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WORKGROUP G. Legislative and Regulatory Reform Report to Medicaid Long Term Care Task Force February 14, 2005. Membership. 54 participants from: consumer advocacy organizations residential providers state agencies home health MI Choice providers the legislature.
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WORKGROUP G Legislative and Regulatory Reform Report to Medicaid Long Term Care Task Force February 14, 2005
Membership 54 participants from: • consumer advocacy organizations • residential providers • state agencies • home health • MI Choice providers • the legislature
Single point of entry Assisted living Quality Medicaid eligibility Authority Vision External advocate 12 Workgroup meetings 7 Subcommittees
Charge to Workgroup G to: Identify “. . . legislative and regulatory reform that assures safety and quality while removing unnecessary barriers that prevent Michigan from moving toward an efficient and dynamic continuum of care.”
Final Report Contents • Michigan Long Term Care Consumer Choice and Quality Improvement Act • Assisted Living Report • Medicaid Eligibility Report
Michigan Long Term Care Consumer Choice and Quality Improvement Act • Defines key terms • Sets forth a vision
Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Establishes a long term care commission • Establishes a long term care authority
Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Creates single points of entry
Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Sets forth quality assurances • Establishes the office of the external advocate
Assisted Living Report Recommendations • Amend MI Choice waiver to allow services in licensed settings • Create an assisted living regulatory and education committee • Define “assisted living”
Medicaid Eligibility Report Recommendations • Allow short term nursing home residents to maintain housing in community • Allow MI Choice spend down to 300% of SSI • Enforce standards of promptness for processing applications
Recommended Next Steps • Establish committee of task force members to assist in implementation of recommendations