Florida User Group Webinar

Users in Florida, a User Group webinar is coming your way! The webinar is scheduled for March 11, 2020, at 10:00 am EST. Tricia Woods and Maureen O’Connell from Therap Services will walk you through this User Group webinar.

Click here to register.

Know your hosts:

Maureen “Mo” O’Connell is a Southeast Business Development Consultant at Therap. She has experience working in the field related to Developmental Disabilities since 2006. She had been a Therap user at her previous workplace. Prior to joining Therap, Maureen had also worked as a Marketing Director which included event planning, fundraising and partnering with the Development Director.

Tricia Woods is a Senior Training & Implementation Specialist at Therap Services who joined back in 2016. Prior to that, she had over 15 years of experience working with Individuals with Developmental and Intellectual Disabilities. Most recently, Tricia was the Director of Health Information and Training for a large Florida provider.

Click here to register for the User Group webinar.

Click here to know what Therap has in store for the users in Florida.

Less than a Month Remaining for the Regional Workshop in Kentucky and Tennessee

Did you know?

The regional workshop in Kentucky and Tennessee is less than a month away! The workshop is scheduled to take place on September 24-25, 2019 at the Hilton Garden Inn Bowling Green hotel. This workshop is going to be two days full of sessions by Kentucky and Tennessee Therap experts and it will give you a chance to network with your counterparts from across the state. Our Therap experts Tricia Woods, Marie Roland, Jason Laws, Milagros Mimi Roche, and Katy Head will be leading the workshop.

The event will be a good place to learn about recent developments in the Therap system, as well as individual support documentation and reporting, electronic health records (EHR) and training management from the technology leader in the developmental disabilities field. The training intensive event will include beginner, intermediate, and advanced level sessions conducted by Therap experts on various Therap modules.

The discussion will include:

  • Therap Basics
  • Therap’s Health Tracking/Nursing module
  • Scheduling/Electronic Visit Verification
  • Therap’s Employment History module
  • BI for Demographics/GERs/Health Tracking/Billing Data

Click here to register for the workshop.

Visit our state pages to know more on what Therap has in store for the users in Kentucky and Tennessee.

Regional Conference in Estero, Florida is Knocking at Your Door!

Less than a week remaining for Therap Regional Conference in Estero, Florida. The conference will be held on August 1, 2019.

Have you booked your seat yet? The conference is going to be a one-day event full of sessions by Florida Therap experts and it will give you a chance to network with your counterparts from across the state.

The event will be a good place to learn about recent developments in the Therap system, as well as individual support documentation and reporting, electronic health records (EHR) and training management from the technology leader in the developmental disabilities field. The training intensive event will include beginner, intermediate, and advanced level sessions conducted by Therap experts on various Therap modules.

Discussion will include:

  • Scheduling/Electronic Visit Verification (EVV)
  • Billing and Service Utilization Management
  • Mobile Workforce Management
  • Better Goal and Outcome Tracking
  • Incident Management (GER)
  • Person-Centered Planning (ISP)
  • Organizational and Program Performance Tracking
  • Better Health Tracking and Medication Management
  • Data Security and Protection
  • Better Behavior Data

Therap experts Tricia Woods, Nadine Sturgess, and Fayonne Johnson will walk you through the event and will talk about the recent updates of the modules.

Click here to register and be a part of this exciting conference at the Embassy Suites Ft Myers-Estero in Florida!

Visit our state page to know more about what Therap has in store for the state of Florida.

DOL Homecare Rule Webinar

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WEBINAR INFORMATION:

The Department of Labor (DOL) published a Final Rule on October 1, 2013 extending minimum wage and overtime pay protections under the Fair Labor Standards Act (FLSA) to most home care workers (who may have job titles such as home health aide or personal care assistant) who provide essential assistance to people with disabilities and older adults.  On August 21, 2015, the U.S. Court of Appeals for the D.C. Circuit issued a decision upholding the Final Rule.  On Friday, September 18th from 2:00-3:00pm Eastern Time, senior leadership from the U.S. Department of Labor’s Wage and Hour Division and Office of the Solicitor will hold a webinar to discuss the Home Care Final Rule.  Presenters will provide an overview of the Final Rule as well as the Department’s guidance regarding joint employment in domestic service employment under the FLSA and the application of the FLSA to shared living programs.  Our comments will address questions we have received from states, including about the home care litigation.

TO REGISTER FOR THE WEBINAR:

Please click https://www.eventbrite.com/e/home-care-final-rule-implementation-webinar-for-states-registration-18538483102  to register for the webinar.

Once you register, you will receive an email with the information you need to access the webinar.

