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December 24, 2009 |
Vol 17, Issue 4 |
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Welcome to this week's edition of the FAHSA
Link.
Season's Greetings!
May Peace, Joy, Prosperity and Happiness be
yours during this Holiday Season and throughout
the New Year!!
The FAHSA Board of Directors and Staff wish you
and yours a Happy, Safe and Healthy New Year!
The FAHSA office will be closed from December 25
through January 1, 2009, and the weekly LINK
newsletter will not be published next week.
If you need to reach a staff person, or in case
of an emergency while the office is closed,
please contact either: Janegale Boyd
(850/294-3412) or Gail Matillo (850/294-3415).
Do Not Forget the Military -- Thank a
Soldier for Their Service -- The XEROX
Corporation has sponsored a web site
www.LetsSayThanks.com that contains several
different thank you cards that you can choose and
Xerox will print and send to a soldier that is
currently serving in Iraq. You can't choose who gets
the card, but it will go to a member of the armed
services. It is FREE and it only takes a second.
Spread the word to let them know that we are
thinking of them during this holiday season.
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Health Care Reform Bill Passes Senate
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Senate Passes its Version of $891 Million Health
Care Reform Bill -- CLASS Plan Included in Senate
Health Reform Bill -
The Senate passed a potentially historic $871
billion health care reform bill Thursday morning
after months of heated partisan debate in a 60 to 39
party line vote. Every member of the Democratic
caucus backed the measure; every Republican opposed
it.
The CLASS Act (Community Living Assistance Services
and Supports Act) was included in the amendment.
This is good news for long-term care providers.
Advocates were not sure that the CLASS Act would
stay in the bill, especially given the opposition -
LTC insurers put up a huge, expensive fight. Credit
goes to all of our members that helped spread the
message in support of the CLASS Act.
If enacted, the measure would
constitute the biggest expansion of federal health
care guarantees since the enactment of Medicare and
Medicaid over four decades ago. It is expected to
extend insurance coverage to over 30 million
additional Americans.
The bill now must be merged with
a $1 trillion plan approved by the House of
Representatives in November. Democrats hope to have
a bill ready for Obama's signature before the
president's State of the Union address early next
year.
The bill provides billions
in subsidies for low and middle class Americans
to purchase private insurance. All Americans
would be required to be insured unless they can
demonstrate that doing so would be unaffordable.
The GOP, along with some constitutional
scholars, argues that such a mandate is
unconstitutional. Other scholars disagree and
the matter is sure to be litigated.
The bill also includes expansive new insurance
industry regulations, though they are phased in over
the next several years. Insurers, beginning in 2014,
would not be allowed to deny customers due to
preexisting conditions and would not be allowed to
cap annual or lifetime benefits. After the holiday
break, both the House and Senate bills will have to
be merged in Conference Committee.
It appears that the CLASS Act has good odds of
staying in the final Conference Report, as it
appears in both the House and Senate bills. However,
it is likely that the opposition will not give up
easily, and there may be additional opportunities to
advocate in support of the CLASS Act in the coming
weeks. Passage of a health care reform bill is not
guaranteed, as there are large differences between
the House and Senate bills. In the coming weeks, we
will update our side-by-side comparison of all of
the provisions that may affect long-term care
providers contained in both the House and Senate
bills.
National Public Radio had a segment on Home Health
two days ago about cuts expected in both Senate and
House bills and what that means for providers.
Listen to the segment by
clicking here.
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Innovative Exchange Corner |
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FAHSA's Innovation
Exchange Corner Features "Low Vision Support
Group"- FAHSA's Innovation Exchange
Program provides members with an opportunity to
share ideas and best practices with others and
to recognize their staff for extraordinary
performance. This month, FAHSA is
showcasing "Low Vision Support Group" submitted
by Plymouth Harbor, Inc.
Plymouth Harbor's Resident's Health Committee noted
that more than ten percent of the population over
sixty five had visual disability, mostly due to
Macular Degeneration, Glaucoma or Diabetic
Retinopathy. They formed a Low Vision Support Group
that holds monthly meetings. The meetings are
divided into two sessions. The first encourages
sharing information, support, and discussion of
problems. Leading professionals are invited to speak
during the second session.
It became evident that there
were many visual problems but few rehabilitation
programs available. A planning group decided to
develop a Low Vision Resource Center equipped with
new and existing technologies. The resource center
contains a state of the art computer system that can
read and speak printed matter, a library of resource
materials which can be read with the help of a
special magnifying light, and an audio book
library. In addition, volunteers read documents and
letters for residents. Much of this has been made
possible by a generous $10,000 grant from the John
McGovern Foundation.
