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Administration on Aging aged agencies appropriate assistance avoidable nursing home caid chronically impaired elderly community services community-based long-term comprehensive assessment comprehensive needs assessment coordinating demonstration projects DHEW disabled eligible for Medicaid enter a nursing evaluation families Federal funding Gerontologist health and social health departments health services Health Statistics home health home services hospital in-home income individual's individuals institutional institutionalization long-term care services Medi Medicaid coverage Medicaid eligibility Medicaid patients Medicaid recipients Medicaid residents medical necessity Medicare Monroe County Number Percent nursing home admissions nursing home applicants nursing home bed nursing home bill nursing home placement nursing home residents Older Americans Act payment personal resources physician planning population potential to remain Preadmission Screening Program private pay patients problems PSRO PSRO's services provided skilled nursing facility Social Security Act social services Supplemental Security Income Title XX U.S. National Committee York