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ACCESS TO HOME accreditation addition Additionally areas assistance billion Budget Reconciliation Act client Committee on Aging Conditions of Participation Congressional costs coverage denials for home disabled elderly Federal fiscal intermediaries fiscal year 1988 funding sources HCFA Health and Human Health Care Financing HEALTH MAINTENANCE ORGANIZATIONS HMO's home care agencies home care benefit home care programs home care services home care worker home health agencies home health aides home health benefits home health services homebound homemaker and home hospital hospital-based home Human Services in-home services increases intermediary will deny JCAHO long-term care services Medicaid Medicare beneficiaries Medicare patients Medicare Program Medicare's monitoring National League nursing home Older Americans Act older persons Omnibus Budget Reconciliation out-of-pocket physical therapy physician Prospective Payment System regulations reimbursement Senate Special Committee Services Block Grant Social Security Act Social Services Block source of payment sumers supervision survey therapy tions U.S. Senate Special visits