Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Home and Community based Services written by Charlene Harrington and published by . This book was released on 2001 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long Term Care written by Kathryn G. Allen and published by DIANE Publishing. This book was released on 2003-10 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Home & community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. This report reviews: (1) trends in states' use of Medicaid home & community-based service (HCBS) waivers, particularly for the elderly; (2) state quality assurance approaches, including available data on the quality of care provided to elderly individuals through waivers; & (3) the adequacy of federal oversight of state waivers. Charts & tables.
Download or read book Longterm care availability of Medicaid home and community services for elderly individuals varies considerably written by and published by DIANE Publishing. This book was released on with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Home and Community Based Waivers written by John E. Dicken and published by DIANE Publishing. This book was released on 2009-02 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deaths of individuals with developmental disabilities (DD) due to poor quality of care have been highlighted in the media. There have been concerns raised about inadequate safeguards for such individuals receiving care through state Medicaid home and community-based services waivers. CMS approves and oversees these waivers. Safeguards include the review of, and follow-up action to, critical incidents -- events that harm or have the potential to harm waiver beneficiaries. This report examines the extent to which states: (1) include, as a critical incident, deaths among individuals with DD in waiver programs; (2) have basic components in place to review such deaths; and (3) have adopted additional components to review deaths. Tables.
Download or read book Medicaid Determining Cost effectiveness of Home and Community based Services written by United States. General Accounting Office. Human Resources Division and published by . This book was released on 1987 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Approaches to Quality Under Home and Community based Services Waivers written by and published by . This book was released on 1993 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Best at Home written by Jill C. Feasley and published by National Academies. This book was released on 1996 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Home and Community Based Waivers written by Madelyn Freundlich and published by . This book was released on 1997 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Availability and Generosity of Medicaid Home Community Based Services for Economically Vulnerable Older Adults written by Hazal Erçin and published by . This book was released on 2021 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most older adults express a wish to age and die in their own homes, yet without a support system, dying at home can be impossible due to high needs for assistance with self-care, mobility, symptom management, and day-to-day functioning at the end of life. The care needs of economically vulnerable, community-dwelling older adults are addressed by Medicaid 1915(c) waivers which allow Medicaid funds to be used to provide home and community-based services (HCBS). Medicaid 1915(c) waivers reach the most economically vulnerable older adults -- also known as "dual eligible" older adults as they are qualified for both Medicare and Medicaid. HCBS waivers allow states to provide services that can help with symptoms, housework, daily activities, caregiver support, and with home safety. There is no federal policy regulating the services provided by Medicaid waiver programs and 1915(c) waivers are offered at the discretion of the states. As a result, states vary dramatically in the availability of the suite of services provided as well as the level of funding, or generosity of these services. These state-level differences may create disparities in the end-of-life experiences among dual-eligible older adults based on the state they live and die in. Aims: This dissertation investigated 1) state variation in Medicaid 1915(c) waiver availability and generosity of HCBS to dual-eligible older adults, and 2) the association between state variation in availability and generosity and end of life experiences. Methods: Three papers were written to answer the aims of this dissertation. First, a policy analysis was conducted to explore the availability and generosity of 1915(c) waivers utilizing three datasets: 1) waiver application documents located at CMS.Medicaid.org, 2) the Medicaid Analytic Extract - Other Services (MAX-OT) dataset, and 3) Genworth State Cost of Care Survey 2013. Analysis of these datasets resulted in summative descriptions of 8 state-level indicators for availability and generosity of HCBS. For the second and third papers, the National Health and Aging Trends Study (NHATS) (Wave 2-7, 2012-2017) was utilized in addition to state-level data summaries created for the policy analysis. For paper 2, regression analyses were used to determine the effect of waiver availability and generosity on unmet end of life needs. For paper 3, regression analyses examined the effect of HCBS on the quality of life reported at the end of life. Results: Substantial variation exists between states in available services, coverage for target groups, service slots available, ability to direct ' own care, and generosity of services. Paper 2 found that 40.26% of the sample had unmet needs for self-care and mobility activities Unmet need for assistance was associated with lower availability of HCBS and less generosity for homemaker services, having dementia, and not having participant direction option. Paper 3 found that 56.07% of low-income respondents reported having a low quality of end of life. Lower quality at the of end of life was associated with fewer available HCBS slots, living alone, higher numbers of chronic diseases, and receiving hospice during the last month of life and. Discussion: Community-dwelling dual eligible older adults nearing the end-of-life experience unmet needs with self-care and mobility activities and low quality of end of life, such as high symptom burden and lower functioning. The findings indicated that 1915(c) waivers could tailor their services for older adults at the end of life due to their higher risk for unmet needs and lower quality of end of life. Generosity for the services and slots available for dual-eligible older adults were also associated with end-of-life experiences of this sample, therefore Medicaid waivers should increase their generosity and slots to better meet the needs of economically vulnerable older adults at the end of life.
Download or read book Home and Community Based Services for Older Adults written by Keith Anderson and published by Columbia University Press. This book was released on 2018-05-01 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?
Download or read book Strategies to Improve Access to Medicaid Home and Community based Services written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2004 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Indiana Medicaid Home and Community based Waiver Services written by and published by . This book was released on 2000 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oversight of Quality of Care in Medicaid Home and Community Based Services Waiver Programs written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oversight of quality of care in Medicaid home and community-based services waiver programs.
Download or read book Handbook written by and published by . This book was released on 2010 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Download or read book Long term Care in Illinois written by John V. Lambert and published by Nova Publishers. This book was released on 2004 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Illinois is the fifth largest state in the country with 12.4 million people in 2000; the population increased by almost 9% or about one million people in the past decade. About 12% of the state's population is age 65 and older -- 1.5 million people in 2000. By 2025 the Illinois elderly population is expected to increase by over 50% and will be 16.6% of the state's total population. Illinois is one of the few states in the country that provides older persons and younger adults, who meet the eligibility criteria, with state entitlements to home and community-based long-term care services. Both entitlements resulted from court cases that were brought to eliminate waiting lists for services. The state funds the Community Care Program for older adults and the Home Services Program for persons with physical disabilities with a combination of state general revenue funds and Medicaid Section 1915 (c) waiver funds. The Community Care Program uses contracted agencies for the provision of homemaker, adult day care services, and case management services. In contrast, the Home Services Program's relies primarily on personal assistants, whom consumers supervise, to provide services. According to state officials, in 2002 the state had about 3,000 people with developmental disabilities in state-operated development centers (SODCs), 6,500 people in private intermediate care facilities for the mentally retarded (ICFs/MR) and 8,800 people in Section 1915 (c) Medicaid home and community-based services waivers for the developmentally disabled.
