Memorial Day is a special day to honor and remember those who died while serving in the U.S. military. A day dedicated to showing respect and reflecting on the ultimate sacrifice of military personnel to defend our country’s freedoms.

This day can be honored in senior living facilities with a moment of silence for the fallen, a memorial parade in the halls, or the rising of the flag at half-staff.

It’s important to honor our heroes by highlighting the benefits available to them. Did you know the VA offers Aid and Attendance, an additional benefit program for veterans and surviving spouses?

Let’s get into the details. On average in the state of Georgia, the cost of staying at a senior living facility for a month is $3,500. According to the U.S. News, "Veterans and their spouses have multiple financial benefits that can help cover the cost of assisted living," says Rick Wigginton, Chief Sales Officer with Brookdale Senior Living, a Tennessee-based senior living company with 675 senior living communities in 41 states across the country.

These benefits are separate from Medicare or Medicaid benefits, adds Dana Taylor, a social worker and senior regional manager for Veterans Home Care based in St. Louis, Missouri. Medicare is a federal health insurance program for adults 65 and over. Medicaid is a combined state and federal program that provides health coverage to low-income individuals, regardless of age. The VA's Aid & Attendance and Housebound program is part of pension benefits for veterans and surviving spouses. These benefits, the VA reports, "are paid in addition to monthly pension, and they are not paid without eligibility to pension," meaning that you can't access this benefit if you're not a pensioned veteran or a survivor of a pensioned veteran.

To qualify for the program, you must:

• Be a veteran of war-era with an honorable discharge or be the surviving spouse of a veteran of war-era with an honorable discharge.
• Need medical assistance.
• Need financial assistance.

Aid & Attendance is received when you meet one of several potential conditions, including:

• Requiring the aid of another person to perform the activities of daily living. These personal functions include bathing, dressing, eating, toileting, or assistance in staying safe from hazards in your daily environment
• Being disabled to the point of being bedridden, beyond what would be considered normal recovery from a course of treatment like surgery.
• Being a patient in a nursing home because of physical or mental incapacity.
• Having very poor eyesight (5/200 corrected visual acuity or less in both eyes) or a field of vision limited to 5 degrees or less.

This program can make a huge difference for veterans and their families, offering peace of mind and much-needed support.

To find out more information, visit https://www.va.gov/health-care/about-va-health-benefits/long-term-care/

DULUTH, GA. (PRWEB) MAY 01, 2023

ARC is a web-based compliance system that guides clinical and management staff through auditing standards for all federal regulations and facilitates a collaborative review of audit results to quickly correct issues and implement performance improvement plans. ARC satisfies the industry’s critical need for an automated, data-driven compliance and oversight system that minimizes legal and financial penalties from federal regulators and improves quality of care. Created by long-term attorneys, nurses, and executives, ARC is accessible to executives, clinical teams, and facility administrators in real time.

As survey deficiencies and penalties for non-compliance increase with CMS’s commitment to enforcing of all phases of the LTC Mega Rule, those SNFs without a robust QAPI and compliance program will face: (1) more survey deficiencies at higher scope and severity levels; (2) excessive civil monetary penalties based on daily fines for non-compliance; (3) higher likelihood of denial of Medicare/Medicaid payments and new admissions; and (4) increased risk of OIG investigations and other litigation. ARC’s comprehensive monitoring and oversight system provides the maximum legal protection that long-term care facilities need to minimize these serious regulatory enforcement actions.

About Prime Care Technologies
Since 2003, Prime Care Technologies has offered long-term care providers flexible hosting, managed services, and cloud software tailored to their needs. This Atlanta-based company has 150 employees and 200+ healthcare/IT partnerships, and its technology-driven solutions are installed in more than 7,500 facilities. In addition to its multi-vendor interoperability expertise, Prime Care Technologies offers a data warehouse and claims clearinghouse that integrates 70+ healthcare applications and 3,500+ EDI payers. Visit http://www.primecaretech.com for more information.

About LTC Integrity
LTC Integrity LLC is the creator of ARC (Audit-Review-Correct) software, an innovative audit solution for long-term care. LTCI has unparalleled experience in developing and administering on-site and web-based compliance and QAPI programs and has the only software that was designed specifically for the RoPs and PPS. In addition to achieving compliance with all aspects of the new rules, LTCI’s innovative and comprehensive program results in risk reduction, improved clinical outcomes, increased regulatory success, PPS reimbursement optimization, RAC and ZPIC preparedness, PEPPER responsiveness, HIPAA compliance, and heightened peace of mind for nursing facility management. Visit http://www.ltcintegrity.com for more information.

New Transition for CMS

CMS, Centers for Medicare & Medicaid Services, is a federal agency within the United States Department of Health and Human Services. It administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. It was founded on July 30th, 1965 by President Lyndon B. Johnson to protect the health and well-being of millions of Americans all while saving lives and improving the economic security of the nation. 

