7 resultados para Managed care

em Iowa Publications Online (IPO) - State Library, State of Iowa (Iowa), United States


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This report provides an update on the following items for the first programmatic quarter (July, August and September 2016): • 2nd Quarter Overview • Systemic Trends • Community Partnerships and Outreach • Managed Care Ombudsman Program Administrative Update

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he Managed Care Ombudsman Program provides various services including education and information regarding managed care plans, services, care and processes, advocacy and outreach on behalf of members, and appeals assistance and complaint resolution for members needing assistance with resolving issues with their managed care plan or navigating the managed care system. This report provides an update on the following items for the first programmatic quarter (April, May and June 2016): • 1st Quarter Overview • Systemic Trends • Community Partnerships and Outreach • Managed Care Ombudsman Program Administrative Update

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State Long-Term Care Ombudsman reports of success of Residents' Right month activities. OSLTCO welcomes staff into two newly created positions to oversee Medicaid Managed Care. The importance of case activity report for long-term care facilities. Governor's Conference on Aging & disabilities call for sessions

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At the end of February, the Centers for Medicare & Medicaid Services approved Iowa's plan to modernize Medicaid with an implementation date of April 1, 2016, citing significant improvements the state has made to demonstrate readiness and enhance provider networks. Updates to MDS Section Q Materials. Severe Weather Awareness Week. Long-Term Care Social Workers of Iowa Spring Conference (April 14-15, Gateway Conference Center, Ames). Iowa Governor's Conference on Aging & Disabilities (May 23-26, Iowa Events Center, Des Moines). New Resource to Help LGBT Elders Avoid the Sweetheart Scam.

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Although only a fraction of Iowans are Medicaid members, the changes coming to Iowa’s Medicaid system have the potential to significantly impact all Iowans, especially those who are dependent on others for care or assistance with daily activities. That’s because Iowa’s ability to transition to managed care is contingent upon ensuring that Medicaid members have an advocate when it comes to protecting their rights, health, safety and quality of care. Managed Care Ombudsman Program prepares to advocate for Iowa's Medicaid members. Iowa's Office of Substitute Decision Maker provides education, assistance.

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In Iowa, the Managed Care Ombudsman Program was established to advocate for the rights and wishes of Medicaid managed care members who receive care in a health care facility, assisted living program or elder group home, as well as members enrolled in one of the following seven home and community-based services (HCBS) waiver programs.

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This booklet explains how to find and compare nursing homes and other long-term care options; how to pay for nursing home care; your rights as a nursing home resident and alternatives to nursing home care. Not all nursing homes are certified to participate in Medicare or Medicaid.