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Boosting home care options under Medicaid: Balancing Incentive Payment Program, Community First Choice Option
January 29, 2013 |
Press releaseThe state is already improving services and controlling costs by reducing complexity, and creating a managed care pilot. But more can be done to help people in their homes, bring additional federal dollars to underwrite these services, and create jobs in the community.
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Executive summary
One of the many ways that the Affordable Care Act (ACA) curbs the cost of health care is by offering incentives to states to provide services in the most cost effective way possible: at home or in the community. These incentive dollars can boost health care spending in neighborhoods, creating new jobs as well as expanding needed services.
In Ohio and nationally, a significant share of Medicaid is dedicated to patients who are elderly or have disabilities. Too often, this is in a high-cost nursing home setting. The ACA offers incentives to encourage more cost-effective home care services for people who need help with dressing, bathing, chores, preparing meals, or other activities of daily living. A study of state expenditures on long-term care and services between 1995 and 2005 found that states with broad access to home and community-based services realized cost savings in the long term as they shifted from institutionalized settings (nursing homes) to home care services, although there was a short-term increase in costs during the shift.[1]
The ACA offers new opportunities to help states provide long-term services and supports to people in their homes. This brief examines two of the programs: The Balancing Incentives Payment Program, which increases federal matching funds for states like Ohio by two percentage points through 2015 for increased home and community-based services, helping with any up-front costs, and the permanent Community First Choice Option (CFCO) which provides a boost of six percentage points, from 63.58 to 69.58 percent, in federal funding for personal attendant services in the home or community.
One estimate finds Ohio could gain $58 million a year from the Balancing Incentives Payment Program.[2] The Unified Long Term Care System Advisory group recommended authorization be included in the current state budget,[3] and it was, but the application has not been submitted. The
Community First Choice option could bring a permanent six percentage point increase in federal Medicaid match for selected services. California received $573 million over two years for its Community First Choice option.[4] New York anticipates $90 million annually.[5] Alaska, with its small population, expected about $11.8 million over two years.[6] While California is the only state approved for the CFC at present, others – Arkansas, Louisiana, Minnesota, Montana, New York and Oregon – have announced plans to apply, according to the Kaiser Family Foundation.[7]
Medicaid services for those in need of long-term care
Medicaid serves 56 million recipients, more than any other health program. Enacted in 1964 under Title XIX of the Social Security Act, Medicaid provides medical services to people with disabilities or low incomes, and it is an important source of aid for elderly nursing homes residents.[8] In Ohio, it serves 2.3 million low-income children, their parents if the family is very low-income, and those who are elderly, blind or have disabilities. Non-elderly adults without disabilities or without children are not eligible. Financial need, based around federal poverty levels, is used to determine eligibility. Medicaid is jointly financed by the federal government and the states, with Washington paying 50 percent of the costs in higher-income states and about 70 percent in lower-income states like Arkansas.[9] In 2013, the federal match in Ohio is 63.58 percent.[10]
States define eligibility and benefits within guidelines set by federal law. The only two mandated benefits for long-term care under the Medicaid program are institutional care and home health services for those not eligible for nursing home (institutional) care.
Since 1981, states have used authority under Section 1915(c) of the Social Security Act to request a waiver of certain federal Medicaid requirements (including state-wide program coverage) to establish home and community-based programs to serve people who need institutional levels of care. States have broad authority to seek approval to provide a wide range of services under waivers.
The Community First Choice Option funds personal care attendants. Since 1975 states have had the option of offering personal care services as part of the statewide Medicaid plan as well as through waivers, which may be limited geographically or in other ways. States have considerable discretion in defining personal care but programs typically involve non-medical assistance with daily living (e.g., bathing and eating) for participants with disabilities and chronic conditions.
The section below describes Ohio's system of home and community-based care for low- and moderate-income people who need significant assistance in health care and daily living, and the comprehensive changes underway to streamline and simplify the system and rebalance institutional care with care in the home and community.
Ohio's existing system
Since Medicaid was established in 1965, states have been required to cover nursing facility care for beneficiaries age 21 and older who need help with daily living (dressing, bathing, feeding, or mobility). As noted above, federal law allows states to apply for a formal waiver of program rules to provide services outside of a nursing home. Over time, more services have been covered in community settings, and the federal government has created several different types of waivers for state programming.
In April of 2011, Ohio Medicaid Director John McCarthy described his program in budget testimony: "What is the Medicaid program and who does it serve? Medicaid is the health insurance program for low-income families with children; and the aged, blind, and disabled. …. The program covers children up to 200% of the federal poverty level (FPL), parents of those children to 90% FPL, and the elderly or individuals with disabilities up to 64% FPL, unless they meet an institutional level of care and then it is 150% FPL."[11] In addition to those Director McCarthy described, individuals are eligible for waiver services if they have income less than 300 percent of the SSI standard of need and require an institutional level of care. For nursing home care, income can be higher as long as monthly income is less than the nursing home's Medicaid reimbursement rate.
Ohio's Office of Health Transformation points out that the state's Medicaid program "serves approximately 173,000 individuals with long-term care needs – primarily seniors and people with disabilities – each year. Although only 7 percent of the Medicaid population uses long-term services and supports, approximately 41 percent of annual Medicaid expenditures stem from services to these individuals."[12] This is a little higher than national averages. Nationally, 6 percent of the Medicaid population needed long-term services and supports in 2010[13] and about a third of Medicaid spending in 2010 was directed to these services.[14]
According to the Ohio Office of Health Transformation, in 2011 Ohio was spending more of its Medicaid budget on high-cost nursing homes and other institutions than all but five states, and Ohio taxpayers were spending 47 percent more for Medicaid long-term care than taxpayers in other states.[15] Ohio's current budget rebalances where the money is spent by increasing allocations to home- and community-based services from 36 percent of Medicaid long-term care spending today to 42 percent in SFY 2013."[16] The current budget bill sets an aspirational goal of a 50/50 balance (institutional v. community-based as measured by the number of participants) for Ohioans age 60 and above, and a 60/40 balance for Ohioans under age 60 with physical disabilities. Correcting the imbalance is important because nursing home care is expensive, with the average daily Medicaid rate for an Ohio nursing home now at $167 per day.[17] Home and community-based care costs less. For example, the National Health Policy Forum reported that in 2011, the average annual cost for nursing home care was more than $78,000; for assisted living communities, it was almost $42,000.[18]
Ohio has many waivers in place that provide home and community-based care. Ohio's system for this care is comprised of nine waiver-based programs and one plan amendment. These programs are administered under the authority of three different state agencies: the Ohio Department of Job and Family Services, the Ohio Department of Aging and the Department of Developmental Disabilities.
The Department of Aging administers three waiver programs: PASSPORT, Choices, and Assisted Living waivers. The department also oversees a small program provided as part of the Medicaid plan itself (PACE). Descriptive information here is taken from the website of the Ohio Department of Aging.
- PASSPORT (Pre-Admission Screening System Providing Options and Resources Today), is a waiver program that provides services in home and community settings to delay or prevent nursing facility placement for people 60 and older who need hands-on assistance with dressing, bathing, toileting, grooming, eating or mobility. Their care services must not exceed 60 percent of the cost of nursing home care. Clients must meet financial criteria for Medicaid eligibility and their physicians must agree to a service plan. PASSPORT is by far Ohio's largest waiver for home- and community-based services for the elderly, with enrollment of 33,103 consumers in December of 2012.
- Choices waiver provides home and community-based services and supports to older Ohioans. Geographically limited, it is available to current PASSPORT consumers in the central Ohio, northwestern Ohio, and southern Ohio regions served by the Area Agencies on Aging based in Columbus, Toledo, Marietta and Rio Grande. It serves 559 people 60 and older, with a capacity to serve 1,610, and offers personal control over services.
- Assisted Living waiver serves people 21 and over who need hands-on assistance with dressing, bathing, toileting, grooming, eating or mobility; meet the financial criteria for Medicaid eligibility and are able to pay the state established monthly room and board payment (rent). It provides services in a community residential setting with around-the-clock personal care but not skilled nursing comparable to a nursing home. As of December 2012, there were 3,899 enrollees in the assisted living waiver.
- PACE (Program for All-Inclusive Care for the Elderly), is a managed-care model that provides participants with all of their needed health care, medical care and ancillary services in acute, sub-acute, institutional and community settings. Like Choices, it is geographically limited, to sites in Cincinnati and Cleveland. It serves people over 55 years of age who are eligible for Medicaid (although the program accepts private-pay clients) and who need an institutional level of care. It served 780 people in December 2012. PACE is not a waiver program; rather, it is a part of the state Medicaid plan.
The Ohio Department of Job and Family Services administers three programs that serve those with disabilities who are eligible for institutional care, but prefer home care. Information here is taken from the website of the Ohio Office of Health Transformation and the Ohio Department of Job and Family Services.
- Ohio Home Care waiver for people with physical or developmental disability who are 59 and younger. It had 8,778 enrollees in June of 2012. It is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an intermediate or skilled level of care. Without the services available through the waiver benefit, these consumers are at risk for hospital or nursing home placement. Consumers approved for the OHC waiver benefit may receive care at home or in a nursing facility.
- Transitions waiver, for all ages with developmental or physical disabilities, had 2,931 participants in June of 2012. This benefit package consists of all of the services as listed above. However, it is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an ICFMR/DD (intermediate care facility for the mentally retarded/developmentally disabled) level of care. This waiver is not open to new enrollees. You must first be on the OHC waiver and be transitioned due to level-of-care considerations.
- Transitions waiver carve-out This benefit package consists of all of the services as listed above. However, it is designed to meet the needs of consumers who are age 60 and over. Eligibility criteria require having either an intermediate or skilled level of care. This waiver is not open to new enrollees. You must first be on the OHC waiver and be transitioned due to reaching age 60. There were 2,056 enrollees in June of 2012.
The Ohio Department of Developmental Disabilities administers three waiver programs, described below. Information here is taken from the waiver handbooks at the website of the Ohio Department of Developmental Disabilities, and from the website of the Ohio Office of Health Transformation.
- Individual Options (IO) waiver serves 16,787. The IO Waiver is for people with developmental disabilities who require the level of care provided in an Intermediate Care Facility for people but want to live at home or in the community and who meet the financial criteria of Medicaid eligibility.
- Level I waiver (LI) covers services for all ages and served 11,141 individuals as of June 2012. It serves people who require the care given in an Intermediate Care Facility for the Mentally Retarded but want to live at home. The cost for this help cannot be more than what the Level I Waiver allows.
