusal.  Seperate direct attempts include telephone messages, notes under the door, or direct mailing.  Once these three attempts have been made and the resident/member does not respond to you then you can document that the resident does not want services at this time in your progress notes.
2)  The “Non-Participation Form” will ONLY be used when a specific service is offered and declined.  The form does not need to be signed by the resident/member when you are simply offering the services of the Service Coordinator, when they are new or annually, and they decline.  A specific service would be a service that is specifically being offered to the resident because of a referral from management, the FCRC, or something that the Service Coordinator deems as being an imminent/emergent need that the resident refuses. The specific service being offered can be detailed in the “comments” box.  A resident/member can sign a “Non-Participation Form” and still be considered an “active client” of the Service Coordinator, still receiving OTHER services, but refuses a specific service.
3)  Group Add Service Logs and Progress Notes are to be completed for ALL residents regardless of client status.  Therefore, any resident that attends an educational session will be included on the group add on the Service Logs and Progress Notes.
4)  Service Logs should be used on any contact with the resident/member and the Service Coordinator needs to utilize the “subcategory” when identifying the type of service provided.  We are asking that all Service Coordinators make a concentrated effort to eliminate “Other” as an option and that you specifically categorize your interactions.
All of these updates go into effect today.  Should you have any questions, please do not hesitate to contact us.

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Nursing Home Payment

The question was asked, when will a nursing home start “taking” a person’s social security check when they are receiving services at the nursing home … and is there anything that can be done to stop this?

Ann Kraemer states, “I want to reinforce that nursing homes don’t “start taking” resident’s social security.  As Brenda notes [below], Medicare & other insurance programs pay for some of the person’s stay in a nursing home.  If the resident’s Medicare days run out, (ref Brenda’s reference to the 21-100 days Medicare & related insurance limitations)  then the resident has to pay for his/her stay in the nursing home. Residents typically “turn over” their social security checks to the nursing home for a portion of their payment. Keep in mind that nursing homes charge on the average $6-7,000/month so most nursing home residents are looking for ways to pay that tab when their health insurance won’t pay.”

Brenda Carney adds, “For traditional Medicare, Medicare pays 100% of the first 20 days, and then a daily co-payment thereafter for days 21 – 100, as long as they meet the criteria for Medicare Skilled Care.  If they have a secondary insurance (besides Medicaid), they may pick-up some to all of the daily co-payment.  If their secondary insurance is Medicaid, then at day 21 they start charging the daily co-payment until all but $60 of their social security check is depleted then Medicaid kicks in.  If they DO NOT have Medicaid, then the co-payment starts at day 21 and continues until discharge from Medicare.  Therefore, it is HIGHLY recommended that they apply for Medicaid should they not have any savings (over $2000) as it could cost them A LOT.  Nursing Home Medicaid is different than community Medicaid, so it is worthwhile applying for …

Having said ALL of this, there is a Special Director or Olmstead exception that they can apply for which will possibly waive part to all off the monthly payment to the nursing home out of the Social Security check.  Below is a link that explains this application process.  The nursing home social worker should be able to assist with this process.  They have to provide supports for all NECESSARY bills that they need to maintain their apartment while they are in the nursing home.  It does not include Cable TV, etc.  I have applied for this on behalf of a resident successfully and partially successfully.  Do not anticipate that the entire social security check will be preserved.

http://www.mplp.org/Issues/mplpissue.2010-05-05.9554801510

As for food stamps and SSI, while you are in a nursing home, these items are items that can be cut.  However, it does not consistently happen, depending on how long the individual is in the nursing home and the speediness at which the billing office at the nursing home submits and the State changes the resident’s status as Nursing Home in the State computer.  There is no work around that I know of … and cannot be applied for until after they are discharged from the nursing home.  There is a code in the State Medicaid system that needs to have them reflected as being community living for them to be eligible for Food Stamps and SSI.  Conversely, it can take a while when the person is OUT of the nursing home to resume these services as it depends on the speed of the billing office at the nursing home to submit and DHS to change the State database.”

