State of Michigan Nursing Home Administrator Exam 2024 Graded A
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Course
State of Michigan Nursing Home Administrator
Institution
State Of Michigan Nursing Home Administrator
PATIENT TRUST FUNDS -
1) Policy: - Must have a policy.
May state that the facility will not handle monies in excess of $5,000.00.
The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing service.
2) Required Printed Information: - This must be given resident upon...
State of Michigan Nursing Home Administrator Exam 2024 Graded A PATIENT TRUST FUNDS - 1) Policy: - Must have a policy. May state that the facility will not handle monies in excess of $5,000.00. The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing service. 2) Required Printed Information: - This must be given resident upon admission. A statement that the facility will handle personnal funds if no other person is available. Periodic statement of accounts (Minimum: Quarterly) 3) Procedure: American Institute of CPA - Quarterly statements including all activity, (A -
H) in easily readable form. Written account of all personal funds held in trust must be sent to the executor, administrator, rep payee or next of kin within 10 DAYS OF THE DEATH OF A PATIENT. Account must be closed and balance sent to resident within 3 DAYS OF DISCHARGE. Access to Funds - 4) Financial records: - not less than two (2) hours during normal business hours. 5) Petty Cash: - during all normal business hours. Accounts - 6) Funds: - Cannot be CO -MINGLED with any other facility funds (Can with Residents') 7) Interest Bearing Accounts: - May keep up to $200.00 in a non -interest bearing account of petty cash fund. Money in excess of $200.00 shall be deposited in an interest bearing account within 15 days of the date the $200.00 minimum is exceeded. 8) Designation For Patient Unable To Handle Own Funds: - Facility notifies the Family Independence Agency, Adult Protective Services in writing when a mentally incompetent patient has no one to act on his behalf. 9) Sale Or Transfer of Ownership - Written receipt from new owner acknowledge receipt of the funds for safeguarding. 10) Surety Bond: - Not LESS than $2,000.00 or 125% of the previous year's patient trust funds average balance held, whichever is greater. Michigan State Plan For Long Term Care - 11) Department of Community Health (MDCH or DCH) - DCH is responsible for the Medicaid Program under contract to the federal agency named Centers for Medicare and Medicaid Services (CMS). MDCH also contracts with other departments and agencies to provide specific services. 12) Medical Services Administration (MSA) - This agency, under authority of MDCH writes policy, acts as fiscal intermediary, designs categorical reimbursement programs, audits and authorizes facility -specific reimbursement rates. 13) Bureau of Health Systems: DCH - has this bureau under its department for oversight of the quality of care within nursing homes through the certification process. The actual certifying agency is CMS. This is accomplished through the surveys and inspections. 14) Department of Community Health, Bureau of Construction Codes, Office of Fire Safety. - DCH contracts with Office of Fire Safety to conduct the Life Safety Code portion of the survey. 15) Michigan Department of Human Services (DHS): - DCH contacts with DHS who determine an individuals Medicaid eligibility and "co -payment" responsibility. DHS utilized the local offices for direct contract with applicants. 16) Bureau of Health Professions: DCH - Has this bureau under its department for oversight and licensing of Nursing Home Administrator (NHA) 17) Michigan Department Community Health - This Department contracts directly with the federal agency CMS and as such is designated responsibility for Title XIX of the Social Security Act. Currently this program is 56% federally funded and 44% state funded. 18) Medical Service Administration (MSA) - itself handles two primary aspects of the program POLICY AND REIMBURSEMENT. Medicaid Policy -
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