- SELF waiver, a new program, has a goal of serving 2,000 over three years. At its one-year anniversary, as of December 10, 2012, there were 26 individuals enrolled on the SELF Waiver, 10 of whom are utilizing a state-funded Children with Intensive Behavioral Needs (CIBN) SELF Waiver.
The current budget bill, HB 153, established a goal of boosting the number of Ohioans served in their homes through these programs. Rebalancing institutional care with home and community based services is, however, is taking longer than originally anticipated.[19] There are two major initiatives underway to facilitate improvements. One will consolidate five of its nine waivers into a single, unified waiver system (PASSPORT, Choices, Assisted Living, Transitions and Transitions 'carve out,'). Today, programs are accessed through different agencies and entities; in the future, the goal is to provide coordination through a single entry point (the "front door") and a common website. [20]
In May 2012, Director McCarthy praised the unification effort. He pointed out that HB 153 made access and navigation of the system easier by authorizing a single waiver that will serve 46,000 adults with disabilities and people over the age of 65 who need a nursing home level of care and said program design had begun.[21] Another initiative, however, a geographically based managed care demonstration project, was prioritized and will go into effect September 1, 2013. [22] In his testimony Director McCarthy explained that the state delayed the unified waiver to reduce disruptions as the new demonstration project is implemented.[23]
While the system of home-based care is undergoing change, funding for these services could be augmented by the enhanced federal Medicaid match of the Balancing Incentives Payment Program and Community First Choice. As implementation is just now taking place, the requirements of these programs could be worked into the initiatives moving forward. The next section focuses closely on these two programs.
Balanced Incentive Payment Program
A temporary incentive program, the Balanced Incentive Payment Program (BIPP) provides enhanced federal matching payments ("FMAP") to states to allow them to increase Medicaid payment for long-term care services to people in their homes.[24] States like Ohio that spend between 25 and 50 percent of their long-term care Medicaid dollars on home and community-based services may apply for an additional two percentage points in federal matching funds for many services in the home, including services provided under waivers.[25]
The law makes available up to $3 billion in federal matching funds during a limited period: October 1, 2011 thru September 30, 2015. To qualify for the BIPP, a state applies to the federal Department of Health and Human Services (HHS) with an outline of plans for expanding Medicaid home and community-based care services and describing its approach to making the required administrative structural changes in its delivery system (outlined below). The plan must be implemented six months after the date of application.
What the state must do to get BIPP funding:
Within six months of applying for funding under the BIPP, the state must institute administrative changes to increase home and community service use in Medicaid, including:
- "No wrong door single entry point system" that will enable consumers to gain access to all services through a single point where they will receive information, referrals and an eligibility assessment. The "no wrong door" strategy is to include:
- A set of 'entry' agencies;
- A website and;
- A statewide 1-800 telephone number.
- "Conflict-free" case management to develop individual service plans and to arrange for and conduct ongoing monitoring of services (i.e., no conflict of interest regarding the case manager and the service providers).
- A core, standardized eligibility and service assessment.
- States must report on services, quality and outcomes.
- States must maintain 2009 eligibility levels for all non-institutional Medicaid services for which the states will get an added federal payment percentage (see below).
Ohio is moving toward meeting these requirements.[26] A PDF posted on the Ohio Department of Aging's website recounts progress Ohio has made toward meeting the requirements of the BIPP:
Ohio is moving in the direction of significant system reform efforts consistent with the requirements of the BIPP.
- Front door work/development of Aging and Disability Network/Continued "Connect me Ohio" website development.
- Level of care criteria changes/single assessment tool.
- Transition program (ie, HOME choice).
- Streamlined Medicaid eligibility
Application for the program was approved in HB 153, the current state budget bill.[27] The governor has a goal of rebalancing institutional care 50/50 with home-based care, the same goal as the Balancing Incentive Payment Program. A spokesperson for the Ohio Department of Job and Family Services said that a BIPP application was considered, but delayed because of a desire for more analysis of the demonstration period. [28]
The state should maximize federal funding by moving the application forward, possibly in the upcoming state budget.
Community First Choice Option
The Affordable Care Act establishes the Community First Choice Option (CFCO) in Medicaid to encourage states to provide home and community-based personal attendant services on a statewide basis for people who require an institutional level of care. The announcement of the program from the federal Department of Health and Human Services touted the fact that states could get a six percentage point increase in federal matching funds and that over three years states could see a total of $3.7 billion in new funds for personal attendant services in the home.[29] This is a permanent program, not time limited, like the Balancing Incentives Payment Program. Generally speaking, federal funds pay 63.58 percent of the cost of mainstream Medicaid services in 2103. A six percentage point increase means the federal government would pay 69.58 percent of the specific services included under the Community First Choice option in 2013. (The federal match is allocated by formula and the baseline may change from year to year based on the federal formula.)
California, the first state approved for funding under the CFCO, looks forward to $573 million in new federal funds.[30] New York expects $90 million annually.[31]Alaska, one of the least populous states, anticipates $11 million over two years;[32] this seems small but the program is permanent, so over 10 years, the additional funding would be $55 million.
The Community First Choice Option serves seniors as well as those with disabilities, but it has been long sought by the disability rights community. Inclusion of the initiative as an optional component of the health care reform law was considered a partial victory.[33] It had been hoped that all Medicaid recipients would be eligible for attendant care services but under the final rules, only those in need of institutional care or the equivalent would be eligible. [34]
This option has a slightly higher threshold for financial eligibility than regular provisions of Medicaid expansion (138 percent of federal poverty level). The floor for services under CFCO is 150 percent of the federal poverty level (FPL). States that currently extend Medicaid nursing home eligibility to incomes greater than 150 percent of poverty may cover higher-income individuals with the CFCO, but only for incomes up to the level that would qualify for Medicaid institutional coverage – up to 300 percent of SSI ($2,022 per month in 2010).[35]
Because CFCO is provided through a state plan amendment rather than a waiver, benefits must be made available statewide and may not limited by enrollment caps or other restrictions. Many, if not most, of those who would be eligible for CFCO are already eligible, because of the focus on individuals needing institutional care.
Community First Choice Option: A Program Outline
CFCO is designed to give those with functional limitations a choice between care in an institution or in their own homes or community. [36] Services for each participant are based on an assessment-driven individual care plan. The program has required and optional services.
Required Services:
- Assistance with activities and instrumental activities of daily living and health-related tasks, including hands-on assistance and supervision;
- Acquisition, maintenance, and enhancement of skills to complete those tasks;
- Back-up systems, such as beepers, that will ensure continuity of care and support;
- Training on hiring and dismissing attendants, if desired by the individual.
Optional Services:
- Transition costs, such as first month's rent; utility deposits; and kitchen supplies, bedding, and other necessities for moving from a nursing facility to the community;
- Coverage for other items noted in a care plan that increase independence or substitute for personal assistance.
- home modifications;
- room and board;
- medical supplies, and;
- assistive technology (except items that would meet the definition of back-up systems to ensure care continuity).
States can select one or more models for the delivery of CFC. Ideally, states will provide consumers with a robust system in order to increase choice. Services must be provided under a person-centered plan. "Agency Provider Model" includes a range of approaches, with the individual having the ability to select, train,
and dismiss their direct attendant, including: [37]
- Traditional agency-managed services
- Agency-with-Choice model where the agency operates solely as a fiscal intermediary
- "Self-Directed Model with service budget" including:
- Vouchers;
- Direct Cash Payments (similar to a Cash & Counseling model);
- Fiscal Agent;
- Family members, as defined by the Department of Health and Human Services, can provide services.
Providers are to be selected and services controlled by the individual or individual's representative to the maximum extent possible. States must ensure that regardless of care model, services are provided in accordance with the Fair Labor Standards Act.
Requirements for states:
- Service availability: States must make services available statewide, with no caps or targeting by age, severity of disability, or any other criteria. Services must be provided in the most integrated setting appropriate, given an individual's needs.
- Maintenance of Effort: During the first year, a state must maintain or exceed its prior year Medicaid expenditure level for included services provided to elderly individuals and people with disabilities.
- Implementation Council: States must establish a Development and Implementation Council to collaborate on program design and implementation. The council must have majority membership of the elderly, people with disabilities, or their representatives.
- Quality Systems and Data: States must develop quality systems that incorporate consumer feedback and monitor health measures. The state must submit program reports to the Department of Health and Human Services.
High incentives, lingering concerns
The Community First Choice Option offers a significantly higher share of federal match for services, but only one state has applied and been approved for this opportunity. In a study published this past summer, the United States Government Accountability Office found uptake slow in part because final rules were published only in May, and in part because states were concerned by perceived risks of the new option, including the following: [38]
- Prohibition of caps on enrollment and utilization is seen as a financial exposure.
- Not all services offered under existing waiver programs would be covered.
- Administrative costs could outweigh enhanced federal match.
- Lack of staffing prevented consideration.
- Overall reform is being prepared before targeted programs are dealt with.
- Some states are in the middle of transition of long-term support and service for the targeted population to managed care.
- Some states have just implemented a "money-follows-the person" program and have existing transition programs in place and under implementation.
In a sense, concerns mirrored the larger concerns about the Affordable Care Act itself.
Ohio is not considering this option, according to Eric Poklar of the Office of Health Transformation.[39] He emphasized, in response to a query, that Ohio already offers personal care attendant services under the waiver programs and that it has other priorities – other initiatives – to make such care better.
However, personal attendant care offered under waivers lack the broad accessibility of a plan option, and they lack enhanced federal match.
Anna Rich of the National Senior Law Center suggested that Ohio would benefit from the extra money provided by the CFCO, that the timing would be good, that California had had an easy transition with much help from the national Center for Medicare and Medicaid Services, and that Ohio's desire to boost waiver enrollment made it appealing for our state. Rich also pointed out that most of those who would take advantage of the CFCO are likely to already be on Medicaid, so the program wouldn't bring in new costly participants.[40]
Ohio ranks low among the states in terms of meeting the needs of those with developmental disabilities, according to the 2012 study: "The Case for Inclusion." Although Ohio's overall ranking is 34th among the states overall, and improved by 14 places since 2007, we still rank 44th among the states in meeting needs, based on waiting lists.[41] According to data provided by the Ohio Department of Developmental Disabilities, county waiting lists for services for this community topped 40,000 in February of 2012. Many of these individuals may not be eligible for Medicaid and/or are not in need of institutional care, but provision of adequate home and community-based care is a problem. In April of 2011, the Legal Rights Service (now known as the Disability Rights Service), an advocacy organization, wrote in a letter to the Ohio Department of Developmental Disabilities:
