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Home   Employment Opportunities at the Mississippi Division of Medicaid     DOM Employees Mailbox
 
Bureau of Long Term Care
Ann Ricks, RN, MSN
Bureau Director
 
Main Phone Number: 601-359-6141
Location: 550 High Street, Walter Sillers Bldg.
4th Floor

e-mail: Ann.Ricks.@medicaid.ms.gov
 EXECUTIVE SUMMARY - Comprehensive Review of Long Term Care Services


The Bureau of Long Term Care provides services for Medicaid beneficiaries through its Home and Community Based Services (HCBS) waiver programs and the Hospice program; and in the institutional setting for nursing homes, intermediate care facilities, and those in the institutional setting that elect Hospice services. It is the mission of the Division of Medicaid to provide the most appropriate services to its beneficiaries as funding allows.

The Divisions in the Bureau of Long Term Care are:
Elderly and Disabled (E & D) Waiver ProgramSandra Bracey-Mack, Bureau Director, Deputy601-359-9549e-mail: Sandra.Bracey-Mack@medicaid.ms.gov
Independent Living (IL), Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Paulette Johnson, Nurse Administrator601-359-5514e-mail: Paulette.Johnson@medicaid.ms.gov
Case Mix/Institutional Long Term CarePatricia Holton, Nurse Administrator601-359-5191e-mail: Patricia.Holton@medicaid.ms.gov
Assisted Living (A/L) Waiver, Hospice James Horton, Division I Director601-359-9544e-mail: James.Horton@medicaid.ms.gov
 
Click here to download LTC Staff Responsibilities



Civil Money Penalty (CMP) Grant Awards Program
The goal of the Mississippi Division of Medicaid Civil Money Penalty Grant program is to facilitate the use of Federally Imposed Civil Money Penalty Funds to support activities that support, protect and benefit residents living in nursing facilities. Only CMP fund applications that meet the statutory intent of the regulations, Federal law and policy will be considered. The CMP Grant program will accept applications from certified nursing facilities, academic or research institutions, state, local or tribal agencies, profit or not-for-profit, or other types of organizations that are interested in promoting quality of care and/or quality of life for residents of nursing facilities which have been certified as meeting the requirements of participation for Medicaid and Medicare by the Mississippi Department of Health, Bureau of Health Facilities Licensure and Certification. Nursing home providers and stakeholders are encouraged to submit CMP grant applications for the development and implementation of quality improvement initiatives that directly or indirectly benefit nursing facility residents. Enhancement or educational grants should demonstrate current and sound evidence-based practices that promote quality of care and quality of life for nursing facility residents.  
 
CMP Grant Invitation

CMP Grant Proposal Requirements

CMP Grant Application

For more information: Phone 601-359-5191 or e-mail  CMPGrants@medicaid.ms.gov



Division of Medicaid Long Term Care Transition to Community Referral (TCR)
As the Local Contact Agency (LCA) DOM has the responsibility of ensuring that individuals in nursing facilities who express a desire to talk with someone about the possibility of returning to the community are provided timely information about available options and supports for community living and to support individual choice.  Click on the "TCR Form" link below to access and submit a referral.  Instructions for completing the TCR Form, information regarding the TCR Referral Process and Resource Information can also be accessed below.
 
 TCR Form

 TCR Form Instructions

 TCR Referral Process

 TCR Flow Chart

 TCR Resource Information

 TCR FAQ's


For more information: Phone 601-359-6141 or e-mail  TCR@medicaid.ms.gov

Division of Medicaid Long Term Care Pre-Admission Screening
To enter a Long Term Care program (except Hospice and ICF/MR), an eligible Beneficiary must have a Pre-Admission Screening Application completed by a health care professional and certified by a physician. A score of 50 or above is required threshold to be considered for entry into the Long Term Care programs of Nursing Homes; Elderly and Disabled, IL and TBI/SCI; and Assisted Living Waiver program. Any exceptions are noted in the Administrative Code Title 23 Medicaid, Part 207 Chapter 1.

