State of Michigan Nursing Home Administrator Exam Already Rated A+
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State of Michigan Nursing Home Administrator Exm
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State Of Michigan Nursing Home Administrator Exm
State of Michigan Nursing Home Administrator Exam
Already Rated A+
1. Policy: ️Must have a policy.
May state that the facility will not handle monies in excess of $5,000.00.
The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing service.
2. Required Prin...
State of Michigan Nursing Home Administrator Exam
Already Rated A+
1. Policy: ✔️Must have a policy.
May state that the facility will not handle monies in excess of $5,000.00.
The facility may charge a reasonable fee not to exceed the ACTUAL COST of providing service.
2. Required Printed Information: ✔️This must be given to resident upon admission.
A statement that the facility will handle personal funds if no other person is available.
Periodic statement of accounts (Minimum: Quarterly).
3. Procedure: ✔️Quarterly statements including all activity (A-H) in easily readable form.
Written account of all personal funds held in trust must be sent to the executor, administrator,
representative payee, or next of kin within 10 DAYS OF THE DEATH OF A PATIENT.
Account must be closed and balance sent to resident within 3 DAYS OF DISCHARGE.
4. Access to Funds: ✔️Financial records must be made available for inspection for not less than two (2)
hours during normal business hours.
5. Petty Cash: ✔️Must be accessible during all normal business hours.
6. Funds: ✔️Cannot be CO-MINGLED with any other facility funds (Can co-mingle with Residents').
7. Interest-Bearing Accounts: ✔️May keep up to $200.00 in a non-interest bearing account of petty
cash fund.
Money in excess of $200.00 shall be deposited in an interest-bearing account within 15 days of the
date the $200.00 minimum is exceeded.
,8. Designation For Patient Unable To Handle Own Funds: ✔️Facility notifies the Family Independence
Agency, Adult Protective Services in writing when a mentally incompetent patient has no one to act on
his behalf.
9. Sale Or Transfer of Ownership: ✔️Written receipt from new owner acknowledges receipt of the
funds for safeguarding.
10. Surety Bond: ✔️Not LESS than $2,000.00 or 125% of the previous year's patient trust funds average
balance held, whichever is greater.
### Michigan State Plan For Long Term Care ✔️
11. Department of Community Health (MDCH or DCH): ✔️DCH is responsible for the Medicaid Program
under contract to the federal agency named Centers for Medicare and Medicaid Services (CMS).
MDCH also contracts with other departments and agencies to provide specific services.
12. Medical Services Administration (MSA): ✔️This agency, under authority of MDCH, writes policy,
acts as fiscal intermediary, designs categorical reimbursement programs, audits and authorizes facility-
specific reimbursement rates.
13. Bureau of Health Systems: ✔️DCH has this bureau under its department for oversight of the quality
of care within nursing homes through the certification process.
The actual certifying agency is CMS. This is accomplished through the surveys and inspections.
14. Department of Community Health, Bureau of Construction Codes, Office of Fire Safety: ✔️DCH
contracts with the Office of Fire Safety to conduct the Life Safety Code portion of the survey.
15. Michigan Department of Human Services (DHS): ✔️DCH contracts with DHS who determine an
individual's Medicaid eligibility and "co-payment" responsibility. DHS utilizes the local offices for direct
contract with applicants.
, 16. Bureau of Health Professions: ✔️DCH has this bureau under its department for oversight and
licensing of Nursing Home Administrator (NHA).
17. Michigan Department Community Health: ✔️This department contracts directly with the federal
agency CMS and is designated responsibility for Title XIX of the Social Security Act.
Currently, this program is 56% federally funded and 44% state funded.
18. Medical Service Administration (MSA): ✔️Itself handles two primary aspects of the program:
POLICY AND REIMBURSEMENT.
### Medicaid Policy ✔️
19. Providers must adhere to: ✔️ALL POLICIES TO PARTICIPATE.
20. Facility must be licensed: ✔️MANDATORY.
21. Certification of Facility: ✔️VOLUNTARY.
22. MDCH uses the: ✔️Bureau of Health Systems to perform surveys for this certification.
23. Delivery of Services (Fairness/Non-Discrimination Doctrine): ✔️Services Reimbursed by MSA are
listed in the Medicaid manual.
Facilities MUST render covered services to ALL ELIGIBLE recipients in the same scope, quality, and
manner as provided to the general public.
24. Compliance: ✔️Facility must render services in accordance with all federal and state statutory and
regulatory requirements.
25. Medicaid is Payor of: ✔️LAST RESORT.
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