LRS is gravely concerned about the current size and pace of waiting lists in counties across the state for home and community-based services waivers. According to the Department's own estimate, even after the Nancy Martin settlement, there are approximately 27,000 people with developmental disabilities who are presently institutionalized or at risk of institutionalization and who are on waiting lists for Medicaid waivers. Moreover, a person's placement on a waiting list for a Medicaid waiver almost always remains static (or even moves downward on the waiting list), and even those who have been waiting for a decade or more have no realistic opportunity of receiving these needed community services anytime soon. An article in the Columbus Dispatch on April 27, 2011 entitled 'Some families wait years for Medicaid home-care waivers' highlighted the frustration of individuals with developmental disabilities and their families. The system must fundamentally change to comply with federal law.[42]
Advocates have asked the state to embrace federal enhanced funding opportunities for home and community-based care. As Governor Kasich took office in 2011, he was greeted with a series of letters from public policy leaders and experts across the state of Ohio. From LEAP (Linking Employment, Abilities and Potential), Deborah Nebel and Melanie Hogan wrote to encourage a personal care attendant option under the state plan with enhanced federal matching funds. Among other arguments, Nebel and Hogan said the initiative would strengthen the Medicaid program. "For the first time, federal Medicaid dollars can be spent on non-medical personal assistance (activities of daily living, one month rent, utility deposit, household goods). People with disabilities of all ages need these services to live and work in the community and would sustain services provided under HOME Choice which ends in 2016," the letter said.[43] This is precisely what the Community First Choice Option would do.
Summary and recommendations
Ohio can bring in more federal funding by taking advantage of the Community First Choice Option and the Balancing Incentives Payment Program. It will save money spent on long-term care by providing more care – at enhanced federal Medicaid match rates – in the home and community. By broadening availability of services – the personal attendant care service – it can create personal and health care jobs in the community.
It is the responsibility of the state to explore significant federal funds for important programs at budget time. Many of the directors' letters on last fall's budget requests to the governor last fall emphasized the importance of federal funding sources to the pending budget. The Community First Choice Option and the Balancing Incentives Payment Program are two excellent opportunities to bring in federal funds and better meet Ohio's needs.
[1] H. Stephen Kaye, Mitchell P. LaPlante, and Charlene Harrington, "Do Noninstitutional Long-Term
Care Services Reduce Medicaid Spending?" Datawatch, January-February 2009 at http://bit.ly/Vevks4.
2 National Council on Aging, "BIPP annual FMAP increase estimates" at http://bit.ly/Wid2XX.
[3] Unified Long-Term Care System Advisory Group, "Nursing Facility Reimbursement Subcommittee Report to the Ohio General Assembly," December 21, 2012, Accessed through Gongwer Ohio on Dec. 28, 2012 at http://1.usa.gov/W9u3EE.
[4] "California First State To Receive Approval for Services Under Community First Choice Option,"The Arc, Capital Insider, 9/4/2012 at http://bit.ly/112jSEZ.
[5] Center for Disability Rights New York State, "1915(k) Community First Choice Option in New York State" at http://www.ilny.org/downloads/legislative/CFC%20in%20NYS%20-%20Handout%20for%20NYAIL.pdf.
[6] Medicaid Task Force, Options for Cost Savings, Report to the Governor, May 4, 2011 at http://1.usa.gov/X5gMKN.
[7] Vernon K. Smith, Ph.D., Kathleen Gifford and Eileen Ellis (Health Management Associates) and Robin Rudowitz and Laura Snyder (Kaiser Commission on Medicaid and the Uninsured – Kaiser Family Foundation), "Medicaid Today; Preparing for Tomorrow A Look at State Medicaid Program Spending, Enrollment and Policy Trends
Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2012 and 2013," Kaiser Commission on Medicaid and the Uninsured, October 2012 at http://www.kff.org/medicaid/upload/8380.pdf. The footnote to this paragraph in the report says that Maryland is looking at implementing the Community First Choice option in 2014.
[8] New York Times, Medicaid Navigator at http://nyti.ms/bv6Mnh.
[9] Id.
[10] This is not the enhanced rate; taken from Table 1 – Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 2012-September 30, 2013 (Fiscal Year 2013). Federal Register Volume 76, Number 230 (Wednesday, November 30, 2011), [Notices][Pages 74061-74063] From the Federal Register Online via the Government Printing Office at http://www.gpo.gov/fdsys/pkg/FR-2011-11-30/html/2011-30860.htm.
[11] House Health and Human Services Subcommittee Ohio Department of Job and Family Services, Office of Ohio Health Plans Executive Budget Recommendations SFY 2012-2013 John McCarthy, Medicaid Director April 4, 2011 at https://jfs.ohio.gov/oleg/McCarthySubcommitteeTestimony040411.pdf.
[12] Ohio Office of Health Transformation, "Rebalancing Medicaid Long Term Care" at http://1.usa.gov/X5h5VP.
[13] Kaiser Commission on Medicaid Facts, Medicaid and long term care services and supports, June 2012 at http://www.kff.org/medicaid/upload/2186-09.pdf.
[14] National Health Policy Forum, "National Spending for Long Term Services and Supports," 2/23/2012 at http://www.nhpf.org/library/the-basics/Basics_LongTermServicesSupports_02-23-12.pdf.
[15] Ohio Office of Health Transformation website at http://1.usa.gov/UvzDjw.
[16] Ohio Office of Health Transformation, "Rebalancing Medicaid Long Term Care" at http://1.usa.gov/X5h5VP.
[17] Roland Hornbostel, "Unfinished Business: Rebalancing Ohio's System of Long-Term Services and Supports for Elders and People with Physical Disabilities," State Budgeting Matters, Center for Community Solutions at http://bit.ly/X2wkgM.
[18] National Health Policy Forum, "National Spending for Long Term Services and Supports," 2/23/2012 at http://www.nhpf.org/library/the-basics/Basics_LongTermServicesSupports_02-23-12.pdf.
[19] Joint Legislative Committee for Unified Long-Term Services and Supports Testimony of John McCarthy, Medicaid Director Office of Ohio Health Plans, Ohio Department of Job and Family Services February 21, 2012 at http://www.healthtransformation.ohio.gov/LinkClick.aspx?fileticket=-GYEkKv_qW0%3D&tabid=104.
[21] Joint Legislative Committee for Unified Long-Term Services and Supports Testimony of John McCarthy, Medicaid Director Office of Ohio Health Plans, Ohio Department of Job and Family Services May 3, 2012 at http://www.healthtransformation.ohio.gov/LinkClick.aspx?fileticket=-x1ReskdhYc%3D&tabid=104.
[22] Gongwer-Ohio, CMS Approves Medicare-Medicaid Duals Project; Savings Expected To Total $243 Million
Volume #81, Report #240, Article #6–Wednesday, December 12, 2012.
[23] Joint Legislative Committee for Unified Long-Term Services and Supports Testimony of John McCarthy, Medicaid Director Office of Ohio Health Plans, Ohio Department of Job and Family Services May 3, 2012 at http://www.healthtransformation.ohio.gov/LinkClick.aspx?fileticket=-x1ReskdhYc%3D&tabid=104.
[24] Balancing Incentives Payment Program at Medicaid.gov, http://bit.ly/KTjjSN.
[25] States that spend less than 25 percent on home and community based care are eligible for a 5 percent increase in FMAP for the services under BIPP; those with 25 to 50 percent, like Ohio, are eligible for a two percentage point boost. (see Medicaid.gov, "Balancing Incentives Payment Program" at http://bit.ly/KTjjSN.
[26] Director John Martin's February 22, 2012 testimony stated: Thanks to your support in the budget, Ohio is on the path to meeting these benchmarks. HB 153 increased funding for all long-term services and supports by $166 million and rebalanced where the money is spent, increasing HCBS funding from 36 percent of Medicaid spending in SFY 2011 to 42 percent in SFY 2013 and decreasing the share spent on institutions from 64 percent to 58 percent over the same period. The operating protocols that BIPP requires are aligned with Ohio's plans to integrate Medicaid and Medicare benefits for dual eligibles and create a single HCBS waiver. Ohio Medicaid is currently reviewing the BIPP requirements and considering whether to apply for the program.
[27] Text of House Bill 153 of the 129th General Assembly, Section 309.35.10. "Rebalancing Long-term care"
[28] Email from Eric Poklar of the Office of Health Transformation, November 21, 2012.
[29] "Affordable Care Act Supports States in Strengthening Community Living," press release from United States Department of Health and Human Services, February 22, 2011 at http://1.usa.gov/gV0m4s.
[30] California receives first in nation approval for new community based care option for at-risk seniors and persons with disabilities, California Department of Social Services Press Release, August 31, 2012 at http://bit.ly/VhbKJV.
[31] New York Center for Disabilities at http://bit.ly/WieDgH.
[32] State of Alaska, Department of Health and Social Services, "Medicaid Task Force: Options for Cost Savings." May 4, 2011 at http://dhss.alaska.gov/Commissioner/Documents/medicaidtaskforce/files/MTF_Final_Report_To_Gov.pdf
[33] Michelle Diamont, "Feds begin roll out of Community living program," Disabilityscoop, September 5, 2012 at http://www.disabilityscoop.com/2012/09/05/feds-rollout-community-living/16385/
[34] There was much deliberation over eligibility for CFCO. The Federal Government's Center for Medicare and Medicaid Services (CMS) initially took a broader view, the view that only those above 150% of the federal poverty level (FPL) would have to qualify for an institutional level of care, i.e., "but for" HCBS, the individual would require the level of care in a hospital, nursing home, intermediate care facility for developmentally disabled, or institution for mental disease. After further consideration, including discussions with stakeholders, CMS reversed this position in the final rule so that now all individuals must meet the institutional level of care to qualify for CFC. There is, however, still some distinction that may exclude certain special categories of "higher" income beneficiaries with limited benefit packages.[34]
Federal Register/Vol. 77, No. 88/Monday, May 7, 2012/Rules and Regulations, Centers for Medicare & Medicaid Services, 42 CFR Part 441 [CMS–2337–F] RIN 0938–AQ35Medicaid Program; Community First Choice Option, AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule – pp26828 at http://www.gpo.gov/fdsys/pkg/FR-2012-05-07/pdf/2012-10294.pdf
[35] In Ohio, if individuals meet the institutional level of care they can be eligible for waiver services if they have income less than 300% of the SSI standard of need. For nursing home care, income can be higher as long as monthly income is less than the nursing home's Medicaid reimbursement rate.
[36] "Long-Term Services Health Reform Provisions: Community First Choice Option. Families USA: The Voice for Health Care Consumers, at http://www.familiesusa.org/issues/long-term-services/health-reform/community-first-choice-option.html
[37] New York Center for Disability Rights at http://bit.ly/WieDgH.
[38] United States Government Accountability Office, "States' Plans to Pursue New and Revised Options for Home- and Community-Based Services" June 2012 at http://www.gao.gov/assets/600/591560.pdf
[39] E-mail from Eric Poklar, Director of Government Affairs and Communications Governor's Office of Health Transformation dated December 14, 2012: "Ohio already covers the individuals and services that are provided through the Community First Choice Program through its 1915(c) waivers. Those waiver programs are mature programs with extensive case management. Ohio is always looking to improve the program and decided to start improvements through the ICDS initiative. One of the facets of the ICDS initiative is to break down the barriers between the 5 HCBS waivers to ensure a person simply gets the services he or she needs. The waiver should not dictate the services. What a person needs to keep them independent and in the community should dictate the services."
[40] Anna Rich, e-mail of 12/13/2012: "I think that an additional important point to make on CFCO is that implementing it in combination with the duals demo is really perfect timing, because the state is (we hope) already thinking through issues like how plans will do assessments, care plans, etc—that thinking could be combined with implementation of CFCO requirements like the person-centered service plan, so as not to require extra work. Also, the experience in California was that CMS was definitely willing to work with the state to make the transition to CFCO from our current personal care services option as seamless as possible, keeping the administrative burden minimal and maximizing the benefit of the increased match. From the beneficiary perspective, the transition has been easy. I also don't think Ohio should be scared by the fact that it is a statewide state plan benefit rather than a capped waiver benefit because your waivers are so underenrolled. Also, Medicaid expansion or so-called "woodwork effect" should not scare the state off because CFCO is for people who need an institutional level of care—they are likely already on Medicaid."
[41] "The Case for Inclusion 2012," United Cerebral Palsy at http://bit.ly/JqHW8G.
[42] Letter from the Ohio Legal Rights Organization to Gregory W. Swart, Senior General Counsel Ohio Department of Developmental Disabilities, April 28 2011 at http://bit.ly/14lGtvW.
[43] Journal of the Center for Community Solutions, "Dear Governor", Center for Community Solutions, 2010 at http://www.communitysolutions.com/associations/13078/files/PA%20deargov%202010.pdf.