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Bed Bugs in Michigan

From Andrea Krueger after attending the 2012 Detroit Bed Bug Conference :

The most important fact I learned from the workshop is there are no substances you can apply to repel bed bugs from hitchhiking to you or keeping them out of your home. The only techniques you can use is prevention care. They are the techniques that Sharon spoke of: when in clients homes avoid sitting on soft furnishings and wear smooth soled shoes, change your clothes when you get home, etc. They gave us a bedbug manual produced by the state which I have attached. The manual can also be found online at www.michigan.gov/emergingdiseases. The workshop was directed to property managers. We learned how property managers can exterminate bed bugs and best practices when addressing the problem. Bed bugs can be found anywhere, but the hot zones are low-income and multi-family dwellings, hotels, and cinemas. I found the workshop helpful and worth my time. It was very clear about what works and what doesn’t work with bedbugs. I believe you will find the manual useful.

Please note that CSI and PVM both have bed bug policies and protocols. CSI SCs should consult the Bedbug Procedures located at the end of your CSI Service Coordinator Manual. You can also ask at your monthly meeting about how often your co-op conducts preventative bedbug screening. Most co-ops have quarterly or semi-annual visits from the bedbug dogs. PVM SCs can receive the PVM policies from your Administrators or Brenda. Brenda and I are also creating a simple service coordinator protocol for working with residents/members who have bedbugs. Until we adopt these procedures, it is most important to remember to treat residents/members/clients with bedbugs with respect. Continue to work with them as you would any other client. Bedbugs carry a stigma, so it is important reduce this stigma by accepting their requests for services, including home visits.

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Translation Services University of Michigan LRC Language Bank

Please Note Community Agencies (ie Hannan/Madison Heights Co-op Service Coordination Program) can submit a Translation Project!

Translation Services:  The Language Bank The University of Michigan Language Resource Center has initiated the LRC Language Bank. This service brings together students, faculty and staff of the University of Michigan who are interested in translating and connects them with campus and community agencies who need translation or interpretation services.

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Suggested Retirement Savings Goals

Suggested Retirement Savings Goals, by Age

By ANN CARRNS

For those of you wondering if you’re saving enough money for retirement, here are some new savings guidelines to ponder.

Fidelity Investments has recommended that most workers should strive to save at least eight times their final salary before they retire to adequately prepare for retirement. (Saving that amount puts you on track to replace 85 percent of your salary, Fidelity says.)

Now, the investment firm is suggesting earlier milestones to help you get to that eight times goal by the time you’re 67.

Namely, Fidelity suggests workers should aim to save about one times their salary at age 35, three times at age 45 and five times at age 55.

So if you’re 45 and you’re making $50,000 a year, you should have put away $150,000.

“We believe these savings targets offer a rule of thumb to help employees get engaged in retirement planning by making it simpler and more achievable, but we recognize many individuals may need more than eight times their ending salary in retirement based on their lifestyle,” James M. MacDonald, president of workplace investing at Fidelity, said in a news release.

The company’s savings guideline is based on an employee in a workplace retirement plan, like a 401(k), beginning at age 25, working and saving continuously until age 67 and living until age 92. The goal would include savings in all retirement accounts, like 401(k)’s and I.R.A.’s, as well as other savings.

The calculation includes several assumptions, like a lifetime average annual portfolio growth rate of 5.5 percent and income growth of 1.5 percent a year over inflation with no breaks in employment.

 

New York Times:

http://bucks.blogs.nytimes.com/2012/09/12/suggested-retirement-savings-goals-by-age/

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Resources for Veterans and Employers

Crains Detroit Business published a guide of resources for veterans and employers. See attached. 7/23/12

 

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DDOT Real Time Bus Arrival

Code for America and DDOT are happy to announce real time bus arrival information is now available for riders standing at a stop or heading out to catch the bus.

Simply text your location (address or intersection) to 50464, and DDOT will return a list of the routes closest to you. Select the route you’d like to know about and you can quickly find out how many minutes until the next bus!

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Fifth Third Bank E-Bus

Join Fifth Third Bank and Vanguard CDC on August 29, 2012 for the Fifth Third Bank E-Bus!!!

Resources include: • Money management and budgeting advice from certified credit counselors • Receive home foreclosure prevention information • Visit with MI Child to sign your child up for free or low cost health insurance with the State of Michigan • Meet representatives from nonprofit organizations in your community to receive information and resources for health, dental, food and other basic needs • Receive a free copy of your credit report • Apply for a free cell phone • Vin Etching

*Free food will also be available for all e-bus participants.

To download a PDF of the flier click here: ebus flier

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