ࡱ> ( 4  2 4http://collins.senate.gov/4http://collins.senate.gov/z.http://snowe.senate.gov0http://snowe.senate.gov/6rep.tomallen@mail.house.govDmailto:rep.tomallen@mail.house.gov~0http://michaud.house.gov2http://michaud.house.gov/-Jwww.maine.gov/education/medicaid.htmlXhttp://www.maine.gov/education/medicaid.html/ 00DArialus Mediumll4ׯ0"DWingdingsediumll4ׯ0 DTimes New Romanll4ׯ00DAlbertus Mediumll4ׯ0"@ .  @n?" dd@  @@`` ph$   () ()  5  5 5 >>**>>  GH JKLOPTUWX[]^_`bhi jkmnpqs1vwxyz{}|~ 0AA@8<=w ʚ;_R8ʚ;g4KdKd ׯ0ppp@ <4dddd8vS0l<4!d!d8vS0l 80___PPT10 ?  %(ESubstantive Changes in Federal Medicaid Rules and Anticipated Impact FF Federal Regulation Changes The Center for Medicaid and Medicare Services [CMS] will implement five federal regulations that will dramatically change a number of Medicaid services in all 50 states. @  Five Areas of New Regulations%Targeted Case Management Rule Changes&% 50%Targeted Case Management Rule Changes&% %Targeted Case Management Rule Changes&& :Targeted Case Management Rule Changes - Special Education;) +(:Targeted Case Management Rule Changes - Anticipated Impact;; GTargeted Case Management Rules - Significant change effective June 2009H!'6/GTargeted Case Management Rules - Significant change effective June 2009H!'.*   2Rehabilitation Rule Changes Effective July 1, 20083 2Rehabilitation Rule Changes Effective July 1, 20083/+.Rehabilitation Rule Changes Anticipated Impact/ =Rehabilitation Services Rule Changes - Effective July 1, 2008>'1Rehabilitation Rule Changes Habilitation Services2,Rehabilitation Rule Changes Other Exclusions-Rehabilitation Rule Changes- Private Non-Medical Institution s ImpactG) Hospital Outpatient Physician Services Rule Change  Effective July 1, 2008L5 2-  GAdministration and Transportation Rule Changes - Effective July 1, 2008&H! 0,  |Unit of Government  CPE Rule Change - Effective May 27, 2008&? 3.  !5What We Have Done Thus Far To Challenge These Changes65 " 5What We Have Done Thus Far To Challenge These Changes65 #!5What We Have Done Thus Far To Challenge These Changes65 %#(What s Happening Now &$(What s Happening Now (&(What s Happening Now )'(What s Happening Now -)What You Can Do to Help *Congressional Information Senator Olympia Snowe 154 Russell Senate Office Building Washington, DC 20510-0001 202-224-5344 Fax: 202-224-1946 http://snowe.senate.gov Senator Susan Collins 413 Dirksen Senate Office Bldg. Washington, DC 20510 202-224-2523 Fax: 202-224-2693 http://collins.senate.gov &P D^p0t 0~ 0` 3fffff3̙3f̙` ̙3f` ff3f` f33f3f` 3ffƍ` fff3` f33̙` 3f|>?" dZ@$?lKd@   l@  P`lA n?" dd@   @@``PT   @ ` `p>> H @ p  (  .T   "\\   "h  s *"   $0e0e BCDELF>5%8c8c     ?1d0u0@Ty2 NP'p<'p@A)BCD|E?|b4"%>Ul @   `c"$  f\   "n"  0G"r B T??"   <"GH "`  T Click to edit Master title style! !*   6\" "  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S    `(" ??"`>  " ^*     `T " ??"`@a  " ^*     `,%" ??"\5 " b* B  s *޽h ? 3fffff3̙3f̙80___PPT10.bp Capsules  <0 } u   (   T p   "p   6="@  F 0 "   B;G0* "pp  F 0 rZ     # "  n"  B 0G" R r   T??"L     <xv "4 `   W#Click to edit Master subtitle style$ $    `E ??"`>   b*     ` B ??"`@a   ^*     ` ??"`0  b* "    fLG0* ??"p   T Click to edit Master title style! !B   s *޽h ? 