Many
residents now use their own computers to amplify
images and some use voice recognition to dictate
letters and have printed materials read aloud to
them by computer. The program seems to attract
applicants for admission to Plymouth Harbor. To
read more about the "Low Vision Support Group,"
please go to the
FAHSA Innovation Exchange Web page.
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District/Membership News |
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Governor Appoints John Hehn to the Byrd Alzheimer's
Center And Research Institute --
Last week, John M. Hehn, Jr., a long-time FAHSA
member, was appointed by the Governor to serve on
the Johnnie B. Byrd, Sr., Alzheimer's Center and
Research Institute (the "Institute").
Hehn served on the previous
Board of the Institute, however, a new appointment
process was established by the 2009 legislature
consisting of seven members and limited to two
four-year terms. Three appointments are to be made
by the Governor, President of the Senate, Speaker of
the House and the four remaining are to be made by
the University of South Florida's Board of Trustees.
Hehn is the Executive Director
of Florida Presbyterian Homes, Inc., a 300 resident
continuing care retirement community. The community
includes residents living in single family houses,
apartments, assisted living and a forty-bed skilled
nursing center. The nursing home is one of 18 Gold
Seal providers in Florida.
As a result of his profession
in long-term care, Hehn has had extensive experience
with individuals living with Alzheimer's disease and
has firsthand knowledge of the pain and struggles of
families caring for persons with the disease. Most
recently, he was responsible for initiating a
research project to evaluate the effects of a
computer-based memory enhancing program that some of
his residents will be using over the coming months.
FAHSA is very proud of Hehn's
new appointment and extends our congratulations to
him! |
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Education News
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Join Us for
the January Regional Meetings --
Plan to join us for a
two-hour educational session on workforce topics
featuring staff from the Institute for the
Future of Aging Services (IFAS) at the American
Association of Homes and Services for the Aging
(AAHSA), staff from four of the regional
Workforce Florida, Inc., offices, and members
from the Florida Center for Nursing (FCN).
Lunch will be provided along with networking
opportunities. This training is for all members.
The meeting begins at 10:00 am and ends at 2:00
pm.
Click here to register.
January 12, 2010 - Covenant
Village of Florida, Plantation
January 13, 2010 - Plymouth
Harbor on Sarasota Bay, Sarasota
January 14, 2010 - Waterman
Village, Mount Dora
January 15, 2010 - Advent
Christian Village, Dowling Park
Kathlene Coughlin Williams To Present on
January 19 -- The Affirmative Fair Housing
Marketing Plans Webinar featuring Kathlene Coughlin
Williams will be held on January 19, 2010, from 2:00
pm to 3:00 pm. To learn more about affirmative fair
housing, register today!
Click here to register.
Upcoming Educational Events:
- January 19, 2010 -- Affirmative Fair
Housing Marketing Plans Webinar - 2:00
pm to 3:00 pm
- January 20, 2010 -- MDS 3.0 Webinar
- January 26 & 27, 2010 -- FAHSA Board
of Trustees and Public Policy Meeting,
Boca Raton Resort
- February, 16, 2010 -- Detecting
Abuse and the Abuse Hotline Webinar
- 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
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General News |
Court to Hear Medicaid Reimbursement Lawsuit
-- Lawyers in a five-year-old
lawsuit filed on behalf of the Florida Pediatric
Society and the Florida Academy of Pediatric
Dentistry against the State of Florida will be
in court on January 5 to argue that Florida's
Medicaid reimbursement rates, among the lowest
in the nation, violate federal law. The
plaintiffs are asking the court to order the
state to pay pediatricians and dentists a more
realistic fee for treating children on Medicaid.
If the plaintiffs prevail, the cost to
Florida would exceed $200 million at a time when
lawmakers are facing a $2.6 billion budget
shortfall and looking for ways to control
Medicaid costs. The big question is. where will
the money come from if the court rules in favor
of the plaintiffs?
Source: Florida Today
Medicare Co-Pays
and Deductible Increases -- On January
1, the Medicare Part A deductible for days 21 to
100 increases to $137.50. For almost 75 percent
of beneficiaries, Part B premiums are unchanged,
but higher income beneficiaries could see
substantial increases. The Part B deductible for
2010 is $155.00.
Source: Moore Stephen
Lovelace, P.A.
Read IRS
Director's Nov. 9 Remarks to Trustees in Chicago
- Lois Lerner, Director of the IRS Exempt
Organizations Division, addressed a record
turnout of trustees at the AAHSA meeting in
Chicago last month. She spoke about the IRS'
perspective on good governance and what
nonprofits can expect from the agency in
fulfilling its mandate to ensure compliance with
the tax code. Read
Lerner's remarks. See also the
IRS' governance practices check sheet
that tax agents will be using when
examining nonprofits.
