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Members’ Home Page

Email Archive
Here is a list of the email alerts and updates sent to members.
(This does not include issues of The NCALA Advisor or NCALA Legislative Update e-newsletters, which are available separately at these links.)

Hurricane Florence—ACH/FCH Preparations and Waiver Requests
As I'm sure you are, DHHS is closely monitoring Hurricane Florence and planning for any potential impact to North Carolina. Per the DHHS meteorologist with NCEM, overall, the forecast track of Florence is very similar to previous forecasts. Confidence continues to increase that North Carolina will see life-threatening impacts from Hurricane Florence. Read more…

RSVP will replace Pre-Admission Screening Resident Review (PASRR) for ACHs
NC DHHS is implementing the Referral Screening Verification Process (RSVP) for individuals being considered for admission to an Adult Care Home effective November 1, 2018. RSVP will replace Pre-Admission Screening Resident Review (PASRR) for ACHs, providing a more streamlined and effective process to screen Transition to Community Living Initiative target populations. For further information, please visit: https://www.ncdhhs.gov/transitions-community-living-initiative.

New Reporting Form for Health Care Personnel Investigations
The new DHSR reporting forms hopefully will be more electronic friendly, such as adding drop down arrows with pre-populated Information to select, formatted fields, and the ability to save the completed forms. They have created instructions for completing the forms, which are embedded in the forms or can be printed separately. The revised DHSR reporting forms are now titled the Initial Allegation Report (commonly referred to as the 24 Hour Report) and the Investigation Report (commonly referred to as the 5 Day Report), since the time frames for submission of allegations have changed for some providers. There are additional addendum forms to add any additional residents', accused individuals', and witness' information, when needed.
 
These new DHSR reporting forms will be available on the DHSR Web site on March 5, 2018.

“PHARM NOTES” on Medical Marijuana: An Overview, courtesy of Neil Medical Group
Neil Medical Group logoThe use of medical marijuana is peaking interest in the United States as more and more states allow its use for medical purposes … Read the newsletter.

“Shorts” On Long Term Care, courtesy of Poyner Spruill LLP
Neil Medical Group logoFinding and Fixing Your Own Noncompliance: Avoiding Citations After House Bill 667
During the 2016 Legislative Session, NCALA was instrumental in bringing about passage of House Bill 667, which modified existing law on assisted living surveys, citations, and sanctions. This statute contained a number of positive changes for North Carolina’s assisted living communities … Read the newsletter.

“PHARM NOTES” on Parkinson’s Disease-Associated Psychosis, courtesy of Neil Medical Group
Neil Medical Group logoWhen most people think about Parkinson’s disease, they think of tremors, rigidity, or stiffness and slowness of movement. However, it can affect thinking, mood, and behavior … Read the newsletter.

“PHARM NOTES” on Headaches in the Older Adult, courtesy of Neil Medical Group
Neil Medical Group logoHeadache disorders are very common in the elderly. As we age, causes of headaches shift from benign to more serious conditions and they can often present in an atypical manner. … Read the newsletter.

“PHARM NOTES” on The Opioid Crisis, courtesy of Neil Medical Group
Neil Medical Group logoCurrently, almost 2/3 of drug overdose deaths involve opioids. The number of deaths involving opioids, including both prescription opioids and heroin, has increased 4-fold since 1999, and every day, 91 Americans die from an opioid overdose. … Read the newsletter.

OSHA Update
To give employers more time to learn a new report­ing sys­tem launched on Aug 1, 2017, OSHA has extended the date by which employers must electronically report injury and illness data via the Injury Tracking App­lica­tion to Dec 15, 2017. Read more.

“PHARM NOTES” on All About Diabetes, courtesy of Neil Medical Group
Neil Medical Group logoDiabetes is a progressive disorder in which the body does not properly process food, or glucose, for use as energy. In recent years, diabetes has been on the rise in the United States. This increase is due to a western-style diet, where there is high consumption of saturated fat, red meat, and refined grains and starches, which has led to increased rates of obesity. … Read the newsletter.

Attention All Personal Care Services Providers
Section 5.5 Retroactive Prior Approval for PCS:
Retroactive prior approval applies to initial requests for services. The retroactive effective date for authorization is the request date on the Request for Independent Assessment for Personal Care Services Attestation for Medical Need form submitted to the IAE, providing the date is not more than 30 calendar days from the date the IAE received the request form. If the Request for Independent Assessment for Personal Care Services Attestation for Medical Need form is received by IAE more than 30 calendar days from the request date on the form, the authorization is effective the date the IAE received the form.
 
