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1. Evaluate the basic function and utilization of the Medicare System.
2. Compile descriptions of the components of the Medicare System - their specific characteristics and functions.
3. Assess other programs that provide aid with costs of health care and prescription medications.
4. Determine how Medicare benefits coordinate and integrate with Medicaid benefits and the other health care benefit programs.
5. Prioritize the decisions that individuals need to make to access and utilize the most effective benefit options for their specific needs.
6. Investigate the impact of changes to Medicare and Medicaid on dual-eligible patients.

THE MEDICARE SYSTEM

• Medicare's design & function
• Eligibility & Enrollment in Medicare
• Part A & Part B
• Costs of Medicare
• Coverage & Services
• Enhancements to "Basic" Medicare
• Medi-gap Supplemental Plans
• Medicare Part C - Advantage plan
• Medicare Part D - Prescription Drug Program

SPECIAL MEDICARE ISSUES

• Continued Implementation of the Affordable Care Act (or Whatever Replaces it) and its Impact
• Hospital Services Under the Medicare System: In-Patient vs Observation
• Accessing Service Providers in Local Managed Care Networks

BEYOND MEDICARE - OTHER HEALTH CARE ASSISTANCE PROGRAMS

• Medicaid: Benefits, Eligibility and Enrollment
• Medicare Savings Program: Benefits, Eligibility and Enrollment
• Prescription Drug Assistance Programs; Benefits, Eligibility and Enrollment

COORDINATION OF BENEFITS

• Coordination Process Between Medicare, Medicaid and other Health Care Assistance Programs
• Accessing Health Care Services and Prescription Drugs for Dual-Eligible Patients
• The impact of Recent Changes to Medicare and Medicaid on the Dual-Eligible Patient

Evaluations, Adjournment, & Certificates

William McKendree, Esquire, is the Supervisor of the APPRISE program in Allegheny County. APPRISE is Pennsylvania’s State Health Insurance Assistance Program, helping consumers with Medicare, Medicaid, long term care and health insurance concerns. Mr. McKendree also serves as preceptor for the University of Pittsburgh School of Pharmacy and School of Law internship programs with APPRISE. Prior to his position with APPRISE, he served as director for the Western Pennsylvania Center or Aging Services and was a member of the Pittsburgh law firm of Gabriel and Associates. Mr. McKendree has a Juris Doctorate degree from Duquesne University’s School of Law and a Master’s in Public Administration from the University of Pittsburgh. He teaches classes on Medicare and Health Care Systems at the University of Pittsburgh, Point Park University, and Community College of Allegheny County.

Speaker Disclosures:

Financial: William McKendree receives compensation as Supervisor of the Allegheny County APPRISE Program (Pennsylvania’s State Health Insurance Assistance Program). He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: William McKendree has no relevant non-financial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Counselors
This intermediate self-study activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

Pennsylvania Counselors: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate self-study activity consists of 6.0 clock hours of continuing education instruction.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

Pennsylvania Psychologists: PESI, Inc. is approved by the Pennsylvania State Board of Psychology to offer continuing education for psychologists. Provider #PSY000211. PESI maintains responsibility for the program(s). This self-study program qualifies for 6.0 continuing education hours.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2020 - January 27, 2023. Social Workers completing this course receive 6.0 Clinical continuing education credits.

Course Level: Intermediate. Format: Asynchronous distance learning. Full attendance is required; no partial credits will be offered for partial attendance.

Pennsylvania Social Workers: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors accepts many national association CE approvals, several of which PESI offers. For a full list, please see your State Board regulations at https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/. This intermediate self-study activity consists of 6.0 clock hours of continuing education instruction.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Case Managers, Counselors, Nurses, Nursing Home Administrators, Psychologists, Social Workers and other Mental Health Professionals