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Invasive Ventilator Program Provides Additional Reimbursement

The Department of Social Services, MO HealthNet Division, in collaboration with the Department of Health and Senior Services, has implemented the Invasive Ventilator Program. This program will provide additional reimbursement to nursing homes in the State of Missouri for care of ventilator dependent participants. Please view the bulletin here: Invasive Ventilator Program MHD Provider Bulletin 36-17 or visit MO HealthNet at

LTCEA Meeting: PseudoBulbar Affect (PBA)

April 11, 2014:  Location:  Barathaven Alzheimer’s Special Care Center, 1030 Barathaven Blvd., Dardenne Prairie, Mo.  For more information, please visit the Long Term Care Educators Association (LTCEA) at

QAPI Super Users Groups – April 2014

Discussion groups for nursing home professionals interested in Quality Assurance and Performance Improvement (QAPI).

  • April 10, 2014:  Hannibal, Mo.
  • April 16, 2014:  Harrisonville, Mo.
  • April 17, 2014:  St. Joseph, Mo.
  • April 24, 2014:  Chillicothe, Mo.

View all upcoming events on Primaris’ website at

2014 Alzheimer’s Disease Facts and Figures

2014 Alzheimer’s Disease Facts and Figures

The new report is available for download by visiting the Alzheimer’s Association® at

Missouri Association of Nursing Home Administrators Annual Convention

June 1 – 4, 2014:  Navigating the Sea of Change – Be a Shark – Swim with MANHA


Utilizing Process Improvement to Avoid a Top Ten Deficiency

  • April 17, 2014:  St. Louis, Mo.
  • April 21, 2014:  Springfield, Mo.
  • April 22, 2014:  North Kansas City, Mo.
  • April 23, 2014:  Macon, Mo.

Please view the flyer from the Missouri Association of Nursing Home Administrators (MANHA) here: MANHA Process Improvement April 2014.

MDS Section Q: Reminder for Social Workers and MDS Coordinators

Accurate completion of Section Q of the Minimum Data Set (MDS) is a requirement of the Centers for Medicare and Medicaid Services.  This section is designed to provide residents who do not have current active plans for discharge, with an opportunity to speak with an outside resource (Local Contact Agency or LCA).  The LCAs are contracted by the Division of Senior and Disability Services within the Missouri Department of Health and Senior Services.

Section Q is an interview process for all comprehensive MDS assessments and asks the following question in Q0500 of all residents who do not have current active discharge plans:  “Do you want to talk to someone about the possibility of leaving this facility and returning to live and receive services in the community?”  If the resident wishes to speak to an options counselor about a potential discharge, no matter how feasible the care plan team thinks discharge may or may not be, the facility is expected to make a referral to the LCA, at  (If the resident answers “yes” to Q0500, also indicate “yes” on question Q0600 and make the referral).

Please remember that this is a Resident’s Rights issue and the facility cannot skip asking the question in Q0500 unless there is current active discharge planning already occurring.  The intent of Section Q is not to address residents who are already planning on discharge.  The intent is to capture all of the long-term care residents who do not have active discharge plans.  These are the residents who would be referred and benefit from speaking with an options counselor from the LCA.  The only time Q0500 would not be asked of the resident is if they have a guardian or invoked durable power of attorney.  In these cases, question Q0500 would be asked of the guardian/invoked durable power of attorney, rather than the resident.

For questions about Section Q of the MDS, please contact Joan Brundick, State RAI Coordinator at 573-751-6308 or

LPN License Renewal

Missouri LPN licenses expire May 31, 2014.  For more information, please visit the Missouri Division of Professional Registration at