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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

Mentor News

Regional Conferences

December 11, 2013

February 19, 2014

April 16, 2014

June 19, 2014

September 17, 2014

mentor job responsibilities

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
what do the mentors do
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

mentor services

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
our personal goals for the mentor program

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:
mentor coverage areas
CIL Service Map

MI Choice Waiver Service Map

Mentor Coverage Areas
mentor contact information

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:
medicaid recertification

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
medicaid recertification1

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
my medicaid must have lapsed who has heard this before

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?
pace program of all inclusive care for the elderly

PACE =Program of All-Inclusive Care for the Elderly

Comprehensive, coordinated, all-inclusive, long-term managed care

slide14

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

slide15

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

services continued

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:
resources

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:
transfers from one service area to another

CIL to CIL

  • Waiver to CIL or CIL to Waiver
  • Waiver to Waiver
Transfers from one service area to another
hot topics

Referrals

  • Contracts
  • Compass - Exceptions
Hot Topics: