The Long-Term Care Ombudsman (LTCO) works with nursing home residents, assisted living residents, and other Nebraskans to help answer concerns and complaints and advocate for participants’ rights and well-being.
This code should be used for all activities related to any of the activities performed, including:
- Paperwork
- Clerical activities, such as making copies
- Time spent reviewing voicemails or emails
- Time spent consulting with a supervisor or supervising
- Travel including time spent arranging transportation
- Time spent entering information about the activity into a database or software program
- Calls, emails, or other communications to obtain clarification of an inquiry
Time Study Codes:
- 107a. Medicaid-related Ombudsman tasks- Activities captured under this code include:
- Education and consultation to potential enrollees on Medicaid eligibility and facilitation of the enrollment process.
- Identifying and referring individuals who may be eligible for and in need of Medicaid services.
- Developing procedures for tracking and reporting consumer requests for assistance with obtaining medical/dental/mental/long-
term care (including home and community based) services that are covered by Medicaid - Consultation and advocacy to assist beneficiaries in transitioning from Medicare Part A coverage into the Medicaid nursing facility benefit.
- Direct case advocacy in transitioning individuals from private pay status into Medicaid funded nursing facility, home and community based services, or other Medicaid service categories.
- Identifying Medicaid-eligible residents who want to transition out of nursing home facilities and then connecting them with the appropriate local contact agency or other services to assist them in returning to the community.
- Identifying and reporting suspected instances of Medicaid fraud to federal and state agencies for investigation and action.
- Identifying gaps or duplication of medical/dental/mental/long-
term care services to elders and individuals with disabilities and developing strategies to improve the delivery and coordination of these services for those individuals.
- 107b. Non Medicaid-related Ombudsman tasks- This code should include any Ombudsman related activities that do not fit within category 107a.