HIT Toolkits Available for Nursing
Homes and Home Health/Assisted Living
-- In partnership with Aging Services of
Minnesota, AAHSA and CAST are making Health
Information Technology (HIT) Toolkits for
Nursing Homes and
Home Health/Assisted Living available to
members. A hands-on session by users of the
toolkits is planned for AAHSA's Future of
Aging Services Conference
Feb. 22-24, 2010.
IRS Announces 2010
Mileage Rates --The
Internal Revenue Service has issued the 2010
optional standard mileage rates used to
calculate the deductible costs of operating an
automobile for business, charitable, medical or
moving purposes.
Beginning on Jan. 1, 2010,
the standard mileage rates for the use of a car
(also vans, pickups or panel trucks) will be:
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50 cents per mile for business miles driven;
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16.5 cents per mile driven for medical or moving
purposes; and
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14 cents per mile driven in service of
charitable organizations.
The new rates for
business, medical and moving purposes are
slightly lower than last year's. The mileage
rates for 2010 reflect generally lower
transportation costs compared to a year ago.
For
Additional Details Regarding Standard Mileage
Rates,
click here.
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Home and Community-Based News |
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Verizon to Offer Telehealth Services
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Verizon Business, a unit of Verizon Communications,
has teamed up with Cisco Systems, Inc., to deliver a
new service that uses integrated audio, visual and
video communication to facilitate virtual medical
consultations. The telehealth service will also
provide continuing medical education and training
opportunities to health professionals. To read the
entire article,
click here. |
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Housing News |
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New EIV Notice Published --
A new notice regarding
Enterprise Income Verification (EIV) for verifying,
at the time of recertification, the employment and
income of individuals participating in one of these
rental assistance programs and for using reports and
data available has been posted on the
HUD Notices web page. In
addition to use by owners/agents, (O/A), EIV reports
may also be used by Contract Administrators (CAs)
(Performance Based Contract Administrators (PBCAs),
Traditional Contract Administrators (TCAs) and HUD
staff) for monitoring the O/A's compliance with the
recertification process; independent public auditors
(IPAs) auditing an owner's compliance with verifying
income and the accuracy of rent/subsidy
determinations; and, the Office of Inspector General
(IG) for auditing purposes. See Section IX,
Security of EIV Data, for more information on
official use of EIV data.
Although using the EIV system
for upfront income verification (UIV) is not
mandatory at this time, it is anticipated that use
of the system will become mandatory on January 31,
2010. Using the data in EIV will assist HUD in
meeting the Rental Housing Integrity Improvement
Project's (RHIIP's) goal of ensuring that the
right benefits go to the right persons by
reducing errors in determining a tenant's income,
thereby reducing the number of improper payments in
Multifamily Housing's rental assistance programs.
For additional information on
obtaining access to EIV
click here
to go to the Multifamily EIV
website.
HUD 92006 Form Now Mandatory
-- Owners and agents (O/A) must begin including form
HUD-92006 as part of their application package.
Completion of the form is optional on the part of
the applicant.
Housing
Notice H-2009-13 provides guidance on implementation
of the requirements of Section 644 of the Housing
and Community Development Act of 1992 (Section 644).
Notice H 2009-13 is available by clicking here.
Form HUD-92006 is available by clicking here.
NTHDC Publishes Fall Quarterly Newsletter -
North Tampa Housing Development Corporation has
published their fall newsletter. Please download a
copy by
clicking here. |
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Legislative News |
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FAHSA Members Address Hillsborough, Pinellas
Legislative Delegation --
Last week, Luanne Reese (Mease Manor) and Lisa Lyons
(St. Joseph John Knox Village) testified before
members of the Hillsborough and Pinellas State
Legislative Delegations. They used the three minute
time limit to urge lawmakers to continue adequate
funding and services for elder Floridians. They
noted that nursing homes of retirement communities
are economic engines that provide thousands of jobs
throughout the state. State and federal money
earmarked for such providers is an investment in
elders as well as the economy.
Senator Haridopolos and Rep. Cannon Announce
Statewide Job Summit -
Senator Mike Haridopolos (R-26) and Representative
Dean Cannon (R-35) held a press conference this week
to announce their plans to conduct a Statewide Job
Summit. In November, Florida's unemployment rate
hit an all time high of 11.5 percent. The summit
will set policy direction for the Florida
legislature during the upcoming legislative session
and will focus on government's obstacles and tax
incentives to promote job growth. The summit will
be held in Orlando on January 14-15, 2010 at the
Rosen Shingle Creek Resort.