3fffff3̙3f̙80___PPT10.bp (    0 P%   X*   02  %  Z*   62 P   X*   6 2   2 Z* H  0޽h ? 3380___PPT10.4dpJr <0N0 qi (  x  c $Ң @0   I  c $LԢ `@    Brenda M. Harvey, Commissioner Department of Health and Human Services Susan A. Gendron, Commissioner Department of Education January 31, 20080PPH  0޽h ? 33___PPT10i.beB+D=' 4= @B +} <0 |$(  |r" | S +2 `  2 r | S ,2  2 H | 0޽h ? 3fffff3̙3f̙___PPT10i.b +D=' 4= @B + <0N0 ((  (~ ( s *92 `  2  ( 6@T2 6nf^___PPT9@8 Targeted Case Management (TCM)  effective March 3, 2008 Rehabilitation Services - effective July 1, 2008 3. Hospital Outpatient Physician Services  effective July 1, 2008 4. Certified Public Expenditure (CPE or  Certified Seed ) - effective May 25, 2008 5. Administrative and Transportation Services  effective July 01, 2008"     "/    @    1      8XH ( 0޽h ? 33___PPT10i.beB+D=' 4= @B + <0N0 0H(  0~ 0 s *PY2 `  2  0 s *Z2 PT 2<4___PPT9 ^TCM cannot be used for the administration non-Medicaid programs: Child Welfare/Child Protection Services: including investigation of abuse/neglect, monitoring at-risk children, placement of children in foster care/adoption, development of a service plan with goal of moving child towards "permanency. ZCf&Pf&P?H 0 0޽h ? 33___PPT10i.beB+D=' 4= @B +U <0N0 TL(  ~  s *v2 `  2 &  s *x2 PT 2<4___PPT9 p Parole and Probation Services supervision, counseling and oversight. Public Guardianship and Adult Protective Services. Head Start: including direct service delivery or duplication re: EPSDTf&PEf&Pf&P3f&Pf&PGf&PH  0޽h ? 33___PPT10i.beB+D=' 4= @B +; <0N0 :2(  ~  s *2   2    s *`2 @T 2<4___PPT9 VRecord-keeping requirements are more complex, requiring a medically necessary service in each time allotment. Rates must also be billed in 15-minute intervals, rather than monthly. nf&f&Gf&nFH  0޽h ? 33___PPT10i.beB+D=' 4= @B +k <0N0 jb (  ~  s *2 `  2 <  s *2 ` 2 @Case Management will continue to be reimbursable when a SINGLE Medicaid (MaineCare) qualified case manager comprehensively addresses all the service needs of the IDEA-eligible child, including: - Services identified on the IFSP or IEP - coordinating the provision of those services - facilitating the timely delivery of those services, etc. Medicaid case management services must remain separate and apart from the administration of IDEA programs Time spent facilitating the IFSP and IEP meetings and the development of Prior Written Notice will not be allowed as TCM. nAZk{H  0޽h ? 33___PPT10i.beB+D=' 4= @B +7 <0N0 66060L6(  ~  s *,2 `  2  % 02  f4 Loss to General Fund Loss to Community5 254 @`p^ 0 #"*`@p^ 2L p B02? p^VNF___PPT9(  t $16,120,000 6 (" d " @`K o B,2?3 ^VNF___PPT9(  s $5,373,000 6 (" d " @`? n BX2? 3 ^VNF___PPT9(  g4 " d" @`L m Bt2?0 ^VNF___PPT9(  t $20,710,000 6 (" d " @`K l B,? 0 ^VNF___PPT9(  s $6,943,000 6 (" d " @`C k BDv?@ ^VNF___PPT9(  kTotal4 " d" @`J j B?^ p VNF___PPT9(  r $15,720,000 4 (" d " @`I i B?3 ^  VNF___PPT9(  q $5,240,000 4 (" d " @`= h B? ^ 3 VNF___PPT9(  e2 " d" @`J g B4•?0 ^ VNF___PPT9(  r $14,550,000 4 (" d " @`I f B˕?^ 0 VNF___PPT9(  q $4,850,000 4 (" d " @`@ e BՕ?@^  VNF___PPT9(  hDHHS2 " d" @`A d B8?< p^ VNF___PPT9(  i$0 4(" d" @`A c B?3 < ^ VNF___PPT9(  i$0 4(" d" @`= b B? < 3 ^ VNF___PPT9(  e2 " d" @`I a B ?0 < ^ VNF___PPT9(  q $3,240,000 4 (" d " @`I ` B-?