HCIN.SecureStreamingStore.com My Account  Cart Contents  Checkout  
  Home » Catalog » TX HCSSA ADMIN CE » HCSSA ADMIN CE » 2605 My Account  |  Cart Contents  |  Checkout   
Categories
  HCSSA ADMIN CE-> (725)
    ALL - 2015 (19)
    ALL - 2016 (17)
    ALL - 2017 (22)
    ALL - 2018-> (66)
    Clinical (10)
    Coding (2)
    Financial (23)
    HIPAA (7)
    Home Care Business (40)
    Hospice (34)
    Human Resource (31)
    OASIS (4)
    Orientation (7)
    Pediatrics (12)
    Regulatory - Medicare (39)
    Regulatory - Texas (37)
    Risk Management (9)
    Sales & Marketing (13)
OASIS (2)
Speakers
What's New? more
OASIS-D: What's New? [4HR]
OASIS-D: What's New? [4HR]
$120.00
Quick Find
 
Enter program number, topic or keywords to find the program you are looking for.
Advanced Search
Information
Privacy Notice
Conditions of Use
Contact Us
What People Are Saying
Customer Reviews verified by SoTellUs
Solution Graphics
What You Need to Know: Alberto N, Fair Hearings, Continued Services
[2605]
$45.00


[2605] Medicaid Beneficiaries Under the Age of 21 in Managed Care: What you need to know about Alberto N., Fair Hearings, and Continued Services

Education-Training Credits:

  • 1.50 Hr(s) HCSSA Administrator/Alternate

Summary: Texas Medicaid lawsuit regarding Albert N.

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities
  • §97.260[a][3]basic principles of management in a licensed health-related setting
  • §97.260[a][8]skills for working with clients, families, and other professional service providers

Faculty: Hofer, Peter & Anstee, Terry

Program Description: To best serve your pediatric clients in Medicaid Managed Care, it is important to understand the requirements of the Court orders in Alberto N., a Texas Medicaid lawsuit, as well as the Fair Hearing and Administrative Review process and timelines, and your clients’ rights to continued services. This program will explain the Alberto N. lawsuit and the Court Orders governing Texas Medicaid’s prior authorization process as it relates to requests for nursing services, and will also demystify the fair-hearing and administrative review process. The presenters also discuss the process for requesting and receiving nursing services, pending appeal. Presentation Date: 8.21.2014

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss the claims of the Alberto N. lawsuit.
  • Describe the impact of the Alberto N. settlement on therapies.
  • Discuss the impact of the Alberto N. settlement on nursing.
  • Describe the impact of the Alberto N. settlement on personal care services.
  • Evaluate current issues as it relates to the Alberto N. settlement.

About the Presenters:
Peter Hofer, JD
is a senior litigation attorney with Disability Rights Texas, the federally-funded protection and advocacy organization charged with protecting the rights of persons with disabilities in Texas. Peter was one of the plaintiffs’ attorneys who litigated the Alberto N. lawsuit concerning children’s Medicaid services in Texas. Peter also litigated the Jonathan C. case, after which Texas Medicaid was required to provide continued services to beneficiaries pending Medicaid fair hearings. Peter has also handled more than 175 individual appeals on behalf of children challenging denials of Medicaid-funded services.

About the Presenters:
Terry Anstee, RN, JD
is a staff attorney at Disability Rights Texas, the federally-funded protection and advocacy organization charged with protecting the rights of persons with disabilities in Texas. In this role, Terry has represented many children in fair hearings on a variety of Medicaid issues, including Comprehensive Care Program services and Medically Dependent Children Program services. His nursing experience helps him to understand client’s medical issues and clinical records. He has dealt with Health and Human Services, Texas Medicaid and Health Partnership, and Medicaid Managed Care organizations on the issue of continued services and their obligations under the law.

[2605] Medicaid Beneficiaries Under the Age of 21 in Managed Care: What you need to know about Alberto N., Fair Hearings, and Continued Services

Available Options:
Subscription Type & Duration:
This product was added to our catalog on Tuesday 26 August, 2014.
Reviews
Customers who bought this product also purchased
QAPI Performance Improvement Project – Are You in the Driver’s Seat? [1.5HR]
QAPI Performance Improvement Project – Are You in the Driver’s Seat? [1.5HR]
Abuse, Neglect & Exploitation: Common Misunderstandings [1HR]
Abuse, Neglect & Exploitation: Common Misunderstandings [1HR]
HCSSA Regulatory Compliance for Administrators [11/2017][3.5HR]
HCSSA Regulatory Compliance for Administrators [11/2017][3.5HR]
Dept of Labor Initiatives & Employment Law: What Employers Need to Know in 2018 [1.5HR]
Dept of Labor Initiatives & Employment Law: What Employers Need to Know in 2018 [1.5HR]
Bonafide Ways to Improve Cash Flow & Cash Maintenance
Bonafide Ways to Improve Cash Flow & Cash Maintenance
Fraud, Abuse & Ethics [1HR]
Fraud, Abuse & Ethics [1HR]

Copyright © 2018 HCIN.SecureStreamingStore.com
Powered by osCommerce