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December 12, 2017

Leveraging Public Financing and Delivery System Changes to Fund Specialized Services

A PDF copy of the presentation slides is available at the bottom of this page.

This webinar will discuss the number of ways to finance specialized services in nursing facilities. Access and quality of care is impacted by the ability to finance a resident’s service needs. This presentation will examine a variety of payment alternatives available to pay for services provided to individuals with ID/DD and mental illness while residents of nursing facilities; including Medicaid, Medicare, managed care and delivery system reform initiatives. An overview of the types of payment methods and examples will be provided.


Frank Spinelli is a former Rhode Island Medicaid director with a record of innovative and successful leadership of long term services and support programs in the public and private sector. For the last eight years, Frank worked for Xerox, Government Healthcare Solutions as the Vice President of Long-Term Care and Care and Quality solutions, where he was responsible for Xerox’s PASRR contracts. Frank has nearly four decades of experience working with long-term care and chronic care populations and in providing long-term services and supports across the life cycle, including Rhode Island’s PASRR program, pharmacy programs, and LTSS and ID/DD programs.

Acknowledgment of Commercial Support

There was no commercial support received for this CME activity.

Bibliographic Sources: Please see presentation slides

Copyright: All faculties in this activity have given their permission for publication.

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