< 0 ^ VNF___PPT9(  q $1,080,000 4 (" d " @`V _ B@?@< ^ VNF___PPT9(  ~Head Start/Home Visitation2 " d" @`A ^ B??p< VNF___PPT9(  i$0 4(" d" @`A ] BP?3 < VNF___PPT9(  i$0 4(" d" @`= \ B@[? 3 < VNF___PPT9(  e2 " d" @`G [ Bd?0  < VNF___PPT9(  o $720,000 4 (" d " @`G Z Bo?0 < VNF___PPT9(  o $280,000 4 (" d " @`G Y B,z?@< VNF___PPT9(  o Corrections2 " d " @`G X Bx?<pVNF___PPT9(  o $400,000 4 (" d " @`G W B?3 <VNF___PPT9(  o $133,000 4 (" d " @`= V B|? <3 VNF___PPT9(  e2 " d" @`I U B?0 < VNF___PPT9(  q $2,200,000 4 (" d " @`G T Bd?<0 VNF___PPT9(  o $733,000 4 (" d " @`E S B?@<VNF___PPT9(  m Education2 " d " @`A R B@?`p<VNF___PPT9(  iFY 092 " d" @`A Q B ?3 `<VNF___PPT9(  iFY 082 " d" @`= P B? `3 <VNF___PPT9(  e2 " d" @`A O B?0 ` <VNF___PPT9(  iFY 092 " d" @`A N B?`0 <VNF___PPT9(  iFY 082 " d" @`= M B<?@`<VNF___PPT9(  e2 " d" @`ZB q s *1 ?@`p`ZB r s *1 ?@^p^ZB s s *1 ?@`@^ZB t s *1 ?p`p^ZB w s *1 ?@<p<ZB y s *1 ?`^ZB | s *1 ?0 `0 ^ZB  s *1 ? ` ^ZB  s *1 ?3 `3 ^ZB  s *1 ?`^ZB  s *1 ?@pZB  s *1 ?@< p< ZB  s *1 ?@^ p^ ZB  s *1 ?@ p H  0޽h ? 33___PPT10i.beB+D=' = @B +g <0N0 f^,(  ,~ , s *    8 , s *4R 0p`  8Each individual will be allowed to have only one case manager. In the past, we have relied on case managers and their respective areas of expertise. With this rule, case managers must be generalists. There is a concern in child welfare, adult protective services because many have more than one case manager.rBf&f&m f&BmH , 0޽h ? 33___PPT10i.beB+D=' = @B +< <0N0 ;3(  ~  s *8g       s *h 0p`T <4___PPT9 WThe timeframe, changes in billing system and the ability to collaborate will impact many programs, including developmental disabilities services. This is counterintuitive to many social service delivery best practices.` f& f&I f&IH  0޽h ? 33___PPT10i.beB+D=' = @B +} <0 p$(  r"  S  `   r  S ؀   H  0޽h ? 3fffff3̙3f̙___PPT10i.vc0+D=' = @B + <0N0 </(  <~ < s * `   q < s * p  The changes in the rules regarding rehabilitation services will affect a number of programs. The primary changes include a reduction in the scope of allowable services that can be provided. "H < 0޽h ? 33___PPT10i.beB+D=' = @B +q <0N0 ph@P(  P~ P s * `   B P s * @   Each individual who receives rehabilitation services will have to have a written plan that specifies the physical impairment, mental health and/or substance-related disorder to be addressed and measurable goals demonstrating progress. The plan s goals must assure the  least intrusive level possible to sustain health.,E( VH P 0޽h ? 33___PPT10i.beB+D=' = @B +v <0N0 um(  ~  s * `     00`  l: Loss to General Fund Loss to Community; 2;s     #"& P    K V <?  VNF___PPT9(  y $119,600,000 :(" d bB @`I U <h?  VNF___PPT9(  w $17,400,000: (" d bB @`A T <p? VNF___PPT9(  oTotal8 " dbB @`I S <?  VNF___PPT9(  w $100,000,000 8(" d bB @`? R <<?  VNF___PPT9(  m$0 8(" dbB @`> Q <P? VNF___PPT9(  lDHHS6 " dbB @`? P <t?H  VNF___PPT9(  m$0 8(" dbB @`H O <? H  VNF___PPT9(  v $10,000,000 8 (" d bB @` N <h?H VNF___PPT9(  dEducation  developmental therapy required by IDEA63 " d2bB @`H M <?@H VNF___PPT9(  v $19,600,000 8 (" d bB @`G L <p'? @H VNF___PPT9(  u $7,400,000 8 (" d bB @`l K <\)?@ H VNF___PPT9(  2Education  school-based 6 " dbB @`B J <2? @VNF___PPT9(  pFY09:(" dbB @`C I <,? @VNF___PPT9(  qFY 09:(" dbB @`S H <PP?  @VNF___PPT9(  Rehabilitation Services8 " dbB @`ZB W s *1 ?  ZB X s *1 ?  ZB Y s *1 ?  ZB Z s *1 ?  ZB ] s *1 ?@@ZB _ s *1 ?  ZB b s *1 ?  ZB e s *1 ?H H ZB l s *1 ?  ZB s s *1 ?  H  0޽h ? 33___PPT10i.beB+D=' = @B +  <0N0  PT(  T~ T s *W `    T s *b P   l Services may not be provided if the services are part of a non-medical program. These programs include foster care, child welfare, education, child care, vocational and pre-vocational training, housing, parole and probation, juvenile justice and public guardianship. D 8Z 4 H T 0޽h ? 33___PPT10i.beB+D=' = @B +U <0N0 TLp\(  \~ \ s *Pw `   & \ s *x 0P`  lAnother significant change is the disqualification of habilitation services to persons with mental retardation outside a waiver or related conditions, such as traumatic brain injury and dementia if those conditions are not expected to improve. These are now considered  maintenance services. Examples include Adult Day Services, Traumatic Brain Injury Clinics, Day Habilitation Services and most special-education and related services. ,(% H \ 0޽h ? 33___PPT10i.beB+D=' = @B +V <0N0 UM`(  `~ ` s *d `   ' ` s * @T <4___PPT9 qRecreational or social activities that are not focused on rehabilitation and not provided by a Medicaid provider Services provided to inmates living in secure custody of law enforcement and residing in public institutions Services to people residing in psychiatric hospitals Personal care services must be incidental and not separately billable Federal Match may only be claimed for services directed to a Medicaid recipient Transportation costs may not be included in a rate v\pf&Z /0f&Z !0f&Z 3pf&Z f&ZH ` 0޽h ? 33___PPT10i.beB+D=' = @B + <0N0 ls(  l~ l s * `    l s *x 0T <4___PPT9 SThese changes will affect all PNMI programs. Services will need to be unbundled and some of the currently covered services in the bundled rate will not be allowable. This will affect ElderCare Services, Mental Health Services and Developmental Disabilities Services, Brain Injury and Neuro-Rehabilitation and Substance Abuse Services. 0f&Z8f&Z0f&Z0f&Z H l 0޽h ? 33___PPT10i.beB+D=' = @B +Z <0N0 YQ@(  @7 @ s *$ 0p  Hospital-based physician services will be impacted by the rule change which states that only one fee schedule can be used to reimburse physicians. r" @ S  `   H @ 0޽h ? 33___PPT10i.beB+D=' = @B +$ <0 $(  r"  S  `   r  S d   H  0޽h ? 3fffff3̙3f̙80___PPT10.!d7o <0N0 nfx(  x~ x s *L 0   @ x s * `@@  This will affect Maine because it disallows federal financial participation for transportation of school-age students to and from school. $( H x 0޽h ? 33___PPT10i.beB+D=' = @B +} <0 $(  r"  S  `   r  S    H  0޽h ? 3fffff3̙3f̙___PPT10i.|c7N++D=' = @B +? <0N0 >6t(  t~ t s * 0    t s *p p`  BThis rule change requires that money used to draw down matching federal funds must come from either a  governmental unit or an instrumentality of the state. @  H t 0޽h ? 33___PPT10i.beB+D=' = @B +$ <0 $(  r"  S  `   r  S    H  0޽h ? 3fffff3̙3f̙80___PPT10.!dpIN <0N0 6(  ~  s * 0   x  s * p T <4___PPT9 xGovernor Baldacci, DHHS and DOE began working with staff at Senator Snowe s office as far back as September around the proposed Medicaid rules, as well as the SCHIP legislation. This was the vehicle some members of Congress were using to attempt to pass a moratorium on the proposed rehabilitation rule until 2010..