Florida Association of Homes and Services for the Aging
February 11, 2010 Vol. 17, Issue 10
 
 
 
 
Welcome to this week's edition of the FAHSA Link. 
 

Two Weeks and Counting Until Session - Lawmakers participated in another week of meetings on the budget.  Much of the focus was again on the continued growth in Medicaid spending.

 

As deliberations about the pros and cons of going statewide with managed care for the Medicaid program escalated, Governor Charlie Crist reversed his position.  He said he is now willing to consider expanding the Medicaid reform pilot project created by his predecessor Jeb Bush.  Meanwhile, hospitals and HMO representatives are duking it out over the benefits that would be reaped if hospitals were required to participate.  Hospitals claim that emergency room use is higher for HMO patients than fee-for-service patients.  HMOs contend that the state can save significantly more dollars if hospitals were mandated to participate in managed care.

 

HMO representatives are proposing that the law should be changed to give a hospital three opportunities to negotiate HMO agreements in counties where Medicaid reform has been or will be implemented.  If an agreement is not reached, the hospital would receive a reduction in its Medicaid rate.  So far, this proposal has not been embraced by lawmakers, but that's not to say it won't be considered if Medicaid reform goes statewide.

In This Issue
District/Member News
Education News
General News
Housing News
Legislative News
Nursing Home News
Preferred Business Associates News
Career Center
FAHSA Quick Links
 
Mark Your Calendar!
 

2010 Legislative Session Preview Conference Call Scheduled -- Please join us on February 19 at 2:00 p.m. ET for a conference call to discuss the 2010 Legislative Session.  Larry Overton (Larry Overton and Associates) and Robert Weissert, Esq., (General Counsel, Florida TaxWatch) are the featured speakers along with the FAHSA public policy staff.

 

This is your opportunity to learn more about the political tension in Tallahassee and the budget that Governor Crist has sent to the legislature for fiscal year 2010-11 and why legislators are skeptical about it.  In addition, FAHSA's public policy staff will provide you with an overview of high priority bills that could affect your organization and elder consumers.  If you hear something during the conference call that alarms you about a legislative proposal, we would welcome your suggestions afterwards.

 

The day before the conference call, you will receive a link to a PowerPoint presentation by e-mail that will be posted on our Web site along with the dial-in number and pass code.  Speakers will refer to the PowerPoint presentation during the conference call.

District/Member News

Doing More in a Time of Less:  JCS Makes Passover Special for Seniors -- During a time of less money, less jobs and less resources, the Jewish Community Services of South Florida (JCS) is doing more - by hosting their annual "Matzah Mitzvah & More" food distribution event on Sunday, March 21, 2010.  On this day, volunteers will gather to pick up holiday food baskets and deliver them to 1,600 seniors in their homes and nursing homes.  As the Jewish community prepares for Passover, these individuals and families will bring the spirit of the season to those less fortunate in Miami-Dade County. 

 

"We get out in the community and share not just food but time with people, some of whom have not had a visitor in months," said JCS President and CEO Fred Stock.  "It's important to the seniors and it's important to JCS, to do this mitzvah." 

 

Volunteers will meet at the Greater Miami Jewish Federation at 4200 Biscayne Blvd. starting at 9:00 a.m. on Sunday, March 21st.  For more information on how you can make a difference at the Matzah Mitzvah & More Event by participating or by making a donation, please contact Marian Mendelsohn at (305) 403-6539 or mmendelsohn@jcsfl.org.

Education News
 
Prepare to Attend the Annual Legislative Workshop on March 23-24 - To offset the cost of a flight to Tallahassee, FAHSA has lowered the registration fee of the Legislative Workshop this year. In addition, we have added a substantial discounted rate for the second and subsequent participants from your community to attend the workshop to learn about the legislative process, visit legislators and meet other FAHSA members.  Online registration will be available tomorrow and watch your mail for workshop brochures!
 
Register Now for FAHSA's Next Leadership Course -- Students are now needed for the next FAHSA/UF Leadership course slated to begin on March 25-26, 2010 in Tallahassee.  Residents may be interested in donating - and participants can apply for FAHSA's scholarship program to offset some of the expense. Please consider sending as many staff as you can. Register Now! 
 
Join Us for Upcoming Training Opportunities - Plan to join us for the following educational opportunities:
  • February 16, 2010 - Detecting Abuse and the Hotline Free Conference Call
  • February 25, 2010 -- CNA Train the Trainer, Orlando
  • March 16, 2010 - Medicaid Integrity and RAC Webinar
  • March 23 & 24, 2010 - Legislative Workshop, Tallahassee
  • March 25 & 26, 2010 - Leadership Academy, Tallahassee
  • March 30, 2010 - RUGS4 Webinar
General News
 

FAHSA Staff Testify Before Select Policy Council on Strategic & Economic Planning -- Janegale Boyd, FAHSA's President/CEO, and Erwin Bodo, Ph.D., FAHSA's COO testified this week in front of the Senate Health and Human Services Appropriations Committee and the House Select Policy Council on Strategic & Economic Planning.  Their topics included falls prevention programs in nursing homes and a discussion of suggestions related to Medicaid Long-Term Care Services reform.  You can download a copy of Erwin's presentation from the FAHSA website.