text:
Give to McCombs
One esteemed Texas MBA degree offered through six different program formats in four different locations.
Start your career in intellectual leadership at the McCombs School of Business. The primary goal of the Ph.D. program is to prepare students for exceptional academic careers in business schools. Highly competitive, the Ph.D. programs receive hundreds of applications but admit only around five percent of applicants each year from U.S. schools and top international institutions.
McCombs faculty members are more than instructors: They are leaders in the global business community. The ground-breaking research that starts here goes on to change the world—and each year the innovative thinkers who choose to call McCombs "home" inspire students, professionals, and each other to do great things.
Non-degree programs designed to:
Choose from over 40 challenging classes in a variety of concentrations that foster engaged learning and peer-to-peer interaction.
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Make Texas Executive Education your strategic partner for designing and delivering customized programs that meet your organization's specific goals
The connections you make in business school are a valuable part of your degree. The McCombs Alumni Network will ensure they are lifetime bonds by keeping you in touch with fellow alumni and the school. Whether changing jobs, hiring employees or seeking greater business knowledge, you can depend on your Alumni Network to assist you.
Kristie Loescher, senior lecturer in the department of management, explains the benefits of connecting the business and health care fields.
Newly released Ethics Defined is a free tool for teaching ethics in 1-2 minute bits.
Congratulations to Angelise Hadley and Tom Jackson, winners of the fifth annual TVL Scholarship Competition.
Elisa Villanueva Beard, CEO of Teach For America offers simple advice: trust yourself, learn from others, and keep innovating.
Michael Sarraille, an MBA student and active duty military officer, started the VETTED Foundation to identify and prepare top military talent for industry leadership.

subset: commoncrawl


text:
Airport screeners find gun in carry-on bag
10/22/2013 7:33am
Yet another gun was discovered by TSA screeners
at the Salt Lake City Internatioanl Airport
over the weekend.
Utah may not be fully reimbursed for reopening national parks
10/22/2013 7:51am
There's no guarantee the state will get back
all of the $1.7 million paid to the federal
government to reopen Utah's national parks
during the shutdown, a deputy chief of staff to
Gov. Gary Herbert said Monday.
Expert shares key to finding a job
10/22/2013 8:06am
If you're looking for a job, you may want to
avoid the job listings and the want ads. Some
career counselors say there is a more effective
way to find work, but it will take a while.
Apartment resident opens door to heat, fire
10/22/2013 8:18am
A fire left at least two units in a
Taylorsville apartment building temporarily
uninhabitable Monday.
Utah auditor wants changes for taxpayer-funded vehicles
10/22/2013 9:14am
It doesn't look like Utah lawmakers will do
much about taxpayer funded cars for top state
officials, though one elected official wants to
change the policy.
Groom who halted own wedding with bomb hoax jailed
10/22/2013 10:00am
A forgetful British bridegroom who made a hoax bomb threat rather than admit he'd neglected to book the venue for his wedding was sentenced Tuesday to a year in jail.
Pertussis vaccine in teens may reduce infant hospitalizations
10/22/2013 10:16am
More adolescents being vaccinated for pertussis
appears to result in fewer pertussis-related
hospitalizations in infants, according to a new
study published in the journal Pediatrics.
Local movie theater battles national trends
10/22/2013 10:48am
Water Garden Theatres developed a business strategy they believe
better caters to locals with cheaper tickets and concessions, and no
showings of R-rated movies.
Three chances for U.S. to reaffirm commitment to religious liberty
10/22/2013 10:52am
George Washington eloquently set the tone for America's role as a
protector of religious liberty. Now the Obama administration and the
Supreme Court need to reaffirm this.
Open house, dedication set for LDS temple in AZ
10/22/2013 11:15am
The Church of Jesus Christ of Latter-day Saints
announced dates for a public open house and
dedication of the largest temple it has built
in 17 years.
Facebook works to warn users about violent content
10/22/2013 11:25am
Facebook announced Tuesday it was working on new ways to keep users from stumbling across gruesome content on its website following an outcry over the discovery of beheading videos there.
BYU's Hill blossoming into a star
10/22/2013 11:36am
One month ago, exactly to the day this is being written, the BYU
quarterback embarrassed and tainted the program's impressive legacy
of great passers. Since that night Taysom Hill has reinvented himself
as a pretty darned good quarterback.
UDOT needs public's help in catching copper thieves
10/22/2013 12:30pm
The lights are out along part of I-15 and the
Utah Department of Transportation is still
trying to get to the bottom of what has become
the largest copper wire theft in UDOT's
Utah works to make 15 credit semesters the norm for college students
10/22/2013 1:32pm
College students in Utah are hearing about a
new push to get them to step it up a bit and
get out of school faster, and with less debt.
2 teens, 3 adults arrested in Kearns drive-by shooting
10/22/2013 1:47pm
Five people, all between the ages of 16 and 20,
have been arrested in connection with a drive-
by shooting in Kearns Monday night.
Man critically injured in auto-bike accident
10/22/2013 2:01pm
A bicyclist is in critical condition after he collided with a vehicle
Tuesday morning, closing northbound Wasatch Boulevard after Fort
Burton in talks to direct 'Beetlejuice' sequel
10/22/2013 2:03pm
According to SchmoesKnows.com (and later confirmed by The Wrap),
both Tim Burton and actor Michael Keaton are in talks to revisit the
character in a follow-up to the 1988 film.
Artist's 'Wish' is 11-acre portrait of a child
10/22/2013 3:03pm
An 11-acre portrait of a girl created for a festival in the UK can only be
fully appreciated from the air.
Iraq vet's family wants 'SpongeBob' gravestone back
10/22/2013 4:09pm
The family of a slain Iraqi war veteran wants her towering SpongeBob SquarePants headstone returned to her final resting place while the cemetery officials that removed it say that's the only thing they won't do, leaving both sides at an apparent impasse that may have to be decided in court.
Former teacher, Boy Scout leader arrested on more sex abuse charges
10/22/2013 4:43pm
A former schoolteacher and Boy Scout leader already facing multiple charges of child pornography has been arrested again.
5 things to get your garden ready for spring
10/22/2013 5:12pm
Fall is the time to lay your preparations for spring and get your garden
back into shape. In this article are five suggestions to keep your green
thumb active as the harvest of summer ends.
Noble male role models subject of local project
10/22/2013 6:28pm
A Utah native is working on a project he said he hopes will boost the
visibility of positive male role models in society.
Builders of Obama's health website saw red flags
10/22/2013 6:43pm
Crammed into conference rooms with pizza for dinner, some programmers building the Obama administration's showcase health insurance website were growing increasingly stressed. Some worked past 10 p.m., energy drinks in hand. Others rewrote computer code over and over to meet what they considered last-minute requests for changes from the government or other contractors.
Emergency crews stage mass shooting drill at South Jordan theater
10/22/2013 6:59pm
Emergency crews from the Salt Lake City area
responded to a South Jordan theater Tuesday to
get a better feel for how to effectively
respond to a mass shooting.
Police: Springville man made, ignited pipe bombs
10/22/2013 7:23pm
A Springville man is in jail after police say
he constructed and ignited several pipe bombs
at his home.
Video: Man arrested after leading police on chase through Tremonton
10/22/2013 7:23pm
Police say a 26-year-old man who evaded
officers during a high-
speed chase near the Utah-Idaho border was
arrested in South Ogden
on Monday.
Emergency responders recall 'hysterical' MacNeill at scene of wife's death
10/22/2013 7:24pm
On the day Martin MacNeill's wife was found dead in the bathtub of
their Pleasant Grove home, his behavior was "hysterical" but not
suspicious, a former police detective said Tuesday.
6 fun things to do in St. George this weekend
10/22/2013 7:28pm
In addition to old St. George favorites like the outlet malls and spa
days, here are some suggestions that might add an element of novelty
to your trip to Utah's Dixie.
'We've got to unify' says Sen. Hatch of GOP after gov't shutdown
10/22/2013 7:39pm
Utah Senator Orrin Hatch said the recent
government shutdown hurt
the Republican Party, but that they have a plan
to bounce back from
the bad image.
Man evaluated for mental competency in rape, murder case
10/22/2013 7:55pm
A man accused of raping and murdering a 6-year-old neighbor girl
continues to be evaluated for mental competency.
Who are better listeners? Parents or children?
10/22/2013 8:21pm
If asked if they are better listeners than their kids, many parents will quickly answer, "Of course, I am." But empathetic listening is a skill parents need to exercise, and few do it well.
Life Flight gives behind-the-scenes view of emergency transportation
10/22/2013 8:56pm
A Life Flight helicopter gave a behind-the-
scenes look Tuesday at some
of their day-to-day operations and procedures
in an emergency
Early voters mulling over $495M Jordan School District bond
10/22/2013 9:05pm
A sizable bond in the Jordan School District has become a point of controversy for Salt Lake County voters. Opponents of the bond say it's just too much money, but those willing to pay believe it's the only solution for a rapidly growing Utah population.
5 new twists on traditional Halloween activities
10/22/2013 9:36pm
While many Halloween traditions may have made their way into
standardization, there is always room for change. Here are some idea
on how to mix things up a little this Halloween season, traditionally
Nevada boy says he came face-to-face with shooter
10/22/2013 10:14pm
Thirteen-year-old Angelo Ferro was at the Sparks Middle School playground with friends Monday when he heard a pop about 15 minutes before the morning bell rang. He said he didn't think much of it _ it could've been someone popping a plastic bag.
5 Union High players detained for vandalism after team-wide suspension
10/22/2013 10:34pm
Five members of the Union High School football
team are expected to
face charges in juvenile court after they were
caught along with a sixth
teen vandalizing a fence in Vernal, according
to police.
Man arrested for transporting $50K load of pot from Calif.
10/22/2013 10:35pm
A Utah man was arrested Monday with a duffel bag full of marijuana
that police say had been brought in from California for distribution in
Police ID man who allegedly drove truck up Capitol steps
10/22/2013 10:38pm
A man who drove his pickup truck up the steps
of the state Capitol
building was arrested Tuesday.
Nanny allegedly admits to scratching, force feeding children
10/22/2013 10:39pm
A former nanny charged with intentionally injuring two children was
booked into the Salt Lake County Jail Tuesday. Police say she wrote a
letter admitting abusive actions.
Columnist George Will goes 'One on One' on state of the Republican Party
10/22/2013 10:45pm
One of the most outspoken conservative
journalists in America was in Utah Tuesday.
George Will, a Fox News Channel contributor and
columnist for the Washington Post, addressed
BYU students and then sat down for a "One on
One" interview with KSL's Dave McCann.


text:
Log In now to add this Gigapan to a group gallery.
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About This Gigapan
Toggle- Taken by
- Scott_Anderson
- Explore score
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- Date added
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- Date taken
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After my 1st attempt at this view from the Cathkin Braes (6D fitted with a 300mm lens), I returned to the same spot with the same setup, but this time with my 2x converter.
It ended up a merge of 445 images (& nearly melted my i7 / 16Gb Ram computer during processing!).
Now I just need till summertime to get better light... If it doesn't rain!


text:
Cowboys TE Jason Witten has been listed as doubtful for Wednesday night's NFL season opener against the Giants, and Giants WR Hakeem Nicks is questionable.
Witten suffered a lacerated spleen in the team's preseason opener after a big hit from Raiders LB Rolando McClain, but Witten didn't need surgery, which likely would have ended his season. Witten will still travel with the team to New York.
Nicks missed the Giants' practices on Sunday and Monday as he continues his recovery from a fractured right foot suffered in May, but has told reporters he will play against the Cowboys.
Dallas has also ruled out DT Jay Ratliff (high ankle sprain), while CB Mike Jenkins is listed as questionable with a shoulder injury that has kept him out most of the summer.
The Giants' listed OLT Will Beatty, LB Michael Boley, CB Jayron Hosley, DE/LB Mathias Kiwanuka, DE Adrian Tracy and RB Da'Rel Scott as questionable. Beatty is not expected to play, with backup Sean Locklear starting in his place.


text:
Quinoa Peanut Soup (Sopa de Mani) 16 This spicy vegetable, quinoa and peanut soup recipe is a modern take on a traditional Bolivian soup recipe called Sopa de Mani. Serve this healthy quinoa soup recipe as a starter or make it a heartier meal by adding diced cooked chicken or turkey breast to the soup.
Quinoa with Latin Flavors 16 Cilantro, lime and scallions lend a bright finish to delicate quinoa. This versatile side pairs well with seafood, poultry or pork.
Slow-Cooker Quinoa-Summer Squash Casserole 10 As this layered slow-cooker squash casserole recipe cooks, the liquid from the tangy tomatillo salsa and summer squash is absorbed by the quinoa, adding tons of flavor to the final dish.
Vegetarian Quinoa & Squash Casserole 9 An aromatic mixture of garlic, paprika, cumin, coriander, allspice and cayenne flavors this vegetarian quinoa and squash casserole recipe. Frozen squash is a super-easy topping.
Quinoa Cakes with Smoked Salmon 5 These crisp quinoa cakes spiked with smoked salmon and topped with lemony sour cream make a lovely appetizer.
Quinoa & Black Beans 5 Stir in your favorite jarred salsa for extra zing. Also good the next day for lunch.
Turkey & Quinoa Stuffed Grape Leaves 2 Anything but traditional, these grape leaves are stuffed with ground turkey and quinoa flavored with bits of sun-dried tomatoes, olives, lemon zest and plenty of herbs.
Spicy Tomatillo Quinoa 1 In this easy quinoa recipe, tomatillos work double-duty: some are pureed to flavor the cooking liquid, others are chopped and stirred in raw for color and texture. Serve with grilled chicken, steak or fish, and a dollop of sour cream.
Quinoa-Stuffed Delicata Squash With its pretty striped skin and uniform shape, delicata squash is a beautiful vessel for serving up this healthy quinoa stuffing. Serve this recipe as a stunning side dish or a vegetarian main with a big leafy green salad alongside.
Whole-Grain Sushi Rice Although white sushi rice is traditional, this brown sushi rice base is blended with other grains and lentils. Traditional vinegar and sugar seasoning are omitted in this whole-grain brown sushi rice recipe so that the natural taste of the whole grains shines through. Any lentils work--French green lentils hold their shape best.


text: Welcome to the Fairview website for Gay Straight Alliance! We love new people, so come hang out in a safe zone, learn and work on LGBTQIA issues in the community! If you have any questions please don't hesitate to contact Lily, Hannah, or Maddie. All our communication and the club itself is very confidential. This club meets in room 813, Wednedsay, block lunch.


text:
Are you a software engineer looking for work? You may be in luck, because Apple (NASDAQ:AAPL) just posted a job listing on its website Monday looking for a senior software engineer who can "help build a next generation payment platform." The emerging digital payment market is a lucrative one, and Apple needs the manpower to help it crack the technology and "push the boundaries in new markets for Apple retail."
According to The Street, the Cupertino, California-based tech company needs experts in eCommerce, banking, retail, and card industries to help it develop a payment system that will consist of integration of payment devices, middleware, and acquirers. Apple is looking for professionals with a B.S. or M.S. in Computer Science with at least five years in the industry, and they should be expert in Chip & Pin technologies, particularly EMV L2, bank messaging specification ISO-8583, ICC solutions ADCT / M-TIP / AEIPS/ Interac testing & SmartSpy. Knowledge of country specific payment flows and online PIN protocols is also a must, and the candidate must have good communication skills, an ability to interact with international payment vendors, and experience in the eCommerce, baking, and retail industries.
Apple explains in the listing that, "In this role, you will get the opportunity to gain experience with global payment solutions in the retail industry. You will increase your expertise in the payment industry with hands-on experience on devices, protocols and processes, and learning from the collective experience of a team of very knowledgeable payment experts."


text:
EGG HARBOR TOWNSHIP, N.J. — The Port Authority of New York and New Jersey has taken over operations at Atlantic City International Airport.
The goal is to attract more airlines and passengers.
The airport only handles Spirit Airlines flights.
The South Jersey Transportation Authority has agreed to pay the Port Authority $500,000 a year under terms of a 15-year agreement that will be renegotiated every five years.
The Port Authority operates Newark, Kennedy, La Guardia, Teterboro and Stewart airports.
Port Authority takes over Atlantic City airport operations
Jul 3, 2013 at 2:00 AM


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Colleen Fitzpatrick, MSW, LCSW, CH, Counselor
Ready for change? Let's Get Started278 Tuckerton Rd., Medford, New Jersey 08055
My approach to treating eating disorders is that they need to addressed with compassion and genuineness. Eating disorders are very misunderstood by most therapists. I have specific experience with eating disorders and how to help you successfully identify and examine the roots of your emotions that relate to your behaviors. You deserve to be heard, understood and helped.
The Center For Extraordinary Relationships, LCSW
Ready for change? Let's Get Started102 Browning Lane, Building C-5, Cherry Hill, New Jersey 08003
I help clients to develop a more peaceful relationship to food and your body by understanding that one's relationship with food is the doorway to the rest of your life. By learning to separate yourself from your Inner Critic, and learning to treat yourself with kindness and compassion, you can truly understand the reasons why you have an unhealthy relationship to food and your body. Understanding how your relationship to food is a microcosm of your relationship to almost everything, has the power to heal your life in profound ways.


text:
View in iTunesTo preview a song, mouse over the title and click Play. Open iTunes to buy and download music.
Combining a Philadelphia soul sound with a strong appreciation of Marvin Gaye, Maze featuring Frankie Beverly was among the top R&B acts of the late '70s and '80s. The distinctive Maze and its charismatic lead singer, founder, producer, and songwriter Beverly didn't have many pop hits, but they were extremely popular among soul and urban contemporary audiences and enjoyed at least six or seven gold albums. Beverly was born Howard Beverly in Philadelphia, PA, on December 6, 1946; he started calling himself Frankie after hearing Frankie Lymon & the Teenagers (a major doo wop group) when he was only nine years old in 1956. Before that, Beverly had been singing gospel in church, and it was Lymon who made him realize that he wanted to perform secular music. That isn't to say that Beverly's appreciation of gospel ever went away; the gospel influence remained when he was in his forties and fifties, but secular R&B would be his main focus. When Beverly was 12, he joined the Philly doo wop group the Silhouettes (who were known for their hit "Get a Job") and went on tour with them in 1959. Then, in the early '60s, he founded and led a short-lived doo wop/soul vocal group called the Blenders. After the Blenders' breakup, a 17-year-old Beverly founded another vocal group in 1963: the Butlers, who favored a Northern soul approach. The Butlers never became well-known nationally, although they did provide a few singles (including "The Sun's Message" and "She Tried to Kiss Me") and recorded for small, Philly based labels like Fairmount, Liberty Bell, and Guyden. The Butlers also recorded for Gamble Records, a small label that was named after producer/songwriter Kenny Gamble (who went on to co-own a huge R&B empire when he ran Philadelphia International Records with fellow Philadelphian Leon Huff in the '70s). It was in 1970 that Beverly founded the band that eventually came to be known as Maze Featuring Frankie Beverly. Originally, Maze went by Raw Soul; using that name, it recorded three singles for Philly's small Gregar label in the early '70s (one of which was a cover of bluesman Taj Mahal's "Today May Not Be Your Day"). Although Beverly was born and raised in Philly, he has been quoted as saying that he never thought of himself as part of the Philly sound, and while his band does have Philly influences, it didn't fit into either the Gamble & Huff/Philadelphia International school of Philly soul or the Thom Bell/Linda Creed school (which the Delfonics, the Moments, and the Stylistics were a part of). Further, Raw Soul's sound owed as much to Marvin Gaye and the Isley Brothers as it did to any of the soulsters who came out of Philly in the '60s or '70s. Feeling out of place in his home town, Beverly moved Raw Soul to the San Francisco Bay Area in 1971. Raw Soul had been playing the San Francisco/Oakland scene for several years when Beverly's idol, Marvin Gaye, became aware of the band. Quite impressed by Beverly's singing and songwriting, Gaye sang Raw Soul's praises to Capitol and helped them land a deal with that major label in 1976. One thing Gaye didn't like about Beverly's band was the name Raw Soul. The late soul giant insisted on a name change and after considering a few other names (including Karma and Charisma), Raw Soul officially became Maze Featuring Frankie Beverly in 1976. (The name Karma wouldn't have worked because an obscure, L.A.-based funk/jazz outfit called Karma was recording for A&M around 1976-1977). Maze's self-titled debut album was released by Capitol in 1977; that album (which contains the hits "Happy Feelin's," "While I'm Alone," and "Lady of Magic") went gold and earned Maze an extremely devoted following. The band's 1977 lineup consisted of Beverly on lead vocals and rhythm guitar, Wayne Thomas on lead guitar, Sam Porter on keyboards, Ronald "Roame" Loary and McKinley "Bug" Williams on percussion and background vocals, and Joe Provost on drums. In 1978, Provost was replaced by Ahaguna G. Sun, formerly of a little-known soul/funk group called Sunbear; subsequently, Sun was replaced by Billy "Shoes" Johnson. There were other personnel changes along the way; keyboardist Phillip Woo (formerly of Roy Ayers' band Ubiquity) joined Maze in 1980, and Ron Smith was the guitarist who replaced Thomas. But regardless of who was coming or going, Maze always reflected Beverly's vision -- Beverly was to Maze what George Clinton was to Parliament/Funkadelic. 1978 saw the release of Maze's second album, Golden Time of Day, which contains the number-nine R&B hit "Workin' Together." Golden Time of Day went gold, as did 1979's Inspiration and 1980's Joy and Pain (the album that gave us the major hit "Southern Girl"). In the late '70s, Maze earned a reputation for having one of the best live shows in R&B and their first live album, Live in New Orleans (a two-LP set), came out in 1981. Another live double-LP, Live in Los Angeles, was released in 1986, which was the year after Maze's funky "Back in Stride" reached number one on Billboard's R&B singles chart and became their biggest hit ever. In 1989, Maze left Capitol for Warner Bros. and recorded Silky Soul; the title track, an ode to Marvin Gaye, was a major hit. By that time, Maze was receiving a lot of attention from the rap world -- their recordings were being sampled extensively by hip-hoppers. In 1988, rapper Rob Base used the chorus of Maze's "Joy and Pain" on a single that had the same title -- unfortunately, Base did so without permission and Beverly threatened legal action. Maze didn't enjoy many hits in the '90s, although their live shows continued to be well-received by a very devoted fan base. ~ Alex Henderson


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hemocoels is a valid word in this word list. For a definition, see the external dictionary links below.
The word "hemocoels" uses 9 letters: C E E H L M O O S.
No direct anagrams for hemocoels found in this word list.
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Words within hemocoels not shown as it has more than seven letters.Try a search for hemocoels in these online resources (some words may not be found):
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List all words starting with hemocoels, words containing hemocoels or words ending with hemocoels
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text:
Fall tour was so darn good that we just have to keep talking about it. Last week we reviewed the "best" moments of tour and this week Steve, Eric and Tanya discuss some of the "subtle" moments. Moments that may get lost in all the big rock pyrotechnics of Zeppelin covers and bust-out improv. We pulled a lot of clips ranging over the course of the entire tour to discuss how Fish led some of the finer moments and how the fitting tribute to a legend may be the most subtle and endearing moment of the current era. And what show would be complete without a little stumping for our favorite engine that could…Time Turns Elastic.
Head on over to typeIIcast.com to stream the podcast or subscribe in Itunes.


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Unhealthy Food Used To Visualize The Amount Of Calories Consumed [Pics]
Interactive site 'Fat or Fiction' creates data visualization about calories, sugars and fat in a creative way.
Fat or Fiction is an interactive site that visualizes information about food in a creative way. The collaboration between Anna Brooks, Christina Winkless and David Paul Rosser displays data such as sugar levels and calories in a series of "infotography." Different kinds of cake, alcohol, chocolate, crisps, cheese and sweets are displayed in pie charts and graphs, along with their nutritional details. Click through to see some pictures from the site:
PSFK 2017 Conference: Announcing Our Initial Speaker Lineup
PSFK 2017 Conference: Announcing Our Initial Speaker Lineup
June 8, 2012


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American Flyer # 48494 Lehigh Valley Covered Hopper * NASG Car * S Gauge
- Sold for: Start Free Trial or Sign In to see what it's worth.
- Item Category: Toys, Dolls, Games & Puzzles
- Source: eBay
- Sold Date: Jun 18, 2013
- Channel: Auction House
This is an American Flyer # 48494 Lehigh Valley Covered Hopper made exclusively for the NASG . Car is in mint, unused condition . Please read "all" the information below before you bid .
Please see pictures for more detail as they are part of the item description.
Will weigh 2 pounds packed and will be shipped Priority Mail. Paypal Payment is due within 3 days of Auction close. Sorry but I cannot accept any other form of payment at this time.Shipping costs are based on Ebays Shipping Calculator and there are
"No Handling Charges" added.
99.999% of the time I ship in less than 24 hours from the time I am payed.I do combine shipping costs on multiple, like size items purchased on the same day .
Once you receive your item if there is a problem please email me before leaving feedback so that I can attempt to resolve any issues there may be......
"If you have Zero Feedback (0) please do NOT bid on my Auctions." ** * If payment is not received in 3 days ebay will automatically file a non-paying bidder alert so that I can recover my ebay fees. ** * ** Shipping Information for International Buyers only ** The USPS requires that all international packages that weigh over four (4) pounds be shipped Priority Mail. Under four pounds can be shipped 1st ... read more


