Mentor NewsRegional Conferences

December 11, 2013February 19, 2014

April 16, 2014June 19, 2014

September 17, 2014

The definition of a Mentor from Merriam-Webster Dictionary is:

A trusted counselor or guide

What is a Mentor?

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

What do the Mentors do?

Mentors: Provide resource information, tips and

techniques for working with Medicaid and DHSAddress barriers to transition and resolve them

creativelyGive presentations at regional and state

conferencesDevelop tools to further educate transition

coordinatorsActively participate in NFT Housing Specialists

meetings and Outreach Specialists meetingsSubmit 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

Our Personal Goals for the Mentor Program:Increase the number of transitions

statewideEstablish best practices for NF Transitions

statewideEnhance collaboration between CILs and

waiver agentsIdentify common barriers and ways to

overcome them

Mentor Coverage AreasCIL Service Map MI Choice Waiver

Service Map

Mentor Contact Information:Lisa Hansen

Disability Network Southwest Michigan

517 E. Crosstown ParkwayKalamazoo, MI 49001(269) 345-1516 x 111hansenl@dnswm.org

Cindy RiversDisability Network Mid-

Michigan1705 South Saginaw Road

Midland, MI 48640(989) 835-2495 x 223cmartin@dnmm.org

Mentor Training Topics:Medicaid RecertificationPACETransfersHot Topics

Medicaid RecertificationEach year, Medicaid recipients must

recertify eligibility for MedicaidDHS 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 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.

“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.

PACE =Program of All-Inclusive Care for the

ElderlyComprehensive, coordinated,

all-inclusive, long-term managed care

*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

PACE Program Eligibility

Adult Day Health CenterOn-Site Physician/Medical SupervisionNursing CareSocial ServicesPhysical TherapyOccupational TherapyRecreational TherapyActivities and ExerciseBreakfast/LunchNutritional CounselingPodiatry

Home Health and Home Care ServicesSkilled NursingPersonal CareChore ServicesMeal Preparation

Services may include:

Services continued:

Inpatient & Outpatient Services Primary Care PhysicianEmergency Room Visits On-call 24 hours per day, Hospitalizations seven days per weekInpatient SpecialistSkilled Inpatient RehabLab TestsRadiology/X-RayOutpatient SurgeryAmbulance Services

Medical Specialists Family/Caregiver SupportWomen’s Services Respite CareDentistry and Dentures Caregiver EducationOptometry and Eye CareAudiology/Hearing AidsCardiologyRheumatology www.pace4you.org

Resources:Michigan Medicaid MI Choice Waiverwww.michigan.gov/mdchMichigan Medicaid Nursing Facility Level of Care Determinationhttp://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42543_42546_42554-103102--,00.htmlMichigan Department of Human Serviceswww.michigan.gov/dhsMichigan statewide search for Adult Foster Care/Homes for the Aged Facilitieshttp://www.dleg.state.mi.us/brs_afc/sr_afc.aspOffice of Services to the Agingwww.michigan.gov/osaMichigan Long Term Care Ombudsman Programhttp://www.michigan.gov/osa/1,4635,7-234-43230_46224---,00.html

Transfers from one service area to anotherCIL to CIL

Waiver to CIL or CIL to Waiver

Waiver to Waiver

Hot Topics:Referrals

Contracts

Compass - Exceptions

Questions