ARF, Events, RCFE

Free RCFE/ARF Labor Training Coming to San Diego

Due to popular demand, 6Beds will be holding an additional FREE Training Workshop in San Diego on Friday, November 15.  Seating is limited.  RSVP today to reserve your spot in this FREE training opportunity.

FRIDAY, NOVEMBER 15, 2019 | 8:30 AM – 5 PM
FREE ADMISSION

8:30 AM – 5 PM
3 Civic Center Drive
San Marcos,CA  92069

>> REGISTER ONLINE TODAY

 

Advocacy, All Posts, ARF, legislation

Legislation To Watch: SB 512 Long-term Services and Supports

6Beds is supporting a number of important pieces of legislation up for consideration this session that could have a positive impact on residential care facilities and those we serve. One such bill is SB 512, introduced by Dr. Richard Pan, which would create two entities to provide oversight of a proposed trust fund to finance services for some in need of care.

SB 512

Sacramento CapitolSB 512 would establish the California Long-Term Services and Supports Benefits Board (LTSS Board), as well as a Long-Term Services and Supports Advisory Committee. The purpose of the LTSS Board would be to manage and invest revenue deposited in the California Long-Term Services and Supports Benefits Trust Fund (LTSS Trust), which the bill would create to, upon appropriation, finance long-term services and supports for eligible individuals. The LTSS Advisory Committee would provide ongoing advice and recommendations to the LTSS Board.

6Beds is supporting this legislation because California currently has almost 8 million persons who are either older adults or persons with mobility, sensory, intellectual/ developmental, and/or mental health disabilities. This population will grow significantly over the next decade. Long Term Supportive Services (LTSS) are not covered adequately by Medicare, and most Californians cannot afford to purchase private long-term care insurance. Paying out-of-pocket for LTSS is cost prohibitive for many and creates a significant financial and social burden for California families. The creation of a LTSS Board is a positive step in efforts attempting to address this area among many others.

The LTSS Board would consist of 9 specified members including the Treasurer as chair, the Secretary of the California Health and Human Services Agency as vice chair, and three members to be appointed by the Governor. We believe it would be important to include “service providers” to the Long-Term Services and Supports Advisory Committee since they are literally on the front line when it comes to providing housing and care for this vulnerable population and would add significant value and insight.

Make Your Voice Heard!

During the 6Beds conference August 30-31 in Southern California, we’ll be providing updates and ways you can help advocate for 6Beds and make your voice heard.  The only way for us to achieve our collective advocacy goals is for us to make our voices be heard individually on an ongoing basis. Successful advocacy efforts are rarely, if ever, one-time events. They are built on shaping public policy through consistent messaging and relationship building over time.  Don’t delay register to attend 6Beds 2019 ARF & RCFE Annual Conference.

ARF, Events, RCFE

Mark Your Calendars: 2019 ARF & RCFE Annual Conference & Gala

The 2019 ARF & RCFE Annual Conference & Gala Awards Banquet will be August 30-31 in Southern California.  Admission is FREE to attend the day-long conference and Gala Award are $70/per person.

FRIDAY, AUGUST 30, 2019 | 7:30 AM – 5 PM
FREE ADMISSION

Brea Community Center
695 East Madison Way
Brea, CA

SATURDAY, AUGUST 31, 2019 | 5:30 – 12 AM
GALA BANQUET TICKET $70/PERSON

Sheraton Cerritos
12725 Center Court Drive
Cerritos, CA 90703

>> REGISTER ONLINE TODAY

 

Advocacy, All Posts, ARF, RCFE

CCL To Make Significant Changes to Inspection Process – 6Beds Calling for Greater Consistency and Transparency

by George Kutnerian
Community Care Licensing (CCL) has announced that it intends to make significant changes to the inspection process in an effort to improve the effectiveness and quality of that process.  6Beds has been invited by CCL to provide feedback on how its new inspection process vision gets implemented in the field.  6Beds is stressing that the new inspection process be more consistent and transparent.