 

There were very few questions as time was short and legislators focused more on the really big picture and questioned those presenters that proposed drastic changes to the current Medicaid program.  Among some of the more interesting proposals were:

 

  • Convert all of Medicaid services to be provided under managed care - offered by the Florida Association of Health Plans (FAHP)
  • Serve all intermediate care nursing home residents through the Medicaid Capitated Diversion Waiver - offered by American Eldercare Services.
  • Implement a Medical Home based model - offered by AARP.

FAHSA is maintaining a position that we need to build on the strength of the current system, maintain our investment in quality services, and link expectations to reimbursement, while offering choices to our needy.  The strong nonprofit aging network offers good potential for cost savings if diversion efforts are funded properly and care coordination is enhanced.  Given the dramatic increases in the elderly population Florida is going to endure, we must retain a financially strong nursing home sector in the long-term care continuum.

 

But the winds are blowing in the direction of some sort of managed care model.  Most legislators are curious about the substantial savings the FAHP and the American Eldercare proposals predict.  At the same time, there are concerns about "putting all of our eggs in one basket."

 

Stay tuned.

FAHSA General Membership Alert Page

Housing News

Hold Tight -- Snow Storm Causes Havoc for Members Trying to Reach TRACS Offices - Today makes the fourth day that federal offices in Washington, D.C. are closed due to inclement weather conditions. Members who have questions or concerns are not able to reach the appropriate persons and the TRACS Hotline 800-767-7588 refers you to numbers that says leave a number then says mail box is full.  According to Colleen Bloom, Associate Housing Director, AAHSA, don't expect a major change/improvement in the system before next week and don't leave secure information in the general tracs@hud.gov e-mail site. Luckily, everything should be back up and running by next week, as long as the weather cooperates.

 

Other Housing News

  • Special Claims Checklist

  • FAHSA's Housing Conference Call Schedule

  • FAHSA's 2010 Legislative Session Conference Call

 
Legislative News
 

Nominate Someone for FAHSA's Outstanding Advocacy Award -- This year, FAHSA's Outstanding Advocacy Award will be presented during FAHSA's Annual Legislative Workshop on March 23 and March 24, 2010, in Tallahassee.  The award is given to a FAHSA member or group of members that have gone above and beyond the usual to promote FAHSA's public policy agenda and educate lawmakers about long-term care and senior housing.  Previous recipients have had long histories of participating in grassroots advocacy activities -- including testifying at legislative delegation meetings and cultivating relationships with individual legislators.

If you would like to nominate someone who has made an outstanding contribution in the area of advocacy, please submit a nomination to FAHSA by March 12, 2010 by filling out the nomination form and writing a letter summarizing why you think the nominee is deserving of the award. We have received one application but would welcome others. The Awards brochure is available for download under the Quality tab on the FAHSA web site or by clicking here.

 

Call for Nominations for FAHSA Legislative Service Award - Please consider submitting the name of a state senator or representative who you thing is deserving of special recognition by the Association. The award is reserved for a member of the Florida House of Representatives or Senate who has a history of pursuing legislation that is sensitive to the needs of FAHSA members and the elder Floridians they serve. The award will be presented at our legislative workshop on March 23 in Tallahassee. Nominations are requested by March 12. Two nominations have been received to date, but we would welcome others.

 

Fix to Unemployment Insurance Compensation Tax Rate on Fast Track -- As promised, the House is moving quickly to craft language to provide businesses with relief from the huge increase in Unemployment Insurance Compensation tax rate that took effect in January. The House Economic Development and Community Affairs Policy Council adopted a proposal this week that is expected to reduce the UI tax increases by 39 percent and allows businesses to pay the tax in quarterly installments without penalties.  Without relief, the tax rate for businesses will increase from $8.40 an employee in 2009 to $100.30 this year. Rep. Jennifer Carroll, R-Fleming Island, presented the proposal to the council and appears to be taking the lead on this issue.

Nursing Home News
 

Higher IJ  Citations for Failure to Clean Glucometers Between Residents

-- AAHSA reported this week that they are hearing about an increased number of Immediate Jeopardy citations resulting from failure to clean glucometers between residents / uses.  Please click on the Nursing Home Alert (NH10-04) to read more about this and other topics listed below.

 

Other Nursing Home News:

 

  • Workgroup to Develop a Standardized Discharge Abstract to be Adopted in Florida
  • CMS Now Accepts CMP Waiver Notices Via Internet

FAHSA Nursing Home Alert Page

Preferred Business Associates News
 
CoupleWithDollarFAHSA's Preferred Business Associates Program (PBAs) -- A list of PBAs can be found by on the FAHSA Web site www.fahsa.org and selecting Preferred Business Associates from the left side menu bar or clicking on the FAHSA Preferred Business Associates Page hyperlink. FAHSA members can also use the on-line directory to search for PBAs by specialty.
 
Career Center
 
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Copyright 2010 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).
  • FAHSA Chair: Terri Cunliffe
  • FAHSA President/CEO: Janegale Boyd
  • Managing Editor: Gail Matillo, MPA, COS
Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

Correspondence: Should be addressed to: Editor, 1812 Riggins Road, Tallahassee, FL 32308. For telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at info@fahsa.org. © 2010 FAHSA. All rights reserved.

Disclaimer: The information contained in this correspondence is not intended as a substitute for legal advice. Please discuss any information gathered from this or any other FAHSA publications with your legal counsel in the context of your particular situation before implementing any new policies or procedures.