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1987 Public Law accredited Additionally billion blood sugar Budget Reconciliation Act caregiver categorically needy clients Committee on Aging Congressional Budget Office CONTINUING CARE RETIREMENT costs coverage denials for home diagnosis-related group Federal fiscal intermediaries fiscal year 1988 funding sources HCFA Health and Human HEALTH MAINTENANCE ORGANIZATIONS HMO's home care agencies home care benefit home care services home health agencies home health aides home health benefits home health care home health services homebound hospital hospital-based home Human Services in-home services intermediary will deny intermittent skilled nursing limited long-term care benefit long-term care services Medicaid Medicare beneficiaries Medicare patients Medicare Program Medicare's monitoring nursing home OBRA Older Americans Act older persons Omnibus Budget Reconciliation out-of-pocket physical therapy physician professional review organizations regulations requirements respite care retirement communities Senate Special Committee Services Block Grant Social Services Block source of payment SSBG standards therapy tions U.S. Senate Special visits Washington