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19 June 2012
12 July 2012 Last updated at 00:38 BST
MPs are considering changes to the law to tackle the illegal trade in endangered species.
There has been a huge rise in reports of exotic animals - alive and dead - being illicitly bought and sold in the UK.
Police believe London is now a major international hub for criminals involved in smuggling exotic animal products.
Some of the more unusual items seized by officers are kept by the specialist Wildlife Crime Unit at its compound in London.
BBC World Service was shown around the compound by Sergeant Ian Knox.
Video production by Daniel Gordon


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Toyota Highlander SUV 2016 for sale
173 Views
Silver Sky GXL AWD 3.5L V6, 6 Speed Auto, 7 Seater
Translate this page :
- Vehicle
- 2016 Toyota Highlander
- Body
- Silver Sky Suv
- Engine
- 3456cc Automatic Petrol Engine
- Odometer
- 15,346 kms
- Stock Number
- Safety Rating
ANCAP Safety
Based on rating for 14+ models with frontal+side+head+knee airbags - Fuel Economy
- Yearly Cost: $ 2970 (source: Fuelsaver)
Seller Details
- Dealership:
- Dealer
- Address
- Northland
Everytime I drive the Highlander the first things that come to mind is Style, comfort and power. So much space you can sit adults comfortably in the 3rd Row and still have some space in the boot. Book your test drive today to find out for yourself.
Here at Northland Toyota, our aim is make your vehicle search as easy and stress free as possible, whilst ensuring your full peace of mind during online shopping. To achieve this we have a team of customer service driven sales consultants ready to assist your online shopping and organising a viewing of your selected vehicle. All of our quality used vehicles are checked through our well-equipped workshop by our Toyota trained technicians and two Master technicians. All vehicles come with a fresh WOF and Service.
- Making it easy -
If you have any further queries on this or any other vehicle on our yard, please feel free to contact one of our helpful sales staff. They will be able to do any or all of the following:
- Compile any further information you require on the vehicle of your selection
- Organise a viewing and test drive for you
- Arrange a professional evaluation of any vehicle you may have to trade
We can also arrange delivery country wide,
pricing below:
Auckland : $ 99
Hamilton : $ 245
Tauranga : $ 345
Wellington : $ 495
(Extra may apply to commercial vehicles)
Please contact us for delivery to any other areas
- Finance & Insurance -
We have a Finance & Insurance specialist on site to assist you with a range of competitive Toyota Financial Services including, Financing, Vehicle Leasing options and Toyota Vehicle Insurance (subject to lending criteria). We can also assist with No Worries Extended Warranties and No Worries Service Plans.
- Parts & Service Centre -
Our Service Centre is equiped to service all makes & models and Toyota factory trained technicians (including two Master Technicians out of a total of eleven in NZ) we can service your vehicle more efficiently saving you time and money. We also h
ABS Brakes, AirBags, Power Steering, Push Button Start Stop, Stability Control, Traction Control, Alloy Wheels, Auto Headlights, Central Locking, Electric Mirrors, Electric Windows, Fog Lights, Proximity Key, Remote Central Locking, Reverse Camera, Roof Rails, Tinted Windows, 2 Sets Of Keys, 7 Seater +, Bluetooth, CD Player, Dual Zone Air Conditioning, Electric Drivers Seat, Heated Front Seats, Engine Immobiliser, Leather Seats, NZ New, Radio, Steering Wheel Controls


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Just Came Bye To Say Hi & Be Safe Out There & I'm Collecting Patches From Different Fire & Ems Departments From Different Countries & Would You Like To Swap Patches ? Or Could I Get On From You Please?
JEMS Connect is the social and professional network for emergency medical services, EMS, paramedics, EMT, rescue squad, BLS, ALS and more.
© 2017 Created by JEMS Web Chief. Powered by


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Tulfarris House and Golf Course, Blessington, Co. Wicklow
The Tulfarris 18-hole championship golf course was designed by Ireland's renowned golf architect, Patrick J. Merrigan. The imaginative use of the natural landscape to blend an exciting design into an excellent golf layout is evident throughout the course .
No two holes are alike. The course is already recognised as one of Ireland's top courses having hosted the Irish Seniors Open Championship and Club Professional PGA Championship 2003.
The course is set on three peninsulas overlooking Blessington Lakes. The integrity of the landscape and the environment has been preserved. The ponds and the wild grasses on the course are an extension of the lakeshore itself.
"The crowning glory of the layout is the attention to detail. Bunkering, contouring, featured stonework and environmentally friendly wetlands are finished to the highest standards."
Dermot Gilleece, Irish Times Golf Journalist
Golf can be an expensive sport, especially if you are paying large joining fees and only playing a handful of times throughout the year. This is why we have introduced a new form of membership to Tulfarris.
To become a member you simply pay an annual subscription of €1,500 (ex VAT) and receive a voucher for 1 night's B&B in our hotel. Full details are below. If you have a wife or husband who would like to join, we also have a spouse programme in place.
Full ordinary member
- Annual subscription fee of €1,500 (ex VAT) and index linked;
- No joining fee;
- All new members become full ordinary members of Tulfarris Golf Club;
- All new members will simply abide by Tulfarris Club Constitution;
- As full ordinary members, you will have full voting rights and ability to be nominated / voted onto committee, in addition to being GUI / ILGU affiliated for your handicap;
- Voucher for 1 night B&B in hotel.
This is a fantastic opportunity to join a great club. If you would like to join Tulfarris, please contact us at +353 (0)45 867600.
At only 37 kilometres from Dublin, Tulfarris is the perfect location for your corporate or charity golf day. We have a number of different packages available depending on the type of day you require – whether it's a breakfast start, lunch or dinner.
You can also avail of our Manor House, Bar and Events Zone should your numbers be high. And to save the long drive home after a great day's golf, why not have your guests stay in our hotel.
For smaller parties, we can arrange private dining for up to 12 people.


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The Tokens
View in iTunesTo preview a song, mouse over the title and click Play. Open iTunes to buy and download music.
This Brooklyn doo wop group was originally known as the Linc-Tones when it formed in 1955 at Lincoln High School. Hank Medress, Neil Sedaka, Eddie Rabkin, and Cynthia Zolitin didn't have much impact in their early days recording for Melba. They later disbanded, but Medress re-formed the group in 1960 as the Tokens. Brothers Phil and Mitch Margo and Jay Siegel were now the members. They recorded for Warwick in 1960, then had their one glorious hit in 1962, "The Lion Sleeps Tonight." It was based on the South African Zulu song "Wimoweh," and reached number seven on the R&B chart while topping the pop surveys. The Tokens formed their own label in 1964, B.T. Puppy, but weren't able to keep the hits coming very long, although "The Lion Sleeps Tonight" remains a standard. ~ Ron Wynn


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In an age dominated by startups, how do you rise above the clutter and make your brand visible? Ditch the spokesmodel and get yourself a celebrity investor.
There's the teen sensation Justin Bieber, who recently announced a $1.1 million contribution to the selfie-sharing app Shots of Me. That's on top of the handful of gaming and mobile companies with whom he's already invested. Leonardo DiCaprio has not only kicked in to a recent $28 million funding round to Instagram nemesis Mobli, but also serves as a fulltime advisor. And countless actors -- from Robert De Niro, who co-founded Nobu Restaurants, to Bill Murray, who co-owns Charleston, S.C., eatery Rutledge Cab Co. -- have backed hospitality ventures.
And then, of course, there's Ashton Kutcher, who -- famously, at this point -- supported Skype in its early days, as well as invested in rising social lodging star Airbnb.
A-list backers can surely bring notoriety to a fledgling brand and they typically only make money off their contributions if a startup finds financial success, gets acquired or goes public. But, there's still a lot at stake for young-company founders. In addition to catering to the vagaries of celebrity, giving up future earnings may not be for everyone. So the question is, are celeb backers worth their price?
Related: Snooki, 'Housewives' and the Reality of Celebrity Businesses
Consider Justin Timberlake's investment stake in Myspace. In 2011, the social networking site that spent time at the top of the social-media pyramid before getting pummeled by Facebook, sold for $35 million to Specific Media. Just six years earlier, media tycoon Rupert Murdoch bought the site for $580 million.
Following the acquisition, Specific Media co-founders and brothers Chris and Tim Vanderhook announced plans to bring the actor and pop-music megastar into the Myspace family -- with the express mission of bringing artists closer to fans.
So far, the Myspace/Timberlake mash up, which came into full view after the site's reboot in June 2013, is going swimmingly, says Mike Jones, former CEO of Myspace and founder of technology studio Science, Inc. He didn't provide specifics regarding actual metrics, but he did say the connection felt strong. "If you're a fan of Justin, you get unique access to that kind of content," says Jones.
Related: 5 Ways to Land Celebrity Clients
Pop stars aren't the only ones joining the ranks of the star-studded investor elite. Athletes like Peyton Manning have found entrepreneurship a lucrative avenue, as well. The quarterback for the Denver Broncos entered the pizza business last year, snatching up 21 Papa John's stores in the Denver area. Many of the outposts have reportedly seen spikes in daily sales that have as much as doubled the revenue from the pre-Manning days. (Of course, incentives to football fans and pizza lovers alike—such as 50 percent-off Mondays when the Broncos win—have done nothing to temper that success.)
Papa John's could not be reached for comment. However, sales at certain locations have been known to double to $5,000 or $6,000 on any given game day under Manning's watch.
Despite the obvious marketing boon, some stars may bring harm to a brand's image. Examples of media belly flops include: Lance Armstrong, who lost Nike, Anheuser-Busch after a doping scandal. There's also Tiger Woods who shed various sponsors including Gillette, AT&T and Gatorade, after a car crash brought his unseemly personal life into the open. U2 frontman Bono was named "the worst investor in America" by financial site 24/7 Wall Street a few years back after his investment in a private equity firm Elevation Partners lost him millions when the smartphone company Palm failed to live up to the success of competitors like Apple.
Jones, for one, believes a startup's success is entirely dependent upon the execution and how it incorporates a famous face. "It needs to be an authentic integration that's very genuine for both the brand and the celebrity, as well as logical to the audience," he says. "From an investor's perspective, it's good to have people on board who are personally invested in the brand." If the celebrity is a high influencer with a large reach and can keep consumers engaged, then there's potential, he adds.
Related: 3 Ways to Spark Celebrity Buzz Around Your Product
The best idea is for high-profile investors like Troy Carter to approach their businesses holistically, such as incorporating a product debut with a movie or album release, adds Jones. "If you have [an influencer] who's incredibly talented and has a large audience and a life cycle, you need to look at your fans from a lifetime value perspective and the way you interact with those fans from a product perspective."
Copyright © 2013 Entrepreneur.com, Inc.


