Detecting Financial Exploitation of the Elderly & Compliance

June 17, 2024

Detecting Financial Exploitation of the Elderly & Compliance

Criminals are getting smarter every day and using advanced technology, such as Artificial Intelligence to scam the elderly. Loneliness also creates situations for vulnerable adults leading to romance scams.

The federal government, states, commonwealths, territories and the District of Columbia all have laws designed to protect older adults from elder abuse and guide the practice of adult protective services agencies, law enforcement agencies, and others. Basic definitions associated with elder abuse are provided as well as a link to the DOJ State Elder Abuse Statutes.

This new article also reviews government agency oversight and the Transnational Elder Fraud Strike Force, various forms of scams and how to report financial fraud other elderly to the Elder Fraud Hotline and the FBI.

Click Here to read this and other articles related to Elder Abuse

Detecting Abuse of the Elderly

June 17, 2024

Detecting Abuse of the Elderly

Duty of care is a requirement that a person act toward others and the public with the watchfulness, attention, caution and prudence that a reasonable person in the circumstances would use.

If a person’s actions do not meet this standard of care, then the acts are considered negligent and any damages resulting may be claimed in a lawsuit for negligence.

Information in this article can be useful when completing a Social Determinants of Health (SDOH) risk assessment and any time a health care professional determines it is necessary to gain a deeper understanding of presenting problems which are warning signs of:

  • Elder physical abuse
  • Elder sexual abuse
  • Elder psychological abuse
  • Elder abandonment
  • Elder neglect and financial exploitation

Read Article

Substance Use Screenings – CMS Coding & Billing Update

May 31, 2024

Substance Use Screenings – CMS Coding & Billing Update

Screening, Brief Intervention & Referral to Treatment (SBIRT) is an evidence-based, early detection and intervention approach for people with non-dependent substance use before they need more extensive or specialized treatment. This approach is different for people who are already diagnosed with an SUD (substance use disorder).

The Centers for Medicare & Medicaid Services (CMS) pay 100% of the Medicare Physician Fee Schedule (PFS) for medically reasonable and necessary SBIRT services in both physicians’ offices and outpatient hospital settings, including public health centers, emergency departments, and primary and specialty care physicians’ offices. Download the revised Factsheet for more information on payment and coverage requirements.

What Been Added:

  • Examples of locations where Medicare-eligible providers can perform these services
  • Marriage and family therapists and mental health counselors to list of eligible providers

And Additional Information Added About:

  • Telehealth flexibilities
  • Evaluation and management for medication management

Eligible Providers:

CMS updated the eligible providers table with coverage requirements and payment information

Free Meals are Being Served to Children at Hundreds of Locations in Missouri – Online Map and Text Number

May 31, 2024

Free Meals are Being Served to Children at Hundreds of Locations in Missouri – Online Map and Text Number

The Missouri Department of Health and Senior Services Summer Food Service Program is designed to provide breakfast, lunch, suppers and/or snacks to children living in eligible areas during the summer months and during times of public emergencies, when children do not have access to free or reduced-price meals at school.

An online interactive map is provided to help families in Missouri find out where their children can receive free meals this summer. The map shows sites where children must sit and eat the meal, but the map also shows certain rural sites that are designated as non-congregate multi-day meal pick-up sites.

Community organizations serve the meals at schools, churches, parks, swimming pools, YMCA facilities, Boys and Girls Clubs, and other spots where children gather when school is not in session.

The meals are provided to all children who attend the meal service location. Children do not have to be registered and there is no fee to participate in the program.

The map and more information about the Summer Food Service Program can be found at health.mo.gov/sfsp/. For families without access to the internet, summer meal sites in the area can also be found by texting the phrase “Summer Meals” to 914-342-7744.

Meals will be served to children ages 18 and under and individuals ages 18 to 21 who have been determined by a state or local educational agency to be mentally or physically disabled and who participate in an established school program for the mentally or physically disabled.

Funding for the Summer Food Service Program is provided by the U.S. Department of Agriculture.

More information about the Summer Food Service Program is available online at health.mo.gov/sfsp or by telephone at 888-435-1464 (toll-free). Community organizations that would like to become sponsors may also email the Summer Food Service Program at sfsp@health.mo.gov or write to the Missouri Department of Health and Senior Services, Summer Food Service Program, P.O. Box 570, Jefferson City, MO 65102 for more information.

State Strategies to Improve Behavioral Health for Those Experiencing Homelessness

May 20, 2024

State Strategies to Improve Behavioral Health for Those Experiencing Homelessness

The Center for Medicaid and CHIP Services (CMCS) issued an Informational Bulletin to highlight available Medicaid and Children’s Health Insurance Program (CHIP) opportunities to improve access to mental health (MH) and substance use disorder (SUD) services for individuals experiencing homelessness.

