Florida Association of Homes and Services for the Aging
December 24, 2009 Vol 17, Issue 4
 
 
 
 
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 The FAHSA office will be closed from December 25 through January 1, 2009, and the weekly LINK newsletter will not be published next week.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.

In This Issue
District/Membership News
Education News
General News
HCBS News
Housing News
Legislative News
Nursing Home News
Preferred Business Associates News
Career Center
FAHSA Quick Links
 
Health Care Reform Bill Passes Senate
 

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.
Innovative Exchange Corner
 
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. 

District/Membership News
 

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!

Education News
 
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
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:

·         50 cents per mile for business miles driven;

·         16.5 cents per mile driven for medical or moving purposes; and

·         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.

 
Home and Community-Based News
 

Verizon to Offer Telehealth Services

-- 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.
Housing News
 

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.

Legislative News
 

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.

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:

 

·         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.

·         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).

·         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.

·         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.

·         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."

·         Officials from 25 of the 46 states advised GAO they did not maintain a list of potential temporary managers.

·         Officials Identified Three Key Obstacles to the Sanction:  time constraints; lack of qualified temporary managers, and inadequate funding.

·         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:

 

·         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.

 

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
 
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?

We feature various Aging Services jobs. Ready to start your job search?
Click here to find your next Aging Services job!

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!
 
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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