WORKGROUP G

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
12 Workgroup meetings
7 Subcommittees

• Single point of entry
• Assisted living
• Quality
• Medicaid eligibility

• Authority
• Vision
• External advocate

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 (contd)

• Establishes a long term care commission
• Establishes a long term care authority

9
Michigan Long Term Care Consumer Choice and
Quality Improvement Act (contd)

• Creates single points of entry

10
Michigan Long Term Care Consumer Choice and
Quality Improvement Act (contd)

• 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