QUESTIONS:

There will be a question and answer period after DOL’s presentation.  If you would like to submit a question(s) in advance, please email it totatum.laura@dol.gov at your earliest convenience.  During the webinar, we will respond to as many questions as possible.

FOR MORE INFORMATION:

Information about the Home Care Final Rule is available athttp://www.dol.gov/whd/homecare/.

Information about the litigation related to the Home Care Final Rule is available at http://www.dol.gov/whd/homecare/litigation.htm.

U.S. Court of Appeals Unanimously Upholds DOL Home Care Rul

U.S. Court of Appeals Unanimously Upholds DOL Home Care Rule

 

Thank you for your engagement with the Department of Labor’s Wage and Hour Division regarding the Home Care Final Rule.On Friday, August 21, the U.S. Court of Appeals for the District of Columbia issued a unanimous decision upholding the Home Care Final Rule. DOL issued the statement below, which is available on our website at http://www.dol.gov/whd/homecare/litigation.htm

This site will be updated with any changes related to litigation, so please check back for updates.

Today’s decision from the U.S. Court of Appeals for the District of Columbia is vital to nearly two million home care workers, who will now qualify for minimum wage and overtime protections. The decision confirms this rule is legally sound. And just as important, the rule is the right thing to do — both for employees, whose demanding work merits these fundamental wage guarantees, and for recipients of services, who deserve a stable and professional workforce allowing them to remain in their homes and communities.

The DOL has led an unprecedented implementation program to help employers prepare for compliance, including offering an extensive and individualized technical assistance program, providing a 15-month period before the effective date to aid compliance, and adopting a time-limited non-enforcement policy. DOL has repeatedly encouraged states and other employers to take the necessary steps toward implementation. The Department continues to stand ready to provide technical assistance to states and other entities as they implement the Final Rule.

Florida Medicaid Provider Self Audit Resources – Now Available

FLORIDA MEDICAID
A Division of the Agency for Health Care Administration

Florida Medicaid Health Care Alert
July 2015

Provider Self Audit Resources are Now Available on the Agency’s Website

Medicaid providers are encouraged to voluntarily conduct self-audits and remedy any issues of non-compliance that are identified, including either voiding/adjusting improper claims or submitting to the Agency’s Bureau of Medicaid Program Integrity (MPI), the self-audit findings and repayment of the improper claims.

MPI recommended that providers review claims with dates of service as old as five years to the present.  MPI also encourages providers to engage in routine self-audits of more current claims (most recent twelve months).  This allows providers to have the opportunity to remedy the claims before an Agency-initiated audit.  When the Agency conducts an audit, it is entitled to recover the costs of the audit and is required to assess sanctions for the non-compliance.  A provider who conducts a self-audit, submits the results, and remits payment, may avoid sanctions for their voluntary disclosure and repayment of overpayments so long as the Agency determines that the disclosure is valid and so long as it is not discovered to be an attempt to alleviate liability for fraudulent practices.

Information about conducting self-audits is available on the Agency’s website, on the MPI landing page.  Please see the below screen-shot which demonstrates how to navigate from the Agency’s home page to the MPI landing page.

Medicaid providers are encouraged to voluntarily conduct self-audits and remedy any issues of non-compliance that are identified, including either voiding/adjusting improper claims or submitting to the Agency’s Bureau of Medicaid Program Integrity (MPI), the self-audit findings and repayment of the improper claims.

Questions regarding conducting a self-audit may be directed to Pam Fante via email at Pam.Fante@ahca.myflorida.com and please include the question in the email.

CMS Releases Heightened Scrutiny Guidance for Home and Community Based Services (HCBS) Rules

Washington, DC (June 26, 2015)

The Centers for Medicaid and Medicare Services (CMS) issued guidance on how they intend to address “heightened scrutiny” for settings that are subject to the home and community based services (HCBS) rule that went into effect on March 17, 2014.  The guidance restates the standard for settings that are presumed institutional (located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, or in a building located on the grounds of, or immediately adjacent to, a public institution).  Additionally, any setting which has the effect of isolating individuals will be presumed to be institutional.  For any of these instances, a state may submit evidence to overcome the presumption and demonstrate how the setting does meet the HCBS standards set forth.  The new rules also offer states the option to develop “tiered standards for residential settings” which will allow states to “close the front door” to some providers while allowing existing providers of the same services to continue.  This means that a state could set one compliant standard for existing providers and set a different, higher standard for new providers.

CMS: New Manged Care and Quality Assurance Standards

The “correct” quality assurance program will always be a question until CMS requires states to standardize their Managed Care processes among MCOs in each state. We all have the opportunity to discuss standardization now, which will not come around again for years. Please see the below information from ANCOR. I encourage people to comment on the CMS proposed rules. CMS Issues

Landmark Proposed Rule on Medicaid Managed Care

On June 1, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule titled “Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability.” The agency states that this proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems.

