| January 31, 2008 |
Vol 15, Issue
8 | |
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FAHSA
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| 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."
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| District and Membership News |
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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.
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.
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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:
FAHSA Calendar of
Events |
| General
News |
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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.
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| Housing
News |
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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
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New Available
Research on Housing and Services Conducted by Dr. Stephen
Golant
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A Good Idea: FAHSA Member Community
PSA Mentioned in St.
Petersburg
Times Article
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REAC Fact Sheet
Posted
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Watch-out: Bedbugs Making a
Comeback in Florida
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LTC Ombudsman
Program Looking for Volunteers
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TRACS Update /
RealPage
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IRS Warns of New
E-mail and Telephone Scams
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Question of the
Week: Comments
from FAHSA Members about Unruly Resident Councils
FAHSA Housing Alert
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| Legislative News |
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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
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| Nursing
Home News |
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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.
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Sponsor |
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 |
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FAHSA'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.
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| 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
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FAHSA's Group Purchasing Organizations
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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.
- AAHSA
Enrollment Form
- Care
Purchasing Enrollment Form
- 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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