Florida Association of Homes and Services for the Aging
January 31, 2008 Vol 15, Issue 8
Hands  FAHSA LINK
 
Welcome to this week's edition of the FAHSA Link.
 

Governor Announces Budget Recommendations for Fiscal Year 2008-09

 

This week, Governor Crist released his budget recommendations to the legislature for Fiscal Year 2008-09. The no-growth $70 billion budget includes substantial funding to stimulate the economy and create jobs, encourage the development of new sources of energy, increase adoptions for kids in foster care, increase access to affordable health insurance for all Floridians, continue the largest environmental restoration project in the country, increase funding for all levels of education, give bonuses to teachers who achieve certain goals, add jail capacity, and develop drug abuse programs for prisoners.

 

Interestingly, the press release that announced the Governor's budget priorities made no mention of long-term care or elder Floridians. After examining the proposed budget, we determined that Governor Crist is not recommending a price level increase for nursing homes. The price level increase would cost the state $193 million.  If the Governor's proposal is adopted by the legislature, the nursing home reimbursement rates will be on average about $12 per resident day less than it would have been with a price level increase. It appears as if there is an additional $13 million in funding proposed for the Nursing Home Diversion Program but no new slots to add enrollees. We could not identify any additional funding or slots for the Home and Community-based Service waiver.

 

For additional details, visit www.myflorida.com and click on "The People's Budget."

 

In This Issue
District and Membership News
Education News
General News
Housing News
Legislative News
Nursing Home News
Sponsor
Preferred Business Associates News
Job-Mart
Group Purchasing Organizations
FAHSA Quick Links
District and Membership News

District 7 Members Discuss Funding Challenges & Importance of Legislator Education -- On Wednesday, January 30th, 18 people representing 16 FAHSA members met at Morselife for a luncheon meeting. Mary Ellen Early, Senior Vice-president of Public Policy, joined the meeting by phone. She discussed the passage of the constitutional amendment on property tax reform and the increased likelihood of special assessments and fees because of the loss of revenue to local governments.

 

She also updated the group on activities of the Taxation and Budget Reform Commission. The Finance and Tax Committee of the Commission will be voting on all sales tax reform proposals on February 11 and 12, including one by Commissioner John McKay to automatically repeal all exemptions and exclusions and use the savings to eliminate the local effort school tax portion of the ad valorem tax. Mary Ellen explained that the McKay proposal would eliminate the current sales tax exemption for products and services purchased by nonprofit organizations and create a sales tax on any service provided by a FAHSA member that is not health care related or classified as "residential rent." After Mary Ellen's presentation, attendees engaged in a lively discussion about funding cuts in all areas of long-term care and the effect it is having on frail elders. Affordable housing providers commented that it has become increasingly more difficult for service coordinators to connect needy residents with Medicaid waiver and Nursing Home Diversion programs.

 

One attendee noted that slots for the Diversion program have been frozen since September 2007. She added that over 25,000 people are on waiting lists for Medicaid waiver services statewide. Nursing home providers mentioned that they are no longer admitting people who are Medicaid pending because of the six to nine month delay in state approvals and the possibility of losing money when eligibility is denied after months of providing care. All agreed that the current fiscal climate may exacerbate these problems, which reinforces the importance of FAHSA members educating their legislators about the real life effects of budget cuts on their most vulnerable constituents.

 

ACTS Photograph 

 

Caption:  From left: Indian River Estates West Executive Director Tom Sutton; ACTS Senior Vice President Quality Care Elsie Norton; Jerry Rester, Resident Association President, Indian River Estates East Executive Director George Bryan and ACTS Regional Vice President Charles Coxson III.

 

Indian River Estates East & West Receive National Accolades - Recently, ACTS Retirement-Life Communities announced that its two Indian River County-based continuing care retirement communities (CCRCs) have received national recognition for meeting the highest standards in retirement living services and operations. The two Vero Beach communities are Indian River Estates East and Indian River Estates West. Each community has earned accreditation from CARF-CCAC, an independent accrediting body serving the senior services field.  "We take great pride in this achievement as accreditation means that residents and consumers can be confident that these communities are focused on providing high quality programs and services, well-run, and financially secure," said Marvin Mashner, ACTS President and CEO.  Congratulations!

