Adults With Severe Disabilities: Federal and State Approaches for Personal Care and Other Services
DIANE Publishing, Feb 1, 1999 - 87 pages
The cost and policy implications of changing the current provision of community-based care for adults with severe disabilities are considerable and require a broad understanding of the current framework under which adults with disabilities receive services. This report (1) estimates the number and characteristics of adults with severe disabilities; (2) quantifies the federal assistance available to such individuals; (3) describes Medicaid coverage of personal care and related services; and (4) discusses how a sample of selected states have implemented Medicaid policies that allow consumers to select their own caregivers, an approach called consumer direction.
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adls Adults With Severe Aged and disabled agencies aphsa Arkansas assistance authorization is required beneficiaries Budget Subfunction California Cash and Counseling cash option ccde community-based consumer direction consumer-directed personal costs coverage Criterion for Eligibility developmentally disabled durable medical equipment eligible veterans employment estimated fiscal year 1999 funds hcbs waivers HCFA health aide services home health aide home health benefit home health services Housing iadl identified impairments independent living individuals with disabilities individuals with severe Kansas limits Medicaid home health Medicaid program Medicare Medicare and Medicaid Mentally retarded million needs nhis Number of clients number of individuals nursing offering personal Oregon participation payroll PCS Benefit percent personal care services personal caregivers physical disabilities population poverty threshold Programs With Disability provide personal Rehabilitation Act related services retarded or developmentally self-direction service-connected disability services provided severe disabilities Specifically at Individuals Supplemental Security Income supportive services target traumatic brain injury
Page 1 - The Honorable John R. Kasich Chairman, Committee on the Budget House of Representatives The Honorable Herbert H.
Page 26 - Subject to the provisions of this title, no qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.
Page 54 - ... substantial gainful activity because of a medically determinable physical or mental impairment which can be expected to result in death or to be of long-continued and indefinite duration.
Page 47 - Assistance (CFDA) is a governmentwide compendium of federal programs, projects, services, and activities that provide assistance or benefits to the American public. It contains financial and nonfinancial assistance programs administered by departments and establishments of the federal government.
Page 55 - ... to achieve maximum Independence In daily living and, to the maximum extent feasible, to become employable and to obtain and maintain suitable employment.
Page 67 - ... as the direct and proximate result of a personal injury sustained in the line of duty...
Page 61 - Act of 2000, amendments, and other acts, to provide insurance coverage for treatment in hospitals and other care facilities for covered services to persons age 65 or over, to certain disabled persons and to those with chronic renal disease. Benefits may be paid to participating and emergency hospitals, skilled nursing facilities, home health agencies, and hospice agencies — for inpatient hospital services and posthospital extended care services incurred during a benefit period. For...
Page 59 - Act) to establish programs to prepare youth and adults facing serious barriers to employment for participation in the labor force by providing job training and other services that will result in increased employment and earnings, increased educational and occupational skills, and decreased welfare dependency, thereby improving the quality of the work force and enhancing the productivity and competitiveness of the Nation (section 2).
Page 4 - ... activities of daily living (ADL) and instrumental activities of daily living (IADL).