It discusses Medicaid demonstrations, the Health-Related Social Needs (HRSN) Guidance and HRSN Framework to provide clinically appropriate services such as housing transition services and case management, and demonstration projects to improve access to the full continuum o9f care for SUD treatment, including in short-term residential treatment and inpatient settings.

It also provides a list of resources for improving access to MH and SUD treatment and to support for people with these conditions who are experiencing or at risk for homelessness.

According to the Department of Housing and Urban Development, about 18 percent of people experiencing homelessness live in largely rural Continuums of Care, which are local planning bodies responsible for coordinating the full range of homelessness services in a geographic area.

Read CMCS Bulletin

Missouri Medicaid Tests New Transformation of Rural Community Health (ToRCH) Model

April 25, 2024

Missouri Medicaid Tests New Transformation of Rural Community Health (ToRCH) Model

This new program aims to address social determinants of health and will have hospitals serve as community-based hubs, or regional leads, to direct strategy and coordinate the efforts of health care providers, community-based organizations (CBOs), and social service agencies within a designated rural community.

Medicaid funds will support hub activities:

  • Leadership
  • Data analysis
  • Management of community partnerships

Community partners may request funds to pay for:

  • Additional space
  • Purchase IT or other equipment
  • Purchase a vehicle
  • Obtain new training for staff

Funds will also be available to reimburse CBO partners for approved health related social needs services identified in the ToRCH communities, such as:

  • Supplemental health-related transportation
  • Food and nutrition education
  • Home-delivered medically appropriate meals
  • Housing remediation to address health risks

The first cohort of six hospitals will begin on July 1 of this year.

Click Here to learn more about ToRCH

New National Strategy for Suicide Prevention

April 25, 2024

New National Strategy for Suicide Prevention

On Wednesday, April 24, the U.S. Department of Health & Human Services released details of a plan for more than 200 actions across the federal government to address high rates of suicide.

Populations in the United States disproportionately impacted by suicide include non-Hispanic American Indian and Alaska Native youth, middle-aged and older adults, non-Hispanic White males, rural populations, and veterans, among others.

In particular, rural communities continue to see increases in suicide rates. According to 2023 data from the Centers for Disease Control and Prevention, suicides in non-urban environments increased 46 percent between 2000 and 2020.

Click Here for Full Details

AIHC Training Opportunity Capturing and Coding Social Determinants of Health for Physicians and Hospitals

March 15, 2024

AIHC Training Opportunity Capturing and Coding Social Determinants of Health for Physicians and Hospitals

Are you up to date on coverage changes in Medicare? Consider registering for this short course, offered by the American Institute of Healthcare Compliance (AIHC).

Among several important coverage changes, Medicare now covers a Social Determinants of Health (SDOH) Risk Assessment at no cost to the patient, when it’s provided as an optional Annual Wellness Visit (AWV) element as part of the same visit with the same date of service as the AWV.

Computer Requirements and Time Limits:

  • You will need high-speed internet, email and Adobe Reader
  • You will have access to the online AIHC course page for 90 days starting on your enrollment date
  • Course tuition includes access to the training page for 90 days
  • Online quizzes throughout the training
  • Certificate of completion is awarded with a minimum score of 80%

Cost: $45

Learn More

New Dashboard Helps Families and Health Care Workers Determine Bed Availability in Long-Term Care Settings

March 13, 2024

New Dashboard Helps Families and Health Care Workers Determine Bed Availability in Long-Term Care Settings

A new dashboard has been developed to assist Missourians in locating long-term care facilities with bed and service availability.

“This resource will assist individuals looking for long-term care placement options specific to their needs in their desired area of the state,” said Missouri Long-Term Care Ombudsman Program Director, Jenny Hollandsworth.

Long-term care facilities, including all levels of care, are strongly encouraged to complete an electronic survey weekly to report how many beds they have available, and which resident needs they can serve, i.e., memory care, behavioral health, bariatric, etc.

The survey and dashboard can be found on the Long-Term Care Ombudsman website, along with instructional videos. Questions can be directed to the Long-Term Care Ombudsman Program at LTCOmbudsman@health.mo.gov.

New JRH Articles on Rural Breast Cancer Disparities, More

March 5, 2024

New JRH Articles on Rural Breast Cancer Disparities, More

The National Rural Health Association’s (NRHA’s) Journal of Rural Health (JRH) recently published new articles on the following topics: