Arkansas Social Work
in Healthcare Spring
Conference
WHO IS THE OFFICE OF LONG TERM CARE?
Lisa Thomas RN-BC
State Training Coordinator
April 25, 2014
OBJECTIVES
O Briefly describe the different functions the
Office of Long Term Care performs
O List different funding sources and/or payor
sources for different types of providers
O Briefly describe the functions of the social
worker in the Long Term Care setting
OLTC Mission Statement
O The Office of Long Term Care is responsible
for establishing and enforcing standards for
the operation of long term care facilities.
Through inspection, investigation,
enforcement and education, we promote
care that enhances residents’ health and
the quality of their lives
Who does the OLTC regulate?
O Any nursing home who receives Medicare and/or
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Medicaid funds for care and services
Intermediate Care Facilities for Individuals with
Intellectual Disabilities
Human Development Centers
Psychiatric Residential Treatment Facilities
Adult Day Care Centers
Adult Day Healthcare
Assisted Living Homes – Levels 1 and 2
Residential Care Facilities
Post Acute Head Injury Center
Hospital Civil Rights
Medical Needs Department
Assigns level of care for:
O all nursing homes and ICF/IID’s in the state
based on the individuals medical needs
O Elderchoices program based on the individuals
medical needs
O Assistant Living
O Alternatives for Adults with Physical Disabilities
O Autism Waivers
O PACE (Programs for All Inclusive Care of the
Elderly)
Medical Needs Department
O Educate and oversee the PASRR (Pre-
Admission Screening and Resident Review)
program
O Process TEFRA (Tax Equity and Fiscal
Responsibility ACT) applications and
determine level of care
SPECIAL PROGRAMS
O Oversee the Certified Nursing Assistant (CNA)
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training curriculum
Maintain the Nurse Aide Registry
Participate in all hearings on CNA’s with findings
of abuse and/or neglect
Process results of all FBI (Federal Bureau of
Investigation) and state criminal record checks
Maintain the Incident and Accident (I&A)
database for nursing home reportables
SPECIAL PROGRAMS
O Process initial and renewal license for
nursing home administrators
O Approve CEU’s (Continuing Education Units)
for all of our programs
O Process all Freedom of Information
Requests from all sources
O Review every I&A and forward to the
appropriate department and/or agency
FUNDING SOURCES
O Federal funding for nursing home surveys
which the state is required to match
O State general revenue (SGR) funds our
licensing survey functions in nursing homes,
Assisted Living Facility’s, Residential care
and Adult Day Care’s
O Nurse Aide training is a mix of federal and
state funding
SOCIAL WORKER ROLE
O You are a mandated reporter for Abuse
and/or Neglect allegations!
O If you receive an allegation of the above,
first report to the home THEN the OLTC!
O We will ask you who you reported to at the
home!
O Be specific!
SOCIAL WORKER ROLE
O Knowledge of home and community based
resources
O Knowledge of providers specific to the
client’s psychosocial and medical needs