In March of 2018, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule for the next stage of the Quality Payment Program (QPP), which is scheduled to go into effect on January 1, 2020. The proposed rule contains a number of changes that will impact eligible clinicians participating in the QPP, including those in Advanced Alternative Payment Models (APMs). In this blog post, we will discuss some of the key changes affecting APM participants. In particular, we will focus on two proposed changes that are likely to have a significant impact on clinicians: 1) The expansion of Advanced APMs to include episodes-of-care models; and 2) The introduction of a new bonus payment for participation in advanced APMs. We will also provide an overview of how these changes may impact clinician participation in advanced APMs going forward.
| Question | Answer |
|---|---|
| Form Name | Form Bhcs Ltc 110 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 1978, Saginaw, BHS, bhcs ltc 110 |
Michigan Department of Licensing & Regulatory Affairs
Bureau of Health Care Services
Long Term Care Division
AMENDMENT TO APPLICATION FOR A NURSING HOME
CHANGE OF ADMINISTRATOR OR DIRECTOR OF NURSING
Please fax the completed form to the appropriate office. The fax numbers are:
LANSING OFFICE |
DETROIT OFFICE |
GAYLORD OFFICE |
Fax #: (517) |
Fax #: (313) |
Fax #: (989) |
Reminder: the LTCPP will be updated to show that the old Administrator and Don will no longer have access to the old facility. In order to be provided access to the new facility they will need to submit another request to subscribe to the LTCPP for the new facility. We will also need the Administrator from the new facility to submit an authorization form for the Don to have access.
Facility Information
Facility Name:
Address:
Facility Number:
Facility Telephone Number:
City & Zip Code:
CMS CCN:
23-
Emergency Contact Person:
Phone Number:
In compliance with Public Act 368 of 1978 and rules governing the administration of Nursing Homes, I hereby notify you of the following amendment(s) of information on file with the Department;
Administrator Information
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Ending Date: |
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New Administrator: |
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Address: |
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City, State, Zip |
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Date Appointed: |
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Change of Director of Nursing |
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Previous Director of Nursing: |
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Ending Date: |
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New Director of Nursing: |
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Address: |
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License Number |
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Date Appointed: |
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I certify that the information provided on this amendment is true, complete and accurate to the best of my knowledge.
Signature of Authorized Representative
Authority: P.A. 368 of 1978 as amended
Date
The Michigan Department of Licensing & Regulatory Affairs will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. You may make your needs known to this Agency under the AMERICANS WITH DISABILITIES ACT if you need assistance with reading, writing, hearing, etc.