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Let me start out by saying that I love our harnesses and I love our coats.
They make our lives so much easier. I have one super pet peeve though: they don't play nicely together. The leash loop on the harnesses are about an inch lower than the opening on the coats. ARGH. You can kind of Macguyver it up. If I pull on the coat just right over the harness, I can grab the hook with the leash. The only problem is that this means the coats bunch up, the velcro pulls loose and they are a pain in the tail. I just sucked it up and lived with it, since it's been the same problem with every leash and every harness I've tried.Then, something happened that rocked my world.
We were out walking and a friend watched me adjust Kolchak coat for the 97 zillionth woofing time. She looks at me and goes "Why don't you just put the harness on over the coats?"Um… why didn't I think of that?
You put the coat on, then you put the harness on. The harness holds the coat in place.
It almost seems too simple…
Duh. It *is* simple. Simple and totally life changing.


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ViewsWatchers |
Crystal Township is a civil township of Oceana County in the U.S. state of Michigan. As of the 2000 census, the township population was 832. In the traditional township numbering for the State of Michigan, Crystal Township is T 16 N, R 16 W. Michigan also has a township of the same name in Montcalm County. [edit] Research Tips


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The Kingdom of Childhood is the story of a boy and a woman: sixteen-year-old Zach Patterson, uprooted and struggling to reconcile his knowledge of his mother's extramarital affair, and Judy McFarland, a kindergarten teacher watching her family unravel before her eyes.
Read more...- $0
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The Kingdom of Childhood is the story of a boy and a woman: sixteen-year-old Zach Patterson, uprooted and struggling to reconcile his knowledge of his mother's extramarital affair, and Judy McFarland, a kindergarten teacher watching her family unravel before her eyes. Thrown together to organize a fundraiser for their failing private school and bonded by loneliness, they begin an affair that at first thrills, then corrupts each of them. Judy sees in Zach the elements of a young man she loved as a child, but what Zach does not realize is that their relationship is -- for Judy -- only the latest in a lifetime of disturbing secrets.
Rebecca Coleman's manuscript for The Kingdom of Childhood was a semifinalist in the 2010 Amazon Breakthrough Novel Competition. An emotionally tense, increasingly chilling work of fiction set in the controversial Waldorf school community, it is equal parts enchanting and unsettling and is sure to be a much-discussed and much-debated novel.
Publishers Weekly® Reviews
- Reviewed in: Publishers Weekly, page .
- Review Date: 2011-04-18
- Reviewer: Staff
Coleman (Desperado City) creates a stark psychological drama in this charged story of a sexual relationship between a teacher and an underage student. Suburban Maryland 40-something Judy McFarland is married to "a cranky old asshole," dotes on her high school senior son, and teaches kindergarten at the humanistic-oriented Sylvania Waldorf School, where she supervises 16-year-old Zach Patterson as he fulfills his service hours requirement at the school's woodworking shop. Soon Judy embarks on a tryst with the compliant Zach, and as thoughts of the potential legal consequences of their clandestine relationship weigh on her, Judy comes unhinged and her sexual predations grow more pathetic, even brutish. Meanwhile, flashbacks fill in Judy's childhood spent in Germany, where early traumas—unwell mother, philandering father—took root, though it's unclear whether these are intended to justify or illuminate. As Judy's life barrels toward a dark end, it becomes a chore for the reader to remain sympathetic to her increasingly drastic plight. It's dark, fast-moving, and, for the most part, nicely creepy with a solid noirish vibe, though Judy's transition from a Mrs. Robinson figure to something much more maniacal is a bit of a stretch. (Oct.)
The darker side of desire
From Notes on a Scandal to the real-life antics of Mary Kay Letourneau, relationships between teachers and students hold perennial intrigue in our culture. Set in Maryland at the time of the Lewinsky scandal, Rebecca Coleman's psychologically disturbing novel, The Kingdom of Childhood, explores the dark, illicit side of desire.
Judy McFarland, a kindergarten teacher at the progressive and alternative Waldorf School, feels broken and displaced—she is haunted by the untimely death of her best friend and stuck in an unhappy, angry marriage with Russ, a Ph.D. candidate. Judy is asked to supervise 16-year-old Zach, a lonely transplant from New Hampshire, as he fulfills his service hours. Drawn together by mutual feelings of betrayal by their parents (in addition to untethered lust) the two quickly enter into an affair. Over time, Zach begins to retreat from increasingly obsessive, insatiable Judy, whose sexual proclivities grow unapologetically unsettling and unseemly. The novel barrels toward a suspenseful end as they both face the inevitable consequences of choices made.
The Kingdom of Childhood raises messy and controversial questions, making it a natural pick for book clubs. Coleman does not demand sympathy for her main character, and in fact, Judy's break from reality and obscured moral barometer stokes the tension even further. Though at her strongest when revisiting Judy's childhood in Germany, overall Coleman writes with a flair for capturing the underbelly of the human psyche and the all-consuming nature of desire.


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To search for a topic containing multiple words, please enclose the term in quotation marks, for example, "Canadian history"
Your search returned the following Experts.
Click on the person's name for more information.
Herbert Pimlott
Associate Professor, Communication Studies, MA CAST
Areas of Expertise: political communication (Canada, UK); alternative and radical media; social movements and media (including social media); journalism and print communication (versus digital media); post-secondary issues (Canada, UK)
Biography: Dr. Pimlott has taught communication and cultural studies at four different higher education institutions in Greater London, UK, while doing freelance editorial work and conference organizing. …
519.884.1970 ext.2522
Laurier researchers and faculty may express views that are not necessarily those of the University administration.


text: The American DJ Tri Gem LED Effect Light is a LED moon-flower effect. Designed for mobile DJ's, clubs, bands, roller rinks and any arena that requires a compact, light weight, easy to use unit. The Tri Gem LED can operate as a stand alone sound active unit so there is no need of a controller. Since there is no power switch, the Tri Gem LED will emit light once it is plugged into a power outlet or into a power pack. This affordable lighting effect from American DJ will make a great addition to any lighting system. There is a 3 way switch to change the effect manually: 1. sound active color change and sound active rotation, 2. sound active color changing and continuous rotation, 3. sound active color change no rotation. American DJ Tri Gem LED Effect Light Features


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Wordpress - Column display error within tab. Frontend dev expert required.
- Status Completed
- Budget $10 - $50 USD
- Total Bids 23
Project Description
Only first column displays content using column shortcodes. When looking at the code in firebug the second column div is set to 'display:none;'
[column size='1/2']
whatever the content is.
[column size='1/2' position='last']
this column is hidden
This only occurs when placing the column shortcode within the text editor for the tabs on the product page. [url removed, login to view]
fix tabs and shortcode to display.
I am guessing this should be a simple fix for a frontend expert.
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Hello guys!
I'd like to share a doubt that I have.
At this moment, I'm wearing a Sennheiser HD 202. I own it for almost 6 months and I simply love it. It has a nice bass and it really isolates some noise. But, unfortunately, the cable is long and this annoy me so much (as far as I use it for street and things like that)
I was thinking about sell the Sennheiser HD 202 and buy a Sony MDR-V55. Does it worth? The MDR-V55 is slightly expensive but it seems really good. I read some reviews and this Sony sounds great.
I'm always listening to rap, eletronic music, dubstep and rock.
Could you guys tell me your opinions? Or suggest another headphone, whatever.


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A Milestone Underlined Cake
Additional Information
Step 1
Bake and cool one-layer square cake. Place on foil-wrapped cake board, cut into a 13 x 13 in. square. Ice smooth with white buttercream.
Step 2
Using Slide-N-Cut Edge Cutter, cut four 9 in. strips, 2 in. wide, along the length of Green Stripes Sugar Sheets! For center diagonal stripe, align end of two strips together. Trim strips as needed to fit corners and cake sides. Attach using piping gel. Position two remaining strips 3 in. from each side of center strip. Trim to fit and attach using piping gel.
Step 3
Using Slide-N-Cut Edge Cutter, cut five strips, 1 in. wide, along the short edge of Bright Green Sugar Sheets! Position two strips, centered between Green Stripe strips. Trim to fit and attach with piping gel.
Step 4
Using Slide-N-Cut Edge Cutter, cut an 8 x 8 in. square from Light Green Sugar Sheets! and a 6 x 6 in. square from White Sugar Sheets! Attach white square to green square using piping gel. Attach to cake using piping gel. Using black FoodWriter and cutters as guide, trace numbers on back side (shiny side) of Bright Green Sugar Sheets! Cut out with scissors. Attach numbers to center of white square using piping gel.
Step 5
Using Slide-N-Cut Edge Cutter, cut 6 strips, 1/2 in. wide, along the length of Light Green Sugar Sheets! Attach around base of cake using piping gel.
In Stock (ships in 1-2 business days)


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Ask a Question Please complete this question form so we can get back to you! Thank you.
We try to respond to all questions and offers quickly, however, orders all come first. All reasonable offers will be considered however offers and questions take time.
1943 Pacific sheets ad SOLDIER TO MOM GALLANT Currently priced at $ 9.99 Pacific Balanced sheets black and white ad - 12 1/2 x 10 inches. To mom... for coknspicuous gallantry. Gallantry is made of blood and sweat and tears. That"s the gallantry of wives and mothers. Pacific percale-Pacific heavy muslin- Pacific truth, Pacific Mills, New York, NYSCANNED...
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$ Currently priced at $ 9.99.
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