6Beds attended a first meeting with CCL in December, 2017 and will be attending a second meeting with CCL in March, 2018 to further discuss the rollout of the inspection process.  CCL anticipates piloting the new inspection process this spring and 6Beds will provide updates as more information becomes available.

Best Regards,
George K. Kutnerian
Senior Vice President
Public Policy & Legislation
6Beds, Inc.

Advocacy, All Posts, ARF, Issues, RCFE

IN CASE YOU MISSED IT: DSS ANNOUNCED 2017 SSI/SSP NON-MEDICAL OUT-OF-HOME CARE (NMOHC) PAYMENT STANDARD

by George Kutnerian
The SSI/SSP non-medical out-of-home care (NMOHC) payment that SSI/SSP recipients who live in residential care facilities receive, has increased to $1,158.37 as follows:

Supplemental Security Income (SSI) $   735.00
State Supplementary Payment (SSP) $   423.37
$1,158.37

Of the $1,158.37, the SSI/SSP recipient is entitled to a personal and incidental needs allowance of $132.  This leaves $1,026.37 as the amount payable to the facility for basic services.

Please note that recipients who have income in addition to their SSI/SSP check (for example, a pension, Social Security Retirement, or disability benefits) can be charged the $1,026.37 amount for basic services plus an additional $20.  Because federal rules do not count the first $20 of a recipient’s income against his or her SSI/SSP grant, an SSI/SSP recipient with other income has an extra $20 that people who receive only an SSI/SSP check do not have.  Neither federal nor state law restricts the recipient in how this additional $20 amount is spent.  Therefore, if the recipient agrees in the admission agreement to pay the additional $20 for basic services, the facility may charge the additional amount resulting in a total monthly basic services charge of $1,046.37.

DSS’ Provider Information Notice regarding this topic can be found here (click to download).

Sincerely,

George K. Kutnerian
Senior Vice President of Public Policy & Legislation

Advocacy, All Posts, ARF, RCFE

CCL Announces the Launch of Provider Information Notices (PINs)

by George Kutnerian
On October 21, 2016, Community Care Licensing (CCL) announced the launch of Provider Information Notices (PINs), which it will use moving forward to formally communicate to CCL-licensed facilities.

On the homepage for CCL, you will find the link to the Provider Information Notices (PIN) at the top of “Featured Information.”  These notices will also be available by selecting the “Tools/Resources” tab and then “Information Releases.”

PIN 16-01-CCLD is for all Community Care Licensed Providers and it provides an overview of the PIN process.  PIN 16-01-ASC is specifically for Residential Care Facilities for the Elderly (RCFEs) and it releases an updated Medication Guide for RCFEs to use as a resource. PIN 16-02-ASC addresses the protection of residents in RCFEs during flu season.

If you are a licensee and CCL has a contact email for you, you may have already received an email notifying you of the launch of PINs.  However, to ensure that everyone has current information, we will announce individual PINs as we are made aware of them by CCL.

Best Regards,
George Kutnerian
Senior Vice President – Public Policy & Legislation

Advocacy, All Posts, ARF, Issues, RCFE

Assisted Living Waiver Program – DHCS Announces Increased Provider Rates Effective 2017

by George Kutnerian
In a previous post, we let our readers know that California’s new budget would provide for an increase in funding for the Home and Community Based Services waiver programs, which includes the Assisted Living Waiver Program. At that time, the specific rates to take effect on January 1, 2017 had not yet been announced.

DHCS recently announced the specific provider rates that are to take effect on January 1, 2017.  The new provider rates are as follows:

 

Effective 2017                      Current

Tier 1         $55/day              $52/day

Tier 2         $66/day              $62/day

Tier 3         $75/day              $71/day

Tier 4         $87/day              $82/day

 

This marks the first rate increase the Assisted Living Waiver Program has received since its inception as a pilot program in 2006 when it began serving Los Angeles, Sacramento and San Joaquin counties.

The primary goal of the Assisted Living Waiver Program is to enable low-income, Medi-Cal eligible seniors and persons with disabilities, who would otherwise require nursing facility services, to remain in or relocate to the community.  The program was approved by the Centers for Medicaid and Medicare and is currently in the midst of its second five-year waiver that will run into 2019.  The Assisted Living Waiver Program currently operates in 14 counties throughout the State.

