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Governor Signs Executive Order Implementing First Three Recommendations of the Governor's Medicaid Long Term Care Task Force

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Issue 28, Summer 2005

Governor Signs Executive Order Implementing First Three
Recommendations of the Governor's Medicaid Long Term Care Task Force
by Alison Hirschel, MPLP Elder Law Attorney

On June 9, several hundred consumers, policymakers, advocates, and others interested in long term care gathered at the Capitol to celebrate the official release of the recommendations of the Governor's Medicaid Long Term Care Task Force and to oppose cuts under consideration by the House and Senate to the MiChoice Home and Community Based Waiver program. Governor Granholm made a spirited speech at the rally, supporting the recommendations, opposing cuts to MiChoice, and announcing that she signed that day an Executive Order that mandates the implementation of three of the recommendations of the Task Force.

Pursuant to the Executive Order, Granholm created an Office of Long Term Care Supports and Services within the Department of Community Health. This action was consistent with the recommendation of the Task Force to ensure better coordination of the long term care system and to centralize key functions including activities to implement the recommendations of the Task Force, state planning for long term care supports and services, long term care policy review and approval, quality assurance reviews, etc.

The second prong of the Executive Order created the Michigan Long Term Care Supports and Services Advisory Commission, also consistent with the Task Force recommendation. Fifteen members appointed by the Governor shall serve on the Commission including eight members representing primary or secondary consumers of long term care supports and services, three members representing providers of Medicaid funded long term care supports and services, three members representing direct care staff providing long term care supports and services, and one member of the general public. Those wishing to be considered for appointment to the Commission can submit their application on line through the Governor's Appointment Office (http://michigan.gov/gov/0,1607,7 168 21984 ,00.htm ).

Finally, the Governor mandated that, by June 30, 2006, the Department shall establish not less than 3 single point of entry demonstration programs for the delivery of long term care supports and services. At least one of the programs must be located in an urban area and at least one of the programs must be located in a rural area.The Task Force had recommended three single point of entry agencies be created within a year of the issuance of their report and that agencies be available to serve every region of the state within three years.