=f& H  0޽h ? 3380___PPT10.beBd <0N0 L(  ~  s *5 0     s *$7 p  T <4___PPT9 Information has been shared with providers, legislators, schools and stakeholders since the rule changes were proposed. We ve worked collaboratively on analysis and impact statements that have been requested.f&H  0޽h ? 3380___PPT10.beB <0N0 (  ~  s *I 0     s *$K     \Early impact analysis was sent to Senator Collins and Senator Snowe s offices at their request. A letter was forwarded to the Senate Finance Committee, signed by Senator Collins and 38 other Senators, addressing the negative impact of the rule change on the states.( a H  0޽h ? 3380___PPT10.beB <0N0 (  ~  s *^ 0     s *` 0@   n>Governor John Baldacci continues to speak with our Congressional Delegation and work with the National Governor s Association about the impact of these rules. H  0޽h ? 3380___PPT10.beBW <0N0 ?(  ~  s *p 0     s * r p   The Department of Health and Human Services continues to hold numerous meetings with the other State departments, advocates and stakeholders to explain the changes and to discuss the new State rules that are being written.H  0޽h ? 3380___PPT10.beB  <0N0 bZ(  ~  s * 0   4  s * p   We are currently working on the analysis requested by Representative Henry Waxman (D-California) on the impact anticipated by these rule changes. H  0޽h ? 3380___PPT10.beB~ <0N0 f(  ~  s * 0     s *D p ` H@___PPT9" Legislation has been developed and proposed by Covington and Burling to preclude the adoption and/or implementation of all of the above rules. The argument for the legislation is that it fits well into the economic stimulus approach currently being developed by preventing the overall reductions in Medicaid payments to states. The legislation challenges CMS for going beyond its legal authority.<f& H  0޽h ? 3380___PPT10.beB <0N0 ph`(  ~  s *  0   B  s * p` T <4___PPT9 Help Us Understand the Impact Ask Questions and Share Your Concerns Work With Us to Determine Solutions Contact Your Congressman Questions/solutions  online feedback form, additional information: www.maine.gov/education/medicaid.html Ff&D&'%-0H  0޽h ? 3380___PPT10.beB <0  (  r"  S @ `   r  S     k   00 p /Representative Tom Allen 27 Longworth House Office Building Washington, DC 20515 Phone: 202-225-6116 Fax: 202-225-5590 rep.tomallen@mail.house.gov Representative Michael Michaud 1724 Longworth House Office Building Washington, DC 20515 Phone: 202-225-6306 Fax: 202-225-2943 http://michaud.house.gov $0P P/4x0x0.H  0޽h ? 3fffff3̙3f̙80___PPT10.bEx4r`M0>DK0â kb0w2@dBVSZ!0q% G(@^_-@> >#2Pb:Q61Oh+'0& hp   ( 4@H0Federal Rule Changes and Anticipated ImpactOoTMS CapsulesDavid Connerty-Marin26Microsoft Office PowerPoint@ h@@Jb@Dd G%g  tt&WMFChlx EMF@F(GDICx!b $$==% % V0xx x % % $$AA" FGDICF(GDICxF(GDIC8xF(GDICx!b $$=='̙% % V0 xxx% % $$AA" FGDICF(GDIC8!b $$==%  ;xY,x!X@   Y0?x?xxx=<>8 % $$AA" FGDICFGDICF(GDIC")F(GDIC ")( !b $$=='3f%  ;#X(###6|X(|||6N|X(N|N|N|6N#X(N#N#N#=<> "( % $$AA" FGDICF(GDIC" )!b $$==%  ;p#X4Q#878P8hQ|p|Y$|#=<>" ( % $$AA" FGDICFGDICFGDICF(GDIC*lQwFGDICF(GDICdlwFGDICF(GDIC *FGDICRp@"Arialn 22 2kO0dOXP(Pp2 222SO^0XPQ%0\Ut$PQ2PPڏ0tPXP$PQ2dv%    ffT|AALSubstantive Changes in Federal  % ( Rp@"Arial$20t2 2O 2$2 2HOR0$OQ2O Ƣ 2,PQ%0\Ut  4 0t xP$ 2xP0 2$\PlPt2dv%    ffT,AA%LMedicaid Rules and Anticipated Impact % ( F(GDIC,\FGDICRp@"ArialQDSArial4ߢN\U]@"Arial 0 Ģ 2SxO0Oz0%0\Ut 2d22 Ƣt2 P0@2 2,P\0t2dv%    ffT3`8AA8LBrenda M. Harvey, Commissioner  % ( Rp@"ArialeDSArial4ߢN\U]@"Arial 0 Ģ 2'SxO0Oz0%0\Ut 2d22 Ƣt2(P0@2 2,P\0t2dv%    ffT89u>AA>'LDepartment of Health and Human Services % ( Rp@"ArialQDSArial4ߢN\U]@"Arial 0 Ģ 2SxO0Oz0%0\Ut 2d22 Ƣt2P0@2 2,P\0t2dv%    ffTE`JAAJLSusan A. Gendron, Commissioner % ( Rp@"Arial<DSArial4ߢN\U]@"Arial 0 Ģ 2SxO0Oz0%0\Ut 2d22 Ƣt2P0@2 2,P\0t2dv%    ffTKLPAAPL|Department of Education % ( Rp@"Arial)DSArial4ߢN\U]@"Arial 0 Ģ 2SxO0Oz0%0\Ut 2d22 Ƣt2P0@2 2,P\0t2dv%    ffTaPUAAaULlJanuary 31, 2008 % (   x--$xx--'̙--$x x --'--!888        88--'3f--8 " " ( ((("" "--'--8"#%'( ( ""--'@"Arialn??-. ff62 Substantive Changes in Federal ."System-@"Arial???-. ff?2 %Medicaid Rules and Anticipated Impact.-@"ArialQ??-. ff62 8Brenda M. Harvey, Commissioner .-@"Ariale??-. ffB2 >'Department of Health and Human Services.-@"ArialQ??-. ff42 JSusan A. Gendron, Commissioner.-@"Arial<??-. ff*2 PDepartment of Education.-@"Arial)??-. ff2 UaJanuary 31, 2008.-՜.+,D՜.+,8  $ , On-screen Show$Dept. of Health and Human Services!' &Arial WingdingsTimes New RomanAlbertus Medium CapsulesFSubstantive Changes in Federal Medicaid Rules and Anticipated Impact Federal Regulation ChangesFive Areas of New Regulations&Targeted Case Management Rule Changes&Targeted Case Management Rule Changes&Targeted Case Management Rule Changes;Targeted Case Management Rule Changes - Special Education;Targeted Case Management Rule Changes - Anticipated ImpactHTargeted Case Management Rules - Significant change effective June 2009HTargeted Case Management Rules - Significant change effective June 2009 Slide 113Rehabilitation Rule Changes Effective July 1, 20083Rehabilitation Rule Changes Effective July 1, 2008/Rehabilitation Rule Changes Anticipated Impact>Rehabilitation Services Rule Changes - Effective July 1, 20082Rehabilitation Rule Changes Habilitation Services-Rehabilitation Rule Changes Other ExclusionsGRehabilitation Rule Changes- Private Non-Medical Institutions ImpactLHospital Outpatient Physician Services Rule Change Effective July 1, 2008 Slide 20HAdministration and Transportation Rule Changes - Effective July 1, 2008 Slide 22?Unit of Government CPE Rule Change - Effective May 27, 2008 Slide 246What We Have Done Thus Far To Challenge These Changes6What We Have Done Thus Far To Challenge These Changes6What We Have Done Thus Far To Challenge These ChangesWhats Happening NowWhats Happening NowWhats Happening NowWhats Happening NowWhat You Can Do to HelpCongressional Information  Fonts UsedDesign Template Slide Titles! 8@ _PID_HLINKSALhttp://collins.senate.gov/http://snowe.senate.gov/#mailto:rep.tomallen@mail.house.govhttp://michaud.house.gov/-http://www.maine.gov/education/medicaid.html,_David Connerty-MarinDavid Connerty-Marin  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntrydO)Current UserSummaryInformation('PowerPoint Document(DocumentSummaryInformation8