Recap of presentation day!
Successful program MUST HAVE
1. Services that are consistent with the needs of the participants and community
- Socialization – ACTIVITIES!!
- Personal care
- Nutrition
- Transportation
- Optional services: enhancement of daily living skills, use of supplies, family involvement etc.
2. Administration Standards
- Policies and Procedures
- Qualified Personnel Program Director Service staff – Ratio staff to client (1:6) Volunteers
- Program Director
- Service staff – Ratio staff to client (1:6)
- Volunteers
3. Active Membership with NYSADSA
- Physicians, Social workers, nurses, therapists, religious groups, other aging disease organizations, etc.
MLTC Contracting
- Select & Contact as many MLTC listed in your County
- Prepare letter of intent with supporting documents
- Be ready for site visit – Get the facility ready
- Establish good relationship with provider representatives
- Complete application and Contract
- Be on top for follow ups and keep ongoing log of all calls
- Keep in mind all time frames
- No set regulations for operating centers Define your target population Demonstrate Demand for Services Hours and Days of Operation Customer Satisfaction
- No set regulations for operating centers
- Define your target population
- Demonstrate Demand for Services
- Hours and Days of Operation
- Customer Satisfaction
- 6-8 Months before you can start billing
- Effects new providers & established providers planning expansion
- Reporting false claims!!!! Overbilling visits Billing wrong location Billing for services not rendered Billing for services for another adult day care center
- Overbilling visits
- Billing wrong location
- Billing for services not rendered
- Billing for services for another adult day care center
- Illegally soliciting patients
- Paying for patients referrals
- Paying bribes to get into MLTC panels