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Mentor News

Mentor News. Regional Conferences December 11, 2013 February 19, 2014 April 16, 2014 June 19, 2014 September 17, 2014. What is a Mentor?. The definition of a Mentor from Merriam-Webster Dictionary is : A trusted counselor or guide. The role of Mentors is to:

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Mentor News

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  1. Mentor News Regional Conferences December 11, 2013 February 19, 2014 April 16, 2014 June 19, 2014 September 17, 2014

  2. What is a Mentor? The definition of a Mentor from Merriam-Webster Dictionary is:A trusted counselor or guide

  3. The role of Mentors is to: Facilitate the knowledge and skill-building capacity of waiver agents and CILs to provide effective transition services Mentor Job Responsibilities

  4. What do the Mentors do? Mentors: Provide resource information, tips and techniques for working with Medicaid and DHS Address barriers to transition and resolve them creatively Give presentations at regional and state conferences Develop tools to further educate transition coordinators Actively participate in NFT Housing Specialists meetings and Outreach Specialists meetings Submit monthly reports to MDCH tracking emerging issues and successful strategies

  5. Mentors: • Are available for questions and guidance via telephone, email, and face-to-face visits • Help problem solve anything from resistance with NF staff to challenges in obtaining DME to relationship building • Travel to your area, agency or local nursing facilities to provide hands-on training Mentor Services

  6. Increase the number of transitions statewide • Establish best practices for NF Transitions statewide • Enhance collaboration between CILs and waiver agents • Identify common barriers and ways to overcome them Our Personal Goals for the Mentor Program:

  7. CIL Service Map MI Choice Waiver Service Map Mentor Coverage Areas

  8. Lisa Hansen Disability Network Southwest Michigan 517 E. Crosstown Parkway Kalamazoo, MI 49001 (269) 345-1516 x 111 hansenl@dnswm.org Cindy Rivers Disability Network Mid-Michigan 1705 South Saginaw Road Midland, MI 48640 (989) 835-2495 x 223 cmartin@dnmm.org Mentor Contact Information:

  9. Medicaid Recertification • PACE • Transfers • Hot Topics Mentor Training Topics:

  10. Each year, Medicaid recipients must recertify eligibility for Medicaid • DHS mails an application packet to the Medicaid beneficiary (or designated representative) approximately two months prior to the effective Medicaid month • For example, if the Medicaid effective date was June, 2010, an application packet would be mailed each year in April Medicaid Recertification

  11. When a Medicaid beneficiary is in a NF, DHS will send the application packet directly to the Medicaid beneficiary or their designated representative. • It is their responsibility to complete this packet. However, the NF Business Office Manager is available to assist if needed and often will do so. • When a person transitions out of the NF this task of having to complete an application annually may not be a priority. • To continue providing NFT supports after transitioning the person needs to have active Medicaid. Medicaid Recertification

  12. NFT Coordinators can play a role in recertification. When a NFT notice is submitted to MDCH via Compass for review, the Medicaid eligibility start date will be recorded. NFT Coordinators must clear the notice in Compass and verify the Medicaid status. By noting the Medicaid eligibility start date, NFT Coordinators can help remind Medicaid beneficiaries to recertify. “My Medicaid must have lapsed!”Who has heard this before?

  13. PACE =Program of All-Inclusive Care for the Elderly Comprehensive, coordinated, all-inclusive, long-term managed care

  14. PACE Program Eligibility *Aged 55 years or older*Reside in a county served by a PACE agency*Meet Nursing Facility Level Of Care*Be in a safe home environment at time of enrollment

  15. Services may include: Adult Day Health CenterOn-Site Physician/Medical SupervisionNursing CareSocial ServicesPhysical TherapyOccupational TherapyRecreational TherapyActivities and ExerciseBreakfast/LunchNutritional CounselingPodiatryHome Health and Home Care ServicesSkilled NursingPersonal CareChore ServicesMeal Preparation

  16. Inpatient & Outpatient Services Primary Care Physician Emergency Room Visits On-call 24 hours per day, Hospitalizations seven days per week Inpatient Specialist Skilled Inpatient Rehab Lab Tests Radiology/X-Ray Outpatient Surgery Ambulance Services Medical Specialists Family/Caregiver Support Women’s Services Respite Care Dentistry and Dentures Caregiver Education Optometry and Eye Care Audiology/Hearing Aids Cardiology Rheumatology www.pace4you.org Services continued:

  17. Michigan Medicaid MI Choice Waiver www.michigan.gov/mdch Michigan Medicaid Nursing Facility Level of Care Determination http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42543_42546_42554-103102--,00.html Michigan Department of Human Services www.michigan.gov/dhs Michigan statewide search for Adult Foster Care/Homes for the Aged Facilities http://www.dleg.state.mi.us/brs_afc/sr_afc.asp Office of Services to the Aging www.michigan.gov/osa Michigan Long Term Care Ombudsman Program http://www.michigan.gov/osa/1,4635,7-234-43230_46224---,00.html Resources:

  18. CIL to CIL • Waiver to CIL or CIL to Waiver • Waiver to Waiver Transfers from one service area to another

  19. Referrals • Contracts • Compass - Exceptions Hot Topics:

  20. Questions

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