Navigating Regulatory Ambiguity in Residential Care: A Strategic Guide
For adult foster care and other residential care providers, the stakes are high when regulators seek to discipline or threaten operations based on ambiguous rules. One common scenario is the use of vague language, such as prohibitions on “continuous” nursing care without a clear definition of what constitutes “continuous.” Facing such challenges requires a strategic, […]
Adult Family Care Homes Are Community Partners
Adult Family Care Homes (AFCHs) and Adult Foster Care Family Homes (AFCHs) are more than just residential care facilities—they are vital community partners dedicated to providing high-quality, person-centered care for some of the most vulnerable individuals in our society. Operating in every state, these homes play a critical role in ensuring residents receive safe, dignified, […]
Top 5 Success Ingredients for Long-Term Care Providers in Crisis
Top 5 Success Ingredients for Long-Term Care Providers in CrisisBy Bruce W. McCollum, Experienced Strategist in Long-Term CareLong-term care providers often face crises that challenge their operational integrity, care standards, and even their very legitimacy. Whether due to regulatory scrutiny, public perception issues, or internal mismanagement, such crises demand an immediate and strategic response. Based […]
Community-Based Therapy Services for TBI Patients: Essential CPT Codes and Billing Standards
By Bruce W. McCollum, Long-Term Care Project Manager Livonia, MI – In community-based settings, Traumatic Brain Injury (TBI) patients benefit significantly from comprehensive, non-traditional therapies that address physical, mental, and emotional health. Services like recreational therapy, massage therapy, personal training/fitness, and dietician services offer essential support for recovery and quality of life improvements. For these […]
Recreational Therapy Services for TBI Patients: Understanding CPT Code G0176
By Bruce W. McCollum, Long-Term Care Project Manager Recreational therapy plays a crucial role in helping individuals with Traumatic Brain Injury (TBI) and other neurological conditions improve cognitive function, physical mobility, social engagement, and emotional well-being. As a long-term care project manager, I see firsthand the benefits that well-structured recreational activities bring to TBI patients. […]
Selecting the Right CPT Code for Community-Based Recreational Therapy: A Guide for Non-Medicare Providers
Recreational therapy is an essential service for many individuals with disabilities, including those recovering from traumatic brain injuries (TBI), chronic illnesses, or physical and mental health challenges. Community-based providers, often serving patients with Medicaid, private insurance, or self-pay, must choose the correct CPT code to bill for these therapeutic activities. While Medicare providers commonly use […]
Assessing and Assisting Teenagers Who Age Out of Child Foster Care to Adult Foster Care in Michigan
Livonia, MI: Transitioning from child foster care to adult foster care is a critical stage for teenagers who have spent significant parts of their lives within the child welfare system. In Michigan, this transition involves several considerations, including diagnostic requirements and community mental health services. The state’s foster care system aims to provide support that […]
Should Adult Day Care Services Requires Licensure Everywhere?
Direct Care Training & Resource Center, Inc. firmly believes that adult day services should be uniformly licensed by state governments across the United States. This licensing should encompass multiple models, including both social and medical adult day services, to address the diverse needs of participants and ensure consistent standards of care. The rationale behind this […]
Zoning, Licensing, and Maintenance in Michigan’s Adult Foster Care System…
In the Michigan Adult Foster Care (AFC) system, homes typically do not need to be re-zoned unless they plan to serve more than six residents. However, local municipalities may require additional permits, such as a business license or an occupancy permit, to operate legally. The state does not interfere with these local requirements, so it […]
The Necessity of a One-to-One Staffing Ratio with Attendant Care for Highly Vulnerable Foster Care Residents – Michigan Version with a Focus on Auto No-Fault
To accomplish the goal of minimizing staffing, multiple provider agencies have heard from case managers and insurance adjusters who refer to this aspect of State of Michigan Licensing Rules: R 400.14206 Staffing requirements. Rule 206. (1) The ratio of direct care staff to residents shall be adequate as determined by the department, to carry out […]
