Kloe Korby’s Post

The Health Resources and Services Administration (HRSA) has ended a COVID-19-era flexibility that allowed unregistered child sites to realize 340B Program benefits. The Notice introduced new transition periods, allowing covered entities a longer time to comply while minimizing operational impacts. Covered entities should analyze the Notice's requirements and consider aligning their policies with HRSA's new guidance to comply with the transition period criteria. Authored by Richard Davis, Michael French, Madison Hartman and Brenda Maloney Shafer. #hrsa #340b #healthlaw #coveredentities #COVID19 https://lnkd.in/gvRyqMBa

AHPA recently responded to a Consultation Paper from the NDIS Review, on the role of pricing and payment approaches in improving participant outcomes and NDIS sustainability. Our members agree that NDIS pricing arrangements need improvement, but we disagree with some of the Consultation Paper’s proposed changes and accompanying rationale. AHPA has been saying for some time that it is inappropriate to produce ‘solutions’ that rely on a pure market model to address the imperfect market that is the NDIS. We also see the role of allied health in providing therapy supports and other services under the NDIS as carrying its own specific challenges that need to be considered – one size does not fit all. Read our submission and full commentary over on our website: #NDIS #NDISpricing #alliedhealth

Inside the proposed registration overhaul (teamdsc.com.au) What’s the solution? There is no doubt that this is a complex issue that impacts many people in different ways. The NDIS Review has proposed several solutions to the problems they have identified, but these are only recommendations at this stage. We are still waiting on the government’s formal response. Here is what is proposed: A risk-proportionate and graduated approach to regulation If accepted, this would be a game changer and require all providers delivering NDIS and foundational support to either be registered or enrolled to deliver disability support. There are four broad categories proposed: Advanced registration for all high-risk support, such as behavioural support and daily-living support in formal closed settings. General registration for all medium-risk support, such as high-intensity support that may require additional skills and training, for example, complex bowel care. Basic registration for all low-risk support, such as support with limited 1:1 contact, for example, specialist transport. Enrolment of all providers of the lowest-risk support, such support covered under general consumer law protections, for example, equipment and technology. You can refer to the NDIS Review table for more detail below.

The NDIS’s approach to assessing and addressing client needs requires urgent attention. The current practices in reviewing clients' NDIS plans often place both clients and service providers at risk. Providers frequently find themselves with barely enough funding to support clients and pay their staff, leading to an unsustainable situation.   Consider this: if a provider, constrained by inadequate funding, must terminate services and move a client to a hospital setting, this action could be considered abuse and neglect, punishable by the NDIS Quality and Safeguards team. This dilemma places providers in an impossible position—financially strained while trying to meet client needs, and yet facing severe consequences if they cannot sustain services. Furthermore, any disruption in a client's accommodation can derail their clinical progress, and financial constraints prevent providers from upskilling staff to enhance clients' quality of life.   As an NDIS provider, no conversation is more difficult than informing a family that services may be suspended due to the complexities of the NDIS Plan Review process. Providers should not be financially penalised for fulfilling their roles, nor should clients be left without necessary support because of systemic inefficiencies.   Is it the NDIS’s intention to reduce the number of SIL providers in an effort to cut costs? If so, what will happen to those who depend on these vital services? It is crucial for the NDIS to prioritise ethical practices and fair funding to ensure clients receive the support they need without jeopardising the sustainability of their providers.   Let’s unite our efforts to advocate for a system that truly supports both clients and providers.   #NDIS #DisabilitySupport #EthicalPractices #FairFunding #ClientNeeds #Healthcare #SILProviders

5 Tips to improve the recommendations section of NDIS Reports (Based off of advice from NDIS website for allied health professionals) 1 - Link Supports to Outcomes and Goals Align your recommended supports directly with the participant’s therapy outcomes and NDIS goals. 2 - Evidence-Based Back up your recommendations with clear, evidence-based reasoning. 3 - Value for Money Explore comparable low-cost alternatives that achieve similar outcomes, emphasise the long-term benefits to the participant, and indicate if they're likely to reduce overall future funding needs. 4 - Ensure Cohesiveness with Participant's Life Supports provided should enhance and coordinate well within the participant’s life and environment. 5 - Address Risk of No Support Clearly state the potential risks or drawbacks if the recommended supports are not provided. Everbility supports OTs to write reports more efficiently with less headaches getting started! Try it today www.everbility.com #OccupationalTherapy #Everbility #OT #AIinAlliedHealth #OTreports #OTdocumentation #NDIS #NDISOT #AIforOTs #OTaustralia

As I mentioned yesterday, Medicaid often only gives applicant's 10 days to submit document's once the Medicaid office reviews the application. Working with such a tight time frame can feel unrealistic especially if one is waiting on documents from a third party. What we have found to help our clients process the applications smoothly is to obtain all anticipated documents up front. Prior to applying for a client, we ensure that we learn what documents the county and the state requires with each application submission. In some states, three months of financial records are needed. In other states, two years of records are needed. In other states it may be five years. It can also fluctuate per county. We then review all of the documents and from experience, we can determine what other documents we anticipate Medicaid requesting. We will then work on getting those documents. Being proactive has helped us obtain quick approvals, and assisted our clients to ensure that what can be considered a Medicaid nightmare, is not. If you have any questions about what your state requirements have been for documentation submission, feel free to reach out! #medicaid #medicaidplanning #seniors #assistedliving #nursinghome #dementia #alzheimers

What is “Caregiver Support”? “Respite care provided through a personal care attendant or the provision of short-term institutional based care, as appropriate…Respite care should be for short periods of time (e.g., a few hours each week, a two-week period, a four-week period) and may include services such as counseling and training courses for caregivers of enrollees” How many plans are offering Caregiver Support in PY 2024? 530 Plans Offering Caregiver Support in PY 20242 (5% decrease) 350 Plans through EPHRB Authority (19% increase) 183 Plans through SSBCI Authority (30% decrease) #medicareadvantage #ssbci #vbid #caregiversupport #EPHRB #medicare #managedcare #benefitsadministration #socialsupport

Earlier this month, AHPA and our members were pleased to meet with the NDIS Provider and Worker Registration Taskforce. AHPA’s written submission addresses concerns that despite allied health providers presenting a low risk to quality standards and participant safety, and already being subject to comprehensive regulatory processes outside the NDIS, our professionals are currently over-regulated via existing NDIS registration requirements. The NDIS Review recommended that all workers and providers be registered according to a risk-proportionate approach. AHPA proposes that formal NDIS registration for allied health professionals should be at a low-level, analogous to Medicare registration for health professionals. Taking this sensible, efficient approach incorporating recognition of other regulatory systems is increasingly important as Australia seeks to harmonise the care and support economy. #alliedhealth #NDIS

In March this year, NHS England released its 2024/2025 Operational Planning Guidance and Priorities, outlining key focus areas for improvement. The guidance highlights the urgent need for recovering core services, improving productivity, and supporting the workforce. Some details on the guidance can be found in the slides below. For more in-depth information, read our latest blog post. Link in comments. ⬇ #NHSEngland #NHS #guidance #patientsafety

An article form McKnight's Senior Living states a proposed federal bill would send more funds to states to stabilize HSBC. "Funds could be used to increase direct care worker pay and provide benefits, including paid family or sick leave and transportation expenses. Additional funds could be used to support family #caregivers, pay for recruiting and training additional #directcareworkers, and pay for technology to facilitate services." #directcareworkforce #recruting #directcaretraining #caregivertraining #CinematicHealth #readycna #readyhha #mcknights