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WORKGROUP G

This report details the legislative and regulatory reforms proposed for Michigan's Medicaid Long Term Care, aiming to enhance safety and quality while streamlining care. Recommendations cover key areas such as assisted living, Medicaid eligibility, and consumer choice, emphasizing efficiency and dynamism in care continuum. The report includes inputs from diverse stakeholders and recommendations for future implementation steps.

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WORKGROUP G

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  1. WORKGROUP G Legislative and Regulatory Reform Report to Medicaid Long Term Care Task Force February 14, 2005

  2. Membership 54 participants from: • consumer advocacy organizations • residential providers • state agencies • home health • MI Choice providers • the legislature

  3. Single point of entry Assisted living Quality Medicaid eligibility Authority Vision External advocate 12 Workgroup meetings 7 Subcommittees

  4. 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.”

  5. Issues were referred to Workgroup G from Workgroups A and C

  6. Final Report Contents • Michigan Long Term Care Consumer Choice and Quality Improvement Act • Assisted Living Report • Medicaid Eligibility Report

  7. Michigan Long Term Care Consumer Choice and Quality Improvement Act • Defines key terms • Sets forth a vision

  8. Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Establishes a long term care commission • Establishes a long term care authority

  9. Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Creates single points of entry

  10. Michigan Long Term Care Consumer Choice and Quality Improvement Act(cont’d) • Sets forth quality assurances • Establishes the office of the external advocate

  11. 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”

  12. 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

  13. Recommended Next Steps • Establish committee of task force members to assist in implementation of recommendations

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