Retroactive prior approval does not apply, if a beneficiary requesting admission to an Adult Care Home, licensed under G.S. 131D-2.4, has not received a screening through the Preadmission Screening and Resident Review (PASRR) PCS authorization may not precede the effective date of the beneficiary’s PASRR.
 
If the effective PASRR date is not within 30 calendar days of the submission of the Physician Referral, the Referral is invalid and a new Referral is required.

“PHARM NOTES” on UTI’s in Long-term Care, courtesy of Neil Medical Group
Neil Medical Group logoA urinary tract infection (UTI) is the most common indication for the prescribing of antibiotics in long-term care (LTC) settings, and it is the condition most commonly associated with inappropriate antibiotic use … Read the newsletter.

“Shorts” On Long Term Care, courtesy of Poyner Spruill
Poyner Spruill logoRead the March 2017 edition of Poyner Spruill LLP’s international award-winning newsletter for the North Carolina LTC community. Read the newsletter …

OSHA Regulatory Changes—Update Your Policies & Procedures
Starting January 1, 2017, OSHA will require business establishments in industries with high injury and illness rates, including senior living communities, to electronically report their work-related injury and illness information directly to OSHA.
 
This creates several challenges for senior living operators related to the impact that these new rules will have and how their communities will comply with the requirements. Based on a recent court decision, senior living operators will need to update their policies and procedures and educate community management staff to ensure compliance with the provisions of this new OSHA standard.
 
Read more here, including links to webinars in January that explain this in more detail.

Change to HCPR Listing Verification Process
Please review the attached memo from the Health Care Personnel Education and Credentialing Section regarding changes to the process for checking listings on the Health Care Personnel Registry.

Adult Care Hearing Request and Adult Care Notice of Transfer and Discharge Forms Have Been Updated
You can find the updated forms here:
Adult Care Home Hearing Request Form:
http://info.dhhs.state.nc.us/olm/forms/dma/dma-9053-ia.pdf
 
Adult Care Home Notice of Transfer/Discharge Form:
http://info.dhhs.state.nc.us/olm/forms/dma/dma-9052-ia.pdf

Submission of Adult Care Cost Report Mandated
Senate Bill 744, section 12H.11, passed earlier this month by the General Assembly and signed by the Governor, has mandated the submission of the Adult Care Cost Report under General Statute 131D-4.2. The cost reports are due to the DHHS Office of the Controller on December 31, 2014.

The cost report program is in the process of being updated. Please check the DHHS Office of the Controller’s Web page for updates. As information becomes available, it will be posted to that Web page as quickly as possible. See the associated memo.

Toolkit for Person-Centeredness in Assisted Living Now Available
The Toolkit for Person-Centeredness in Assisted Living was developed through a close partnership between the University of North Carolina at Chapel Hill and the national Center for Excellence in Assisted Living (CEAL), along with assisted living providers, residents, family members, and organizational representatives. Available for free download, the Toolkit includes questionnaires to be completed by assisted living residents and staff, and simple, easy-to-follow instructions for scoring and interpreting the results. For more information, see the full press release or contact Lauren Cohen, Associate Director, Collaborative Studies of Long-term Care, at 919-843-8874 or Lauren_Cohen@unc.edu.

Pre-Admission Screening and Resident Review (PASRR) Program Update
Beginning September 1, 2018, adult care home and nursing home Pre-Admission Screening and Resident Review (PASRR) submissions through Provider Link will no longer be accepted. PASRR submissions will only be accepted via NC Medicaid Uniform Screening Tool (NC MUST). Identify members of your staff who will be submitting PASRR information to the NC MUST application and arrange for them to acquire a North Carolina Identity Management Service NCID.
 
Once NCIDs are in place, contact DXC Technology at (855) 883-8018 to secure access to the NC MUST application.
 
Visit the NC Department of Information Technology NICD Frequently Asked Questions (FAQ) Web page for more information about NCID.
 
Visit the NC Must Web site for more information about NC Must.
 
Those with questions regarding the PASRR program may contact the DMA Clinical Policy Long Term Services and Supports Section at (919) 855-4364.

DHHS Releases Operational Guide for a Coordinated Response to the Sudden Closure of an Adult Residential Care Facility
Read the letter from DHHS Secretary Aldona Wos to Frances Messer.
 
Download the Operational Guide for a Coordinated Response to the Sudden Closure of an Adult Residential Care Facility.