Florida Politicians Seek Extension of Federal
Stimulus Dollars -
The Florida legislature used federal stimulus
money to balance the budget in 2009. Because of the
recession, dependence on government services also
increased over the past year. Hundreds of thousands
of Floridians have used extra federal unemployment
funds and food stamps, as the number of jobless in
the state rose to more than 1 million. Thousands
more have also been added to the state's Medicaid
rolls.
The stimulus funds expire at
the end of 2010. Florida's economy is not expected
to rebound for another two to three years. That's
why the Florida Senate President and colleagues in
both political parties appealed recently
for congressional action to avoid cuts in Medicaid
services when the current stimulus program ends
which included a temporary increase in federal match
for Medicaid. If the stimulus law is not extended,
Florida's share of the costs of the Medicaid program
will increase by $668 million when the
state anticipates a revenue shortfall of $2.6
billion for the 2010-11 fiscal years. This
dilemma comes after three consecutive years of
budget cuts totaling $7 billion. The Legislature
will need to find a way to fill the gap when
the 2010 legislative session begins in March unless
Congress acts soon to extend the stimulus program.
Source: Tallahassee
Democrat, 12/21/09. |
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Nursing Home News |
Newly Posted GAO Report: -
On November 20, the Government Accounting
Office published a new report Nursing Homes:
Opportunities Exist to Facilitate the Use of
the Temporary Management Sanction. Please
click here
to download a copy of the report. The
following summary provides information
included in the report:
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The Report addresses the use of the federal
sanction, temporary management, and why has been
used infrequently in response to identified
quality problems. Specifically, the report
examines "(1) Centers for Medicare and Medicaid
Services (CMS) and states' experience with the
use of federal temporary management and its
effectiveness in achieving compliance in the
short and longer term; and (2) obstacles to the
use of federal temporary management and how such
obstacles could be addressed." GAO was also
asked to determine whether changes in ownership
occurred when nursing homes were under federal
temporary management, and to identify obstacles
to such ownership changes.
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GAO identified States where temporary management
had been used in fiscal years 2003 through 2008:
14 nursing homes in 10 states located in seven
of the 10 CMS Regional Offices (ROs).
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To examine the obstacles to use, GAO received
additional information from nine of the 10
states and seven Regional Offices, and sent a
standardized list of questions to the remaining
41 states: "(1) obstacles to the effective use
of the sanction; (2) existence and maintenance
of state temporary manager lists; (3) use of
state alternatives to federal temporary
management; (4) obstacles to bringing about a
change in ownership in cases where federal
temporary management was used; and (5)
suggestions for improving the federal temporary
management sanction." Responses were received
from 46 states and seven ROs.
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GAO also queried states on alternatives to
temporary management; funding options for
temporary management; and suggestions for
improving the sanction.
·
GAO found that temporary management was used
successfully in the short term in homes with
some combination of immediate jeopardy; a
history of noncompliance with CMS quality
requirements; and/or the failure of other
sanctions to bring about compliance. In 11 of
the 14 homes, the sanction was used with the
objective of returning the home to compliance;
in 10 of those homes temporary management was
successful in the short term at doing so.
However, some homes continued to have
compliance problems in the longer term, i.e.,
since the temporary management was concluded.
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Officials from 46 states and seven CMS ROs
identified obstacles to using temporary
management, "...including time constraints, a
lack of qualified temporary managers, and
inadequate funding to pay for a temporary
manager."
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Officials from 25 of the 46 states advised GAO
they did not maintain a list of potential
temporary managers.
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Officials Identified Three Key Obstacles to the
Sanction: time constraints; lack of qualified
temporary managers, and inadequate funding.
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Maintenance of lists of qualified temporary
managers and additional information on use of
the sanction were identified as ways to address
the obstacles
GAO Recommendations to CMS:
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CMS responded that it "...endorsed the spirit of
[GAO's] recommendations but did not fully agree
with all of them." CMS agreed to develop
additional information that identifies best
practices for states and to explore alternatives
to the development of state guidance. However,
CMS advised that it did not plan to create lists
of temporary managers.
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Preferred Business Associates News |
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FAHSA'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.
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Career Center |
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Welcome to the Florida Association of
Homes and Services for the Aging Career Center!
Your destination for exciting Aging Services job
opportunities and the best resource for
qualified candidates in the Florida Aging
Services Industry. Searching for a job in Aging
Services?
Looking to fill a position? This job board is
custom tailored for the Aging Services industry,
which means we attract the most qualified
professionals in Florida.
Create an Employer Account,
search resumes and post your Aging Services job
now!
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Copyright 2009 -- 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. © 2009 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.
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