CMS recently announced the transition of CMS to iQIES (Internet Quality Improvement and Evaluation System) on April 17th for MDS record submissions and reports. According to cms.gov providers are expected to take into account all requirements provided by CMS. To properly prepare for this transition, submissions will be turned off on April 13. Providers need to submit completed MDS records before this Thursday. CMS will be providing more information on what to expect in the coming days through email. Failure to obtain access to iQIES before April 17th will impact your ability to submit MDS records moving forward. For information and instructions to register for an iQIES account, please visit: https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account  

For those in question about iQIES, cms.gov provided key highlights for providers on what to expect in the upcoming days with the new shift. 

Key Highlights of iQIES

• Users will be able to securely access iQIES at any time, from any location (provided there is an internet connection).
• Users will log in once to iQIES. No longer will users be required to log into CMSNet and then into separate applications to upload MDS records or access reports.
• Users will have access to tips and information to guide them throughout the MDS submission process and accessing reports. 
• Users will be allowed to upload MDS assessments similarly as was done in the QIES.
• MDS reports will be similar to those in the Certification and Survey Provider Enhanced Reporting (CASPER) application, with some new functionality built in.
• Users can initially view the report information on the screen and if desired, can then download the report to a Portable Document Format (PDF) or Comma-Separated Values (CSV) file.
• Users can schedule reports to run at their desired intervals and frequency.

AI Enhancing Roles for Senior Living Facilities

AI, also known as artificial intelligence, became popular around the 1980s. John Hopfield and David Rumelhart popularized “deep learning” techniques, allowing computers to learn user experience. Recently we have seen the rise of AI yet again as it made national news, explaining how the system can write term papers for students, update resumes for job seekers, and much more that even made people question their position in the work field. 

AI is taking on a more impactful part in various roles for Senior Living. With the help of AI, senior living facilities are getting assistance with staffing, financial management, fall prevention, and clinical care. According to argentum.com AI is not replacing human intelligence but enhancing it. Well, why AI? What makes this system so reliable for senior living facilities? "It is this analysis of unstructured data, from multiple sources, in real-time, that is perhaps the most unique benefit of AI", says Arena CEO Michael Rosenbaum. 

Now that we know the why let's dive into the how. Rosenbaum says, "AI can find patterns and 'signal' very quickly from massive amounts of data which is the incontrovertible advantage of AI over human capability." It's not that humans are incapable but we are limited when it comes to time and energy whereas a machine is not. As Heather Annolino, senior director of Healthcare Practice at Ventiv, put it, “Artificial intelligence empowers healthcare organizations to obtain and examine data and generate actionable insight quickly and concisely. By quickly uncovering insights and connections, facilities can efficiently enact new or updated protocols without biases—based on fact.” Keefe says better access to data leads to better AI-aided results—and senior living operators and others have better access to data than ever before.“It’s so much easier now for us to collect information from external devices—for example, vital sign monitoring like temperature, pulse, respiration, blood pressure—and also wearable devices such as Fitbits and Apple watches,” Keefe says. This helps not just to alleviate the burden on the caregiver but helps that caregiver provide much better care. 

One of the most compelling uses of AI in senior living today is the pursuit of preventing resident falls, a persistent and critical challenge for all providers. But, how does it work? AI “generally functions by recognizing patterns and then either suggesting optimal solutions for a human to implement or by actually implementing those solutions itself,” he says.

“For example, most modern cars have a multitude of sensors and other technologies that identify potential risks and then alert the driver to react,” Paprocki says. “That is very different from a fully self-driving car, where the AI not only identifies potential risks but reacts to those risks by autonomously operating the vehicle.”

Paprocki says AI solutions are still closer to the former part of the analogy than the latter—but change is coming.

As with other technological tools, the human component of AI is still vitally important. “We live in a time when staffing has never been harder in our industry,” Paprocki says. “Even if we had triple or quadruple the number of caregivers, we still couldn’t predict, observe, immediately react to, or know how to prevent all falls. And that’s where technology like AI can be lifesaving because it can function like an Iron Man suit for our frontline caregivers.” 

The future of senior care is here.

64% of Medicaid enrollees are unaware of the decision for redeterminations this spring!

The Consolidated Appropriations Act of 2023 disengages with the Medicaid continuous enrollment provision.  The termination of the provision is planned to start on April 1, 2023, and the states will then begin Medicaid disenrollment. Over half of the applicants have yet to be included in the loop. This is due to many factors, including lack of updated information, language barriers, and accessing information in needed formats, to name a few. Not enough people are receiving the data and will be disenrolled from having Medicaid. “The risk is that if the message is not delivered loudly and often, millions of people will simply lose coverage.” (Marissa Plescia, www.medcitynews.com)

The U.S.  Department of Health and Human Services has predicted that about 15 million people nationwide could lose coverage when this happens! The 15 million may include your aunt, friend's grandmother, neighbor's sister, or anyone you might know.

According to CMS, states must develop operational plans for implementing the process.  The Georgetown University Health Policy Institute has provided a tracking map. The tracker shows that 41 states have a public plan. 

What is being done?

• Planned State Actions
• Streamlined renewal processes.
• Outreach through community health centers

What can you do?

• Update your contact information. 
• Check your mail.
• Complete your renewal form. 

In the meantime, try to stay in the know and watch what your state might be doing next. Look at the tracking map and see who else you can inform. With Spring quickly approaching, time is of the essence and can’t be wasted! Start talking and informing your loved ones.