LeadingAge also asked CMS to provide more detail on the types of benefits a MA plan may offer under the new Special Supplemental Benefits for Chronically Ill policy and clarification on how these customized, person-centered benefits will be authorized.  Additional comments were offered recommending ways for CMS to reduce provider burden by: 1) ensuring automation of crossover claims for dual eligibles enrolled in MA plans (currently, available in Medicare FFS and Special Needs Plans); and 2) eliminating duplicative reporting of basic provider information(e.g., name, address, NPI and license

Dementia care is too often managed only medically rather than within the context of the person's relationship with his or her family or caregiver, which can strain all involved. If left untreated, Behavioral Psychological Symptoms of Dementia (BPSD) can contribute to an increased cost of care, heightened stress to nursing and caregivers, and decreased quality of life and meaningful purpose for the resident.

Dementia care is too often managed only medically rather than within the context of the person's relationship with his or her family or caregiver, which can strain all involved. If left untreated, Behavioral Psychological Symptoms of Dementia (BPSD) can contribute to an increased cost of care, heightened stress to nursing and caregivers, and decreased quality of life and meaningful purpose for the resident.

CMS mandates that a resident be free from abuse, neglect, misappropriation and exploitation. In response to allegations of this type, skilled nursing facilities are required to report, investigate, protect the alleged victim, take corrective actions if needed and have evidence that the alleged violation was thoroughly investigated. This program will review pertinent regulatory requirements and discuss non-compliance survey related issues.

The workshop includes discussion of the philosophical view and important role a nurse plays in this setting. Also included is an in-depth review and interpretation of Washington regulations and standards of practice. Strategies for establishing an effective nursing and health care monitoring program will be examined. Participants will leave with tools and tips for meeting—and exceeding– state survey standards, and for providing the highest quality health care services for their community’s residents.

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