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Michigan Dementia Education and Training Resources for LTC Providers. Julie Sowa, Respite Services Director Alzheimer’s Association – Greater Michigan Chapter. Single Point of Entry (SPE) for Long Term Care (LTC). What is it? Why do we need it? Who should do it?
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Michigan Dementia Education and Training Resources for LTC Providers Julie Sowa, Respite Services Director Alzheimer’s Association – Greater Michigan Chapter
Single Point of Entry (SPE) for Long Term Care (LTC) • What is it? • Why do we need it? • Who should do it? • How will it help the elderly and disabled? • How will it impact community organizations?
Background • Governor creates Michigan Medicaid Long Term Task Force in October 2004 • The task force publishes their final report in April 2005 • The Office of Long Term Care Supports and Services and LTC Advisory Commission in June 2005 • Governor calls for creation and implementation of SPEs in June 2005
Background Continued… • Office of LTC issues a request for proposals for SPEs in November 2005 • RFP calls for the creation of 3-4 pioneer SPE sites throughout the Michigan in 2006 • RFP indicates statewide rollout of the SPE by 2009
What is a Single Point of Entry? • Statewide system that gives consumers access to LTC information and resources through one agency or organization
What are LTC Resources? • Medicaid services such as MI Choice Waiver, Nursing Home Care, DHS Home Help, PACE • Older Americans Act Services such as Home Delivered Meals, Chore, Home Injury Control • RX Payment Assistance Program • Housing Options • Veterans Services • Private Pay Services such as Home Care • Caregiver Supports • LTC Insurance
The SPEs are Responsible for: • Provision of information and referrals through an 800 phone number • Provision of LTC options and benefits counseling • Determination of functional eligibility for Medicaid and other programs and services • Utilization of well trained, experienced staff who are culturally competent and able to assist limited English speaking individuals • Provision of Supports Coordination for Medicaid LTC Programs
Supports Coordination is: • Assessment of Functional Capacity/Needs • Person Centered Planning • Care Plan Development • Medicaid Service Authorization • Monitoring Service Delivery • Monitoring Client Satisfaction and other Quality Assurance Tasks • Reassessment
Benefits of SPE • More Community Based Care • Less unnecessary nursing home placement • Slower growth in LTC spending • Higher consumer satisfaction • “One stop shop”
How does dementia fit into SPE? • Any person, who has Medicaid, and is accessing LTC services must go thorough the SPE. • SPE staff, including Care Coordinators, must be trained in dementia.
For more information: • Visit www.ihcs.msu.edu/ltc to view other subcommittee reports and the progress of the Medicaid Long Term Task Force