 

Register Now to Attend FAHSA's Upcoming Regional Meetings  -- The Education Program being offered during the FAHSA Regional Meeting is a summary of an extensive study conducted by Morrison Senior Dining related to new residents looking to move into your communities now.  Whether you are a CCRC, affordable housing, nursing home, ALF, or home and community-based service provider, these are the new residents and clients that you will be serving.  This generation is referred to as the "Silent Generation" and they are individuals who were born between 1925 and 1942.  Their views and desires are very different then the "GI Generation" that you have been serving.

 

The "Silent Generation" grew up during a very different economic, political and social time than those of previous years.  They are independent and want different options that you may not even have considered.  This will be an interesting presentation featuring topics on

  • Services;
  • Residents needs;
  • And, last but not least, how to communicate in terms that will appeal to this generation.
  •  February 27- Southwest Florida Regional Meeting (Districts 9, 10, 11 and 12)
    11:00 a.m. to 3:15 p.m., Shell Point Retirement Community, Ft. Myers
  • February 28-  Central Florida Regional Meeting (Districts 4, 5, 6, and 13)
    11:00 a.m. to 3:15 p.m., Village on the Green, 500 Village Place, Longwood
  • February 29-  North Florida Regional Meeting (Districts 1, 2, 3, and 14)
    11:00 a.m. to 3:15 p.m., River Garden Hebrew Home for the Aged, Jacksonville
  • March 4 -  Southeast Florida Regional Meeting (Districts 7 and 8)
    11:00 a.m. to 3:15 p.m., John Knox Village of Florida, Pompano Beach

FAHSA Calendar of Events
Education News

New Date Scheduled for FAHSA's Next Webinar - Mark your calendars and plan to join us on Monday, February 25, 2008 at 2:00 p.m. for FAHSA's next webinar on "Occupancy Challenges and Solutions for Retirement Communities - Use Current Marketing Challenges as an Opportunity to Rethink and Retool your Product and Rejuvenate your Marketing Staff."  Representatives from three well-known marketing organizations, Life Care Services, Inc., Love and Company, and Retirement Dynamics will provide practical solutions to help in this tough housing market.  Watch your fax machine for the brochure and registration form and plan to join us.

 

CASP Spring Institute Being Held in St. Petersburg - formerly the Retirement Housing Professional (RHP), FAHSA, in conjunction with the University of North Texas, is offering this program the week of May 12, 2008 for the Certified Aging Services Professional (CASP) designation.  Click on the UNT Web site, then click on Spring Institute to download a copy of the brochure and registration form.

 

Upcoming Educational Events:

  • February 25 - NEW DATE -- Webinar - Use Current Marketing Challenges as an Opportunity to Rethink and Retool your Product and Rejuvenate your Marketing Staff at 2:00 p.m. EST.  A panel of marketing experts from Life Care Services; Love and Company and Retirement Dynamics will provide you and your staff with ideas that you can use to revitalize your marketing efforts and improve your occupancy rates. 
  • March 18 - Webinar - Paper Claim Training for Florida Medicaid LTC Billing on UB04
  • April 14 -- FAHSA Board of Trustees Meeting, Wingate Inn, Tallahassee
  • April 15-16 -- FAHSA Legislative Workshop, Leon County Civic Center, Tallahassee
  • May 19 - Webinar - Submitting Medicaid Claims through EDS's new Web Portal
  • July 27 - FAHSA's 5th Annual Strategic Visioning Workshop, Boca Raton Resort
  • July 28-31 - FAHSA's 45th Annual Convention and Exposition, Boca Raton Resort

FAHSA Calendar of Events

General News

 

Major IRS Reporting Changes Adopted for Non-Profit Organizations -- The IRS recently released the first major overhaul of its not-for-profit reporting rules in almost 30 years.  It is a big deal. Don't assume that it will be business as usual. You should familiarize yourself with the changes immediately so you have time to develop or modify your reporting systems to comply with the new rules. If certain parts of the form are not properly completed, it could trigger an audit. AAHSA's comments to the IRS and the final version of the new Form 990 and related schedules are on the AAHSA Web site.  Once there, click on Advocacy, Policy and Government, and then click Legal. 

Housing News

Send Your EIV Suggestions to HUD -- HUD's Office of Multifamily Housing leadership wants to hear from you about your experiences, both positive and negative, in gaining access to the EIV system and in using the various Multifamily applications and reports contained in the EIV system.  Please take the time to submit your comments, concerns and recommendations to the following e-mail address: MF_EIV_Comments@hud.gov .  HUD would like to make the EIV system a more useful tool that is responsive to your needs: 

 

Owners/management agents who have not signed up for access to the EIV system are encouraged to do so.  Instructions for getting access to the system are posted on the Multifamily EIV Web site.

 

Other Housing Alert Issues:

·         Good News:  More Information Released from HUD on Subsidy Payment Issues

·         New Available Research on Housing and Services Conducted by Dr. Stephen Golant

·         A Good Idea:  FAHSA Member Community PSA Mentioned in St. Petersburg Times Article

·         REAC Fact Sheet Posted

·         Watch-out:  Bedbugs Making a Comeback in Florida

·         LTC Ombudsman Program Looking for Volunteers

·         TRACS Update / RealPage

·         IRS Warns of New E-mail and Telephone Scams

·         Question of the Week:  Comments from FAHSA Members about Unruly Resident Councils

FAHSA Housing Alert Page

Legislative News

An Update on the Tax and Budget Reform Commission Meetings -

 

This week we are reporting on two Tax and Budget Reform Commission meetings as follows:

 

On January 25, the Finance and Tax Committee of the Taxation and Budget Reform Commission (TBRC) met to continue deliberations on sales tax reform proposals. Committee members were given a list of 246 sales tax exemptions that included the dollar value of each. The total value is $12.3 billion.  Staff also provided the committee with a history of past efforts to pass and implement a service tax. (Nearly 20 years ago, the legislature passed a sales tax on services but, after a public backlash, quickly repealed it.) After the staff presentations, a number of business representatives spoke in opposition to an automatic repeal of all sales tax exemptions and exclusions. They talked about the adverse effect that a tax on services would have on attracting industry and businesses to the state. Dominic Calabro, the Executive Director of Florida TaxWatch (a nonprofit citizen watchdog), was the most compelling speaker. TaxWatch is in the process of preparing a report on sales tax reform that will include proposed criteria for the Legislature to use when systematically evaluating individual exemptions. When asked about his position on a constitutional amendment, Mr. Calabro responded that TaxWatch would not oppose a general constitutional amendment calling for a review of all exemptions every 20 years.

 

A proposed constitutional amendment by Commissioner John McKay is getting a lot of media attention. It would generate about $6 billion in new revenue by eliminating all sales tax exemptions and exclusions unrelated to health care, prescription drugs, food, residential rent and fuel and utilities. The savings would be used to reduce property taxes, specifically by eliminating the portion related to the Required Local Effort for Education.  However, as educational expenses grow, the amendment would not prohibit counties from assessing property owners in other ways.

 

On January 30th, the TBRC Commission spent time talking about Constitutional Amendment 1 which was passed by a large majority in the statewide election yesterday.  The Commission members feel that the voters of Florida have sent a clear message that they need tax relief and this helps the Commission focus on additional tax reforms.  The difference between tax relief and tax reform in their mind was that tax relief was imminent and tax reform is a true process change in the way Florida taxes its citizens.  The Sales Tax Exclusion proposal (CP0012) will be discussed and voted on February 11-12 as well as any other relevant sales tax exemption proposals (sun setting of tax exemptions) and property tax proposals.  Additionally, CP0035, Local Option Tax, was discussed allowing local government to create a tax or service to tax sales or have an ad valorem tax to raise money for community college funding.  

 

Secretary of State Kurt S. Browning reported to the TBRC and noted that TBRC constitutional amendments per rule would be listed first on the ballot before legislative and citizens' initiatives.  He further noted that it appears that only two citizens' initiatives are close to getting the required number of signatures to be on the ballot as a citizen initiative constitutional amendment, and they are:  1.) the Marriage Petition;  and 2.) Hometown Democracy. 

 

The week of February 10th is critical for votes on issues that will affect FAHSA members. 

 

The committee will be voting on all sales tax proposals on February 11. If you know a member of the committee, please call Janegale Boyd.  For a list of the committee members, please click here.

Nursing Home News

New MDS Takes About Half the Time to Complete - Access Slides from CMS Open Door Forum

 

The new Minimum Data Set 3.0 will increase clinical relevance, accuracy and clarity, and give residents a greater voice in data collection when it is implemented next year, experts announced. Although the number of pages in the MDS will increase, providers will be able to complete the form in 45% less time on average. According to CMS officials, a variety of nurses who weren't yet familiar with the new format still averaged a completion time of just 61 minutes in test areas compared to an average of 112 minutes under the current MDS 2.0.

 

In general, residents will have more say in completing the MDS 3.0. Some 3,800 residents in eight states took part in various MDS 3.0 testing. Nurses using the new instrument reported overwhelming support for its ease of use and ability to discern more important information, CMS officials said.