 Pre-Admission Screening Long Term Care Application

 Pre-Admission Screening Instruction Manual 

 https://msmedicaid.acs-inc.com/msenvision (Electronic Submission)

 Pre-Admission Screening Scoring Algorithm

 Informed Choice Form

For more information contact:  601-359-6141

Nursing Homes and Case Mix
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
The Case Mix/Institutional Long Term Care Division is responsible for monitoring the Licensure and Certification Branch of the State Department of Health. Licensure and Certification (L&C) surveys nursing facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). DOM imposes recommendations from L&C on nursing facilities and ICFs/IID that are out of compliance with the federal regulations. The agency Division has the discretion of imposing civil and monetary penalties and other remedies when recommended.

The Institutional Long Term Care Division is responsible for the development, monitoring and enforcement of policy for nursing facilities and intermediate care facilities for the mentally retarded approved by Medicaid and federal certification requirements established by the Centers for Medicare and Medicaid.

Staff are also responsible for the Case Mix program which ensures accuracy of nursing facility resident assessment data used to establish resident classification and subsequent reimbursement payment rates for nursing facilities.

For Minimum Data Set (MDS) questions only, call the case mix help line at 601-359-5191 or 601-359-5251.
For Nursing Facility or ICF/MR questions, call 601-359-5191.

Please refer to the Administrative Code Title 23 Medicaid, Part 207 Chapter 2 Nursing Facility , and Part 207 Chapter 3 Intermediate Care Facility for Individuals with Intellectual Disabilities for additional information.

Hospice
Hospice Benefit is a State Plan service for terminally ill individuals at the end of their life cycle and having certification from a physician with a life expectancy of six (6) months or less. Hospice provides palliative treatment such as nursing care, medical social services, physician services, counseling short term patient care, medical appliances and supplies, drugs related to terminal condition, home health aide or homemaker, or non-restorative therapies.

For Mississippi Medicaid purposes, palliative is defined as the relief of severe pain or other physical symptoms and supportive care to meet the special needs arising from physical, psychological, spiritual social and economic stress which are experienced during the final stages of illness and during dying and bereavement. Through this emphasis on palliative rather than curative services, individuals have a choice whenever conventional approaches for medical treatment may no longer be appropriate.

For more information call (601) 359-6141.

Bureau of Long Term Care HCBS Waiver Programs
Elderly and Disabled Waiver

Independent Living Waiver

Assisted Living Waiver

Traumatic Brain Injury/Spinal Cord Injury

Assisted Living Waiver
The Assisted Living Waiver is a home and community-based waiver that provides services to beneficiaries who, but for the provision of such services would require the level of care provided in a nursing facility. This statewide waiver is administered by the Division of Medicaid. Qualified beneficiaries are allowed to reside in a Personal Care Home-Assisted Living (PCH-AL) facility that is licensed as a PCH-AL Facility by the Mississippi State Department of Health and is approved as a Medicaid provider for Assisted Living services. Medicaid reimburses for the services received in the facility.

Eligibility for the Assisted Living is limited to individuals twenty-one (21) years of age and up and who meet clinical eligibility requirements determined through screening the following areas: activities of daily living, instrumental activities of daily living, sensory deficits, cognitive deficits, client behaviors, medical conditions, and medical services. Beneficiaries of this waiver must be Medicaid eligible either as SSI recipient or meet the income level up to 300% of the SSI Federal benefit rate.

Services provided under the Assisted Living Waiver are case management, personal care, homemaker services, attendant care, medication oversight, medication administration, therapeutic social recreational programming, intermittent skilled nursing services, transportation and attendant call system. 

This waiver sets aside five (5) waiver slots for participants with acquired traumatic brain injuries who are in a family/participant crisis or have behavioral issues that require twenty-four (24) hour supervision and assistance to successfully thrive in a community or residential setting. If not for services provided in this waiver, these individuals would require institutionalization. The object for offering this service is to strengthen and support informal and formal services to meet the unique needs, cognitively and behaviorally, for these waiver participants in a specialized residential setting. Traumatic brain injury is defined as a traumatically acquired non-degenerative structural brain damage. This term does not apply to brain injuries that are congenital or due to injuries induced by birth trauma. There are specific training requirements for this service provider.

Please refer to the HCBS Assisted Living Waiver for additional information.

