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The New Vocabulary of Long Term Care

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The New Vocabulary of Long Term Care:Words You Need to Know!!

Alison Hirschel, MPLP Elderlaw Attorney

MiChoice Home and Community Based Waiver Program
the Medicaid funded program that provides services to people who need significant long term care services in their own homes instead of in nursing homes. There are a limited number of slots available in this program. Despite the popularity and effectiveness of the program, the state cut its funding dramatically in 2001and the legislature is now proposing further reductions due to the Medicaid budget crisis.


Home Help
another Medicaid funded program that provides help with dressing, bathing, eating, shopping, cleaning, laundry and meal preparation. The program is only available to very low income consumers who need assistance because of their disabilities, but anyone who is eligible has a right to receive services.


Person Centered Planning
a process for assisting individuals to choose the long term care services they want and for which they are eligible while honoring their preferences, choices, and abilities. Families, friends, and professionals can also be involved if the consumer wants their help or needs assistance.


Single Point of Entry (SPE)
the place in each region of the state where all citizens can go to receive quality information about long term care options. The SPE will also perform assessments of consumers to determine the publicly funded services for which they qualify, assist consumers in selecting options, oversee the quality of services provided, advocate for consumers, and work with consumers as their needs, circumstances, or choices change.


Money Follows the Person
a policy of financing public long term care for those who are financially eligible. Instead of the state simply allocating a certain amount of money for a specific number of nursing home beds or home care slots, consumers have the right to choose how available funds are spent on the services and supports they need. This system promotes consumer choice and ends the long standing bias in our long term care system that makes it much easier to find nursing home placement than it is to receive services at home.


Case Mix Reimbursement
paying providers like nursing homes or waiver providers more money for residents or clients who need more costly care and less money for low needs clients. Currently, because providers receive the same daily rate from Medicaid for all long term care recipients regardless of their needs, providers may choose not to accept heavy care clients. Case mix reimbursement is a more efficient and fair system than the current flat rates.