 

To access the latest MDS 3.0 documents, and slides from last Thursday's CMS special session, visit http://www.cms.hhs.gov/opendoorforums. Click on the "Special Open Door Forums" link on the left and then go to the downloads section.

Sponsor

 Prelude Services

Prelude Services

- Prelude specializes in providing full service information technology, custom application development, and telecommunication services to providers.

Prelude's unique combination of people, partnership, and custom software tools allows providers to focus on their core objectives of providing resident care rather than managing a complicated IT infrastructure.

Prelude also prides itself on not only delivering exceptional IT support, but understanding the business of providers. They know that key business units must efficiently work together to maximize productivity and reduce costs, so they actually take the time to talk with staff to understand what the real issues are. They incorporate the experience and knowledge of the entire Prelude team to analyze issues and provide innovative approaches to resolve them. Prelude blends technology with business needs so providers can meet their strategic goals. Prelude is not just a vendor, but an information technology partner.For more information please contact Dennis Stufft at (717) 441-2400 or e-mail him at dstufft@preludeservices.com.

Preferred Business Associates News
 

CoupleWithDollarFAHSA's Preferred Business Associates Program (PBAs) -- A list of PBAs can be found by on the FAHSA Web site www.fahsa.org and selecting Preferred Business Associates from the left side menu bar or clicking on the FAHSA Preferred Business Associates Page hyperlink. FAHSA members can also use the on-line directory to search for PBAs by specialty.

 
Job-Mart
 FAHSA is pleased to provide an opportunity for you to advertise your "position wanted" or "position available" through the FAHSA Link newsletter and on our Web Page.

FAHSA members may use the Job Mart services at no charge. A nominal fee of $25 will be charged to nonmembers.

Your Job Mart advertisement will be displayed on our Web site for approximately three months. The FAHSA Link is published weekly and distributed to our membership which is comprised of nursing homes, CCRCs, HUD housing, assisted living facilities, independent living facilities and companies/firms.

To reserve advertisement space in our Job Mart program, please complete the application and fax it to FAHSA at (850) 671-3790 or E-mail Erin Steele at esteele@fahsa.org

FAHSA's Group Purchasing Organizations

FAHSA is pleased to tell you about the FAHSA Group Purchasing Organization (GPO).  The GPO program further enhances the value you receive from your membership and is required for us to be in compliance with Medicare Safe Harbor requirements The FAHSA GPO program, in conjunction with the AAHSA, Care Purchasing (CPSI), and FMS Purchasing and Services (FMS) GPOs offer you the opportunity to save daily purchases from over 200 vendor partners.  To view these vendor partners please click on the Preferred Business Associated Guide and go to pages 22-25.

 

FAHSA members participating in these programs are saving from seven to 50% off list prices.  In addition to these savings, your participation allows FAHSA to receive non-dues revenue based on your purchases.  This revenue assists FAHSA to provide the educational programs and advocacy you expect while keeping membership dues' to a minimum.

 

There is no obligation or commitment on your part to participate in the FAHSA GPO programs. This is simply a value added member benefit. Our program is also not exclusive; you can belong to one or all three GPOs.  We simply ask that you look at all of the FAHSA programs and decide the best savings for you. 

 

We have three (3) Enrollment Agreements and ask that you complete one or all and fax the completed enrollment to the GPO at the number listed on the form. Click below to obtain the enrollment form. 

  1. AAHSA Enrollment Form
  2. Care Purchasing Enrollment Form
  3. FMS Purchasing & Services Enrollment Form

If you are already enrolled in one of the GPOs, you are still required to complete a new enrollment form in order to have the FAHSA GPO covered under the Medicare Safe Harbor Laws.

 

If you have any questions, please call Julie Copeland, Vendor Relations Coordinator or Janegale Boyd, President/CEO (850) 671-3700.  Thank you for your continued support of FAHSA.

Copyright 2008 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).

  • FAHSA Chair: Alma Ballard
  • FAHSA President/CEO: Janegale Boyd
  • Managing Editor: Gail Matillo
Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

Correspondence: Should be addressed to: Editor, 1812 Riggins Road, Tallahassee, FL 32308. For telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at info@fahsa.org. © 2008 FAHSA. All rights reserved.

Disclaimer: The information contained in this correspondence is not intended as a substitute for legal advice. Please discuss any information gathered from this or any other FAHSA publications with your legal counsel in the context of your particular situation before implementing any new policies or procedures.

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Florida Association of Homes and Services for the Aging | 1812 Riggins Rd | Tallahassee | FL | 32308