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News & Press: Regulatory

WI LTC Advisory Council Meeting Summary‚Äč

Wednesday, May 16, 2018   (0 Comments)
Posted by: Sarah Bass
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From Forbes McIntosh, Government Policy Solutions. WALA Lobbyist


The Wisconsin Department of Health Services' Wisconsin Long Term Care Advisory Council met Tuesday in Madison. Some items to note from this meeting:
  • Family Care expansion: The Family Care expansion into Dane County has been completed.
  • Caregiver workforce pay boost: The U.S. Centers for Medicare and Medicaid Services (CMS) has approved Wisconsin's plan to spend an additional $60 million to boost wages for the state's long-term care caregiver workforce. DHS is working on drafting a frequently asked questions document to share with the industry detailing how those dollars will flow out to MCOs and ultimately to paid caregivers. The FAQ document should be posted this week on the DHS website and will contain a lot of information about the process. The dollars will need to start flowing out by the end of June.
  • Competitive integrated employment: DHS has completed a yearlong project to examine and make recommendations on improving the state's competitive integrated employment system. The report is in final editing and will be released soon.
  • WisCaregiver Career Program: The WisCaregiver Career Program has been launched and so far this spring more than 1,000 people have signed up for the program, which offers free training and retention bonuses for certified nursing assistants (CNAs). The goal is to boost the number of people entering the CNA field to help address workforce shortages. In conjunction with this initiative, DHS is offering a webinar series on workforce retention strategies - anyone is invited to sign up to participate in the webinars.
  • Tribal waivers: DHS is submitting a tribal waiver amendment for its Family Care 1915(b) and (c) waivers - to allow tribal Indian health facilities to do case management for enrolled tribal members, among other changes. These two waiver amendments are out for public comment through May 30.
  • State dementia summit and plan: DHS hosted a dementia summit this spring - as a follow-up to its first dementia summit held in 2013. The first summit resulted in a two-year statewide dementia system redesign plan with 17 goals and 50 strategies for achieving those identified goals. Carrie Moelke of DHS said Tuesday that the state started and completed all 50 goals from the first summit. The second summit, attended by 36 people representing 36 different aging organizations or perspectives, resulted in nine new goals and 38 strategies for achieving those goals. The new plan is for five years instead of two - from 2019 through 2023 - and will require participation from all stakeholder groups, not just the state of Wisconsin. The new goals include:
    • Increase understanding and reduce the stigma associated with a dementia diagnosis.
    • Improve and expand support and education for family caregivers of people with dementia.
    • Increase timely and accurate diagnosis by primary care providers to enable people with Alzheimer's disease, related dementias and other cognitive disorders to receive culturally tailored, high-quality treatment and support in order to maintain the highest possible quality of life.
    • Ensure that health care systems and providers are dementia-capable so that people with dementia and their families receive quality care in the most effective and least restrictive environment possible.
    • Increase dementia-related knowledge and competency of crisis response professionals.
    • Develop a uniform system of dementia-related crisis response with priority on treating and managing crisis in place.
    • Ensure that people with dementia receive consistent, high-quality and appropriate care in facilities.
    • Expand the workforce and increase training and credentialing of facility staff.
    • Create a new and adequate reimbursement structure based on acuity.
    • The official summit report will be released in coming weeks or months. An additional document will also be developed on how to implement the goals and strategies. DHS will put together a steering and work groups to help with the implementation process.
Click here to see some documents from Tuesday's meeting.

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