Assisted Living Waiver

Click here to download an Assisted Living Waiver Program Informational Pamphlet

Elderly and Disabled Waiver
The Elderly and Disabled Waiver program provides home and community-based services to individuals 21 and over who, but for the provision of such services, would require the level of care provided in a nursing facility. Beneficiaries of this waiver must qualify for Medicaid as Supplemental Security Income (SSI) beneficiaries or meet the income and resource eligibility requirements for income level up to 300% of the SSI Federal Benefit Rate and meet medical criteria of the program.

The Elderly and Disabled Waiver program is administered directly by the Home and Community Based Services Division (HCBS). Case Management services are provided by the Planning and Development Districts. The case management team is composed of a registered nurse and a licensed social worker who are responsible for identifying, screening and completing an assessment on individuals in need of at-home services. Upon approval of the HCBS, the case managers can refer qualified individuals to the following services: adult day health care, home-delivered meals, personal care services, institutional respite services, in-home respite, and expanded home health visits.

Please refer to the Home and Community-Based Services located on this Web site.

Elderly and Disabled Waiver

Click here to download an Elderly and Disabled Waiver Program
Informational Pamphlet


Independent Living Waiver
Independent Living Waiver The Independent Living Waiver is a home and community-based waiver that provides services to beneficiaries who, but for the provision of such services would require the level of care found in a nursing facility. This statewide waiver is administered jointly by the Division of Medicaid and the Department of Rehabilitation Services.

Eligibility for the Independent Living Wavier is limited to individuals age sixteen (16) or older who have severe orthopedic and/or neurological impairments.  Individuals must also be medically stable and be able to express ideas and wants either verbally or nonverbally with caregivers, personal care attendants, case managers, or others involved in their care.  Beneficiaries of this waiver must be Medicaid eligible in one of the following Categories of Eligibility: SSI, Low Income Families and Children Program, Disabled Child Living at Home, Working Disabled, Children Under Age 19 Under 100% of Poverty, Disabled Adult Child, Protected Foster Care Adolescents, CWS Foster Children and Adoption Assistance Children, IV-E Foster Children and Adoption Assistance Children, or income level up to 300% of the SSI Federal Benefit Rate. Services provided under the IL waiver are case management, personal care attendant, environmental accessibility adaptations, specialized medical equipment and supplies, financial management services and transition assistance.

Services provided under the Independent Living Waiver are case management, personal care attendant, specialized medical equipment and supplies, transition assistance, and environmental accessibility adaptations and financial management services.

Please refer to the Home and Community-Based Services located on this web site.

Independent Living Waiver

Click here to download an Independent LIving Waiver Program Informational Pamphlet

Traumatic Brain Injury/Spinal Cord Injury Waiver (TBI/SCI)
The TBI/SCI Waiver is a home and community-based waiver that provides services to beneficiaries who, but for the provision of such services would require the level of care found in a nursing facility. This statewide waiver is administered jointly by the Division of Medicaid and the Department of Rehabilitation Services.

Eligibility for the TBI/SCI Waiver is limited to individuals who have a traumatic brain injury or a spinal cord injury and are medically stable. The extent of the injury must be certified by the individual's physician. Brain or spinal cord injury that is due to a degenerative condition, congenital condition, or that resulted from medical intervention is excluded. Beneficiaries of this waiver must be Medicaid eligible in one of the following Categories of Eligibility: SSI, Low Income Families and Children Program, Disabled Child Living at Home, Working Disabled, Children Under Age 19 Under 100% of Poverty, Disabled Adult Child, Protected Foster Care Adolescents, CWS Foster Children and Adoption Assistance Children, IV-E Foster Children and Adoption Assistance Children, or income level up to 300% of the SSI Federal Benefit Rate.

Services provided under the TBI/SCI Waiver are case management, attendant care, respite, environmental accessibility adaptations, specialized medical equipment and supplies, and transition assistance.

Please refer to the HCBS Traumatic Brain Injury/Spinal Cord Injury for additional information.

Traumatic Brain Injury/Spinal Cord Injury Waiver

Click here to download a TBI/SCI Waiver Program Informational Pamphlet

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Sillers Building, 550 High Street Suite 1000, Jackson, MS 39201-1399
telephone:  601-359-6050 or toll free: 1-800-421-2408