Wednesday, July 24, 2024


Up-to-date news for assisted living professionals

Wisconsin Long Term Care Provider Salary Survey

We are excited to announce that Wisconsin’s Long Term Care Provider Associations will conduct a comprehensive wage and benefits survey in the coming weeks. This survey is a critical tool for organizations to ensure that your compensation and benefits packages remain competitive and aligned with industry standards.


We have contracted with MRA, the Management Association, a third-party not-for-profit employer association, to conduct this custom compensation and benefits survey. All individual organization information provided will remain strictly confidential. MRA adheres to strict standards to preserve the confidentiality of your data and follows anti-trust Safe Harbor guidelines.

 

The survey opened on July 1st. You are not obligated to purchase the survey by submitting your data, but you do have to provide data in order to be able to purchase the report. The final report will be free for MRA members or via purchase for $450 per facility (or region).

 

If you are interested in participating in the survey, please contact Mike Kopczynski at mike.kopczynski@mranet.org  

Wisconsin Adult Long-Term Care Waiver Service Provider Enrollment Project

Beginning in September 2024, the Wisconsin Department of Health Services (DHS) will require all adult long-term care waiver service providers to enroll with Wisconsin Medicaid through the ForwardHealth Portal.

 

The new process is for those who provide services listed in the DHS MCO contract or the IRIS Service Definition Manual to adults who are older, have a physical disability, or have an intellectual or developmental disability.

 

DHS is excited to share this video to introduce you to the basics of the project and help you understand how the project will affect providers.

 

Watch the informational video

 

Find out more and access resources, like a questions and answers document, related to this project by visiting the regularly updated information page. Bookmark it for future reference!

 

Subscribe to the Adult Long-term Care Waiver Service Provider email list.

 

This email list will share important information such as:

Training dates and materials for providers

Project milestone updates and townhalls

Published Updates containing essential project information


Adult Long-term Care Updates

Find the complete list of published Updates on the Adult Long-Term Care Updates page of the ForwardHealth Portal. Future Updates will include key topics related to the enrollment process and assist you in preparing to enroll with Medicaid through the Portal.

 

Coming soon: Enrollment information in the ForwardHealth Online Handbook

Information regarding the provider enrollment process will be available in the Family Care, Family Care Partnership, PACE, and IRIS program areas of the ForwardHealth Online Handbook in September 2024.

From M3 Insurance: New Workers' Comp Rates Effective 10/1

Effective October 1, 2024, the Wisconsin Workers Compensation rates will be decreasing again for the 9th consecutive year. While Wisconsin remains a state with the some of the highest medical costs for workers compensation in the nation(1), overall expected losses are down, with a decrease in claim frequency, combined with wage inflation.

 

On average, Wisconsin rates experienced an overall decrease of 10.5%, compared to 8.39% in 2023 and 8.46% in 2017.

 

Long Term Care & Healthcare organizations fared even better, with specific class code rates listed below:

Class Code

Descriptions

Current Rates (2023)

New Rates (2024)

% of Change

8810

Clerical

.17

.16

-5.9%

8824

Assisted Living - Health Care

2.51

2.16

-13.9%

8825

Assisted Living - Food Service

1.97

1.70

-13.7%

8826

Assisted Living - All Other

2.51

2.23

-11.2%

8842

Group Home

2.59

2.13

-17.8%

8835

Home, Public, Traveling Healthcare

1.17

.96

-17.9%

With these significant rate decreases, it’s important to note the potential impact to an organization’s experience modification factor. Individual class code rates are applied to the denominator portion of the experience modification formula and, depending on the size of the organization, as work comp rates decrease, the experience modification factor may subsequently increase. Nevertheless, the impact of the decreased rates generally offset any increase to the experience mod.

 

Moreover, the WCRB recently approved changes to the experience rating modification methodology, decreasing the per claim accident limitation from $268,500 to $160,000. To balance the formula, the primary/excess split point increased from $18,500 to $20,500. Those lost-time claims will be less sensitive to severe, outlier claims, putting more weight on claim frequency.

 

Telehealth continues to be an advantageous approach for employers to give employees proficient treatment. Benefits of telehealth for work related injuries include: reduced interruptions for employee and less time away from work, support for first-aid and immediate treatment and, when necessary, assistance getting employees to the most appropriate medical provider. 

 

With the continued challenges in the labor market (including retention/recruitment and increased competition for skilled labor) coupled with increases in mental health diagnosis, focus on the total well-being of employee remains an important measure. Integrating your workers compensation program with other workplace benefits, such as a robust employer assistance program (EAP) as part of the workers’ comp process, can lead to a better employee experience post-incident/injury. Each organization’s approach may be different, driven by their social determinants of health, which can in-turn strengthen employee satisfaction.

 

If any questions or if you’d like to discuss the impact to your workers’ compensation program and risk management needs further, please contact Sara Kekula at sara.kekula@m3ins.com.

News from Argentum

Veterans Assisted Living Legislation

Argentum joined with a broad coalition of long-term care and Veterans organizations in sending a letter urging Congress to pass H.R. 8371, The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act.


The package includes Argentum-supported legislation to expand access to assisted living for Veterans. That portion of the legislation, under Subtitle B, Section 127, authorizes the Department of Veterans Affairs (VA) to offer assisted living settings for aging and disabled veterans who would otherwise require more expensive nursing home care. We believe it would provide an opportunity to demonstrate the value of assisted living and potential cost savings of as much as $69,101 per assisted living placement per year.


Argentum is urging House leadership to bring the Dole Act up for a vote on the suspension calendar to speed up consideration of the bill ahead of Congress's extended in-district work periods this year.

Labor/HHS Funding Bill

The House Appropriations Committee voted 31-25 last Wednesday to approve the fiscal year (FY) 2025 Labor-HHS-Education spending bill (see summary), authorizing $185.8 billion in discretionary spending for programs under the departments of Labor, Health and Human Services and Education, which represents an 11% cut from FY 2024 spending. The House set a goal earlier this year to pass all FY 2025 appropriations bills on the floor by the start of the August recess, which begins on August 2. The Labor-HHS-Education bill is due to be considered the last week of July.


Argentum has been meeting with Congressional offices to advocate for inclusion of our workforce development priorities, including potential opportunities in the Labor-HHS-Education bill. Last month, we met with key House Appropriations Committee offices on the need to build upon previous efforts to recruit, train, and retain the long-term caregiving workforce. This would build off of the success we achieved in 2022 with report language in the omnibus package to urge the administration "to support the expansion of the workforce to care for a rapidly aging U.S. population and provide home and community-based services to older adults and people with disabilities, including through education and training grant programs, as well as traditional and nontraditional apprenticeship programs."

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