Long-Term Care: Federal Oversight of Growing Medicaid and Community-Based Waivers Should Be Streng the Ned

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DIANE Publishing, 2003 - Long-term care of the sick - 64 pages
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.

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Page 62 - Cease dependence on inspection to achieve quality. Eliminate the need for inspection on a mass basis by building quality into the product in the first place.
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Page 47 - Services are general household activities (meal preparation, child care, and routine household care) provided by a trained homemaker when the individual regularly in charge of such activities is temporarily absent or unable to adequately manage the home and care for the personal needs of others in the home.
Page 60 - Comments from the Centers for Medicare & Medicaid Services DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Administrator Washington, DC 20201 DATE: TO: FROM: SUBJECT: JUN 16 2004 Leslie G.
Page 8 - A waiver under this subsection shall be for an initial term of three years and, upon the request of a State, shall be extended for additional three-year periods unless the Secretary determines that for the previous three-year period the assurances provided under paragraph (2) have not been met.
Page 47 - Services which will assist individuals who receive waiver services in gaining access to needed waiver and other State plan services, as well as needed medical, social, educational and other services, regardless of the funding source for the services to which access is gained.
Page 47 - ... families are to be supported in their efforts to care for vulnerable and dependent persons at home. Respite care services are those services given to an Individual unable to care for...

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