6-bed RCFEs play an important role in the Assisted Living Waiver Program.  The Assisted Living Waiver Program provider rate increase is yet another signal of the effectiveness of 6Beds’ advocacy in Sacramento, where 6Beds has persistently been advocating for provider rate increases for programs that impact 6-bed facilities as well as new funding sources for 6-bed facilities to cope with the rising costs of doing business in California.

Best Regards,

George Kutnerian, M.S., MBA
Senior Vice President – Public Policy & Legislation

Advocacy, All Posts, ARF, Issues, RCFE

First Increase in a Decade to State SSP Portion of the SSI/SSP Grant

by George Kutnerian
Effective January 1, 2017, the state SSP portion of the SSI/SSP grant will receive a cost-of-living increase equivalent to the increase in the California Necessities Index, which is 2.76 percent.  This increase would mark the first State SSP increase in more than a decade.

California, home to almost 20% of the nation’s SSI population, has long relied on 6-bed residential care facilities to provide housing and care for SSI/SSP recipients, among which are primarily the elderly and adults with disabilities, including those with developmental disabilities and mental illnesses.

The disparity between the capped SSI/SSP rate and the median market rate has grown to become a gaping chasm over the years, with the SSI/SSP board and care rate failing to keep up with the rapidly rising housing and operating costs that California’s small 6-bed residential care facilities face.

The 2.76% increase to the State SSP portion of the SSI/SSP grant, the first such increase in more than a decade, has been long overdue and is a step, albeit a very modest one, in the right direction.  6Beds recognizes that much more will have to be done to sustain the small 6-bed residential care facilities that care for SSI/SSP recipients and will continue to advocate on their behalf.

Best Regards,

George Kutnerian, M.S., MBA
Senior Vice President of Public Policy & Legislation

Advocacy, All Posts, ARF, Issues, RCFE

First Ever Rate Increase for Assisted Living Waiver Program

by George Kutnerian
California’s new budget will provide for an increase in funding for the Home and Community Based Services waiver programs, which includes the Assisted Living Waiver Program.

The budget will provide for an estimated $7.1 million from the State’s General Fund and an estimated $5.1 million in federal funds, reflecting increased costs in Home and Community Based Services waiver programs and long-term care facilities rate add-ons.

The specific provider rate increase for the Assisted Living Waiver Program has not yet been determined, but increased rates should take effect on January 1, 2017 and we expect the new rates to be announced sometime in the 4th quarter of this year.

The much needed and long overdue provider rate increase would be the first rate increase the Assisted Living Waiver Program has received since its inception as a pilot program in 2006 when it began serving Los Angeles, Sacramento and San Joaquin counties.

The primary goal of the Assisted Living Waiver Program is to enable low-income, Medi-Cal eligible seniors and persons with disabilities, who would otherwise require nursing facility services, to remain in or relocate to the community.  The program was approved by the Centers for Medicaid and Medicare and is currently in the midst of its second five-year waiver that will run until February 28, 2019, by which time we expect that another five year waiver renewal will be approved.  The Assisted Living Waiver Program currently operates in 14 counties throughout the State.

6-bed RCFEs and ARFs play an important role in the Assisted Living Waiver Program and 6Beds will continue to keep its members and followers apprised of new information pertaining to the provider rate increase.

Best Regards,

George Kutnerian, M.S., MBA
Senior Vice President of Public Policy & Legislation

All Posts, ARF

Urgent: ARF DD Must Return DDS Surveys in Order to Receive Rate Adjustment

Attention ARF DD:

DDS sent out 1800 surveys and they only received 800 back. They are missing a significant sample of small facilities. They have indicated that unless DDS receives another 400 surveys back, they will NOT increase the rates this coming July 1.

6Beds ARF members (and non-members), please fill out the survey ASAP (if you received one) and return it to DDS.

Sincerely,

Gina Wasdyke
Founder & Legislative Director
6Beds, Inc.