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 […]
Making Your Adult Foster Care Program Attractive to Community Mental Health Agencies: Strategies for Success…

For Adult Foster Care (AFC) providers, standing out in the crowded field of residential care is essential to building strong relationships with community mental health agencies (CMHAs). These agencies often seek programs that not only meet regulatory standards but exceed them by delivering high-quality, person-centered care. Here’s how you can make your AFC program more […]
Note Priorities You Must Use When Filing a Formal Complaint Against a Nurse Who Advocates for Substandard Care and What Penalties They Might Face From a Board of Nursing…

Introduction: A nurse should never allow themselves to be manipulated by a care reimbursing agency into advocating for substandard care. However, it can and does happen. When it does and the nurse does not seek to reverse this tragedy, an ethics complaint to the State Board of Nursing may be warranted. How should you proceed? […]
The Value of Sheltered Workshop Activities for Traumatic Brain Injury Behavioral Management…

Traumatic Brain Injury (TBI) can lead to a range of cognitive, emotional, and behavioral challenges that significantly impact an individual’s daily life. One of the most effective tools for managing these challenges is the structured environment provided by sheltered workshops. These programs offer a unique blend of therapeutic activity, social interaction, and skill development, making […]
The Role of Technical Writers in Medical and Rehabilitative Settings: Ethical, Common, and Essential…

In medical and rehabilitative environments, precise documentation is critical. It not only helps with patient care but also ensures compliance with legal, insurance, and professional standards. One often-overlooked but essential part of this process is the role of the technical writer. While some may question the ethics of involving non-clinical professionals in the documentation of […]
Proactive Clinical Justification for Personal Injury Protection (PIP) Benefits in Michigan: An Article for Providers

In Michigan, providers of care who rely on Personal Injury Protection (PIP) benefits for reimbursement must understand the critical importance of proactively justifying their services. This necessity extends to various care services, including cognitive rehabilitation, vocational programs, and attendant care within licensed adult foster care settings. The process of documentation and clinical justification is not […]