Home care providers will want to be aware that the proposed rule proposes to add a definition for long term care support services (LTSS).  The CMS proposal defines LTSS as “services and supports provided to beneficiaries of all ages who have functional limitations and/or chronic illnesses that have the primary purpose of supporting the ability of the beneficiary to live or work in the setting of their choice, which may include the individual’s home, a provider-owned or controlled residential setting, a nursing facility, or other institutional setting.”  CMS states that they intend for community based services within the scope of this definition to be largely non-medical in nature and focused on functionally supporting people living in the community.  Examples of what CMS would consider community based LTSS include Home- and Community-Based Services (HCBS) delivered through a section 1915(c) waiver, section 1915(i), or section 1915(k) state plan amendments, as well as personal care services otherwise authorized under the state plan.

HCAOA also notes that CMS is seeking to amend the existing regulation requiring each state to establish a credentialing and re-credentialing policy that addresses all the providers, including LTSS providers, covered in their managed care program regardless of the type of service provided by such providers.

Comments on the proposed rule will be accepted through July 27, 2015. A copy of the proposed rule can be found at http://www.regulations.gov/#!documentDetail;D=CMS-2015-0068-0001

New Hampshire House Passes First-In-The-Nation Legislation To End Payment of Subminimum Wages To People with Disabilities

New Hampshire House Passes First-In-The-Nation Legislation To End Payment of Subminimum Wages To People with Disabilities

Press  Release,  April 15, 2015
CONCORD, NH – Today the New

Hampshire House of Representatives passed SB 47. New Hampshire becomes the first state in the country to repeal statutes that permit employers to pay persons with disabilities less than the state minimum wage simply because they have a disability. SB 47 received unanimous bipartisan support in both the house and the senate.

“SB 47 is a historic policy statement that reflects the current approach to hiring persons with disabilities that has evolved since the 1940’s in New Hampshire – every person with a disability can be competitively employed with the right supports and right job match,” said Chris Rueggeberg, Policy Director for the New Hampshire Council on Developmental Disabilities. “Paying people with disabilities subminimum wages is not necessary or helpful for them to get a job. They can be hired on their merits and abilities,” added Rueggeberg.

SB 47 prime sponsor Senator Hosmer has hired people with disabilities at his AutoServ business for the past 20 years. “The people I hire improve the whole culture and working atmosphere for all my employees,” said Senator Hosmer. SB 47 repeals outdated statutes and outdated approaches to hiring persons with disabilities that date to 1949.  Employers in New Hampshire no longer pay persons with disabilities a subminimum wage. Sheltered workshops are closed. Disability rights organizations, rehabilitation professionals, persons with disabilities working at competitive wage jobs and their employers, the NH Labor Department, the NH Department of Health and Human Services, and Vocational Rehabilitation and Services for Blind and Visually Impaired in the NH Department of Education all worked to pass SB 47. “I’m very pleased that the House has approved SB 47.  Last year, when I discovered that it is was legal in New Hampshire to pay persons with a disability less than the minimum wage simply because of their disability I introduced legislation to study this issue. The
study committee that I chaired unanimously recommended legislation to ban this practice in New Hampshire, ”  said former State
Representative  Chris Muns.

The New Hampshire Council on Developmental Disabilities is a federally funded state agency that supports public policies and initiatives that remove barriers and promote opportunities in all areas of life. The Council carries out its mission through education, advocacy and the funding of innovative projects that make a difference in people’s lives. Find out more at http://www.nhddc.org.

Alert: Florida APD Billing Instruction for Life Skills Development Level 3

 

Florida Medicaid Health Care Alert
February 2015

Provider Type(s): 67Billing Instruction for Life Skills Development Level 3 (ADT) Services

 

Beginning March 1, 2015, Individual Budgeting (iBudget) providers of life skills development level 3 services (procedure codes S5102UC and T2021UC) must adhere to the following billing procedure:

 

  • Providers must submit claims for life skills development level 3 at the end of the month(or on the last day of the service period).
  • The claim must include the total actual hours of services provided.
  • The provider must round the total number of hours to the nearest hour. Providers should round only once at the end of the month (or the end of the billing period).

 

The Agency for Health Care Administration is committed to its mission of providing “Better Health Care for All Floridians.” The Agency administers Florida’s Medicaid program, licenses and regulates more than 45,000 health care facilities and 34 health maintenance organizations, and publishes health care data and statistics atwww.FloridaHealthFinder.gov.  Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter(@AHCA_FL) and YouTube (/AHCAFlorida).

 

Agency for Health Care Administration  |  2727 Mahan Drive, Tallahassee, FL 32